伸展对于管理MS性是不必要的:一个随机对照试验
Cinda L Hugos1, Sandra K Joos2, Suzanne E Perumean-Chaney3
1VA Portland Health Care System and Department of Neurology, Oregon Health & Science University, Portland, OR, USA.
概括
每天伸展,建议用于多发性硬化症 (MS) 性,与运动范围练习相比没有显著差异. 这两种干预措施都改善了MS性,挑战了单独伸展的必要性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 临床指南和专家意见建议每天拉伸多发性硬化症 (MS) 性.
- 然而,高功率的临床试验尚未证实这一建议.
研究的目的:
- 为了比较基于指导方针的性教育和伸展计划 (MS Spasticity: Take Control - STC) 与控制计划 (性教育和运动范围 - ROM练习) 的有效性.
- 评估这些干预措施对MS性的严重程度的影响.
主要方法:
- 231名患有自我报告的多发性硬化的门诊患者被随机分为STC或ROM组.
- 干预是在小组课程中进行的,最初是面对面的,后来由于COVID-19而几乎是虚拟的.
- 主要结果,多发性硬化症性度量 (MSSS) 评分,在干预后1个月和6个月评估.
主要成果:
- 在1个月初级终点时,在STC和ROM组之间没有观察到MSSS得分的统计学上显著差异.
- 这两组在1个月和6个月后,MSSS得分和大多数次要结果均有显著的平均改善.
结论:
- 包含拉伸练习的教育和包含运动范围练习的教育可能会在MS性方面产生类似的改善.
- 这些发现表明,伸展可能不是唯一必要的管理MS性,因为其他炼模式显示了可比的好处.
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