用剪波弹性学评估的关节运动对神经机械性能的实体影响:系统性审查和元分析
Gianluca Ciuffreda1, Elena Bueno-Gracia1,2, Isabel Albarova-Corral1,2
1Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Calle Domingo Miral S/N, 50009 Zaragoza, Spain.
Diagnostics (Basel, Switzerland)
|February 10, 2024
概括
关节运动会增加周围神经的硬,特别是在中枢,,坐骨神经和神经. 这种神经紧张效应可以通过健康个体的剪切波弹性图 (SWE) 来测量.
科学领域:
- 生物力学 生物力学
- 神经科学是一个神经科学.
- 医疗成像医学成像
背景情况:
- 周围神经在运动过程中经历机械紧张.
- 剪波弹性图 (SWE) 是一种在体内评估神经机械性能的技术.
- 增加的拉力负荷与增加的神经度相关.
研究的目的:
- 系统地审查和元分析关节运动对健康神经神经机械特性的影响.
- 提供神经紧张如何影响神经硬的概述.
主要方法:
- 在六个数据库 (PubMed,Embase,Scopus,Web of Science,Cochrane,Science Direct) 进行系统的文献搜索,截至2023年7月.
- 包括16项研究,使用修改后的唐斯和黑名单进行质量评估.
- 进行元分析,量化特定关节运动对神经硬性的影响.
主要成果:
- 观察到神经紧张增加神经硬的一般趋势.
- 发现神经度显著增加:
- 中间神经与手腕延伸 (SMD [95%CI]: 3.16 [1.20, 5.12]) 的时间.
- 腰部神经与肘部曲 (SMD [95%CI]: 2.91 [1.88, 3.95]) 的情况)
- 坐骨神经与脚背部屈曲 (SMD [95%CI]:1.13 [0.79, 1.47]) 的坐骨神经.
- 带有部曲 (SMD [95%CI]: 2.14 [1.76, 2.51]) 和脚背部曲 (SMD [95%CI]: 1.52 [1.02, 2.02]) 的小腿神经.
结论:
- 关节运动显然增加了外围神经硬,支持神经紧张的概念.
- 刚性变化的程度是神经特异性的,并且依赖于运动.
- 需要进一步的研究,以充分调查神经行为和超声波设备变异对硬度评估的影响,因为研究的局限性.
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