纤维肌痛患者的运动功能障碍:呼吸的重要性
Bruno Bordoni1, Allan R Escher2
1Dipartimento di Cardiologia, Fondazione Don Carlo Gnocchi IRCCS, Istituto di Ricovero e Cura, S Maria Nascente, Milano, 20100, Italia.
Open access rheumatology : research and reviews
|March 13, 2024
概括
由于缺乏客观的测试,诊断纤维肌痛 (FM) 是一个挑战. 这项研究探讨了膜功能障碍和FM患者的运动障碍之间的联系,并提出了新的治疗途径.
科学领域:
- 神经学 神经学
- 物理治疗 物理治疗
- 呼吸系统医学 呼吸系统医学
背景情况:
- 纤维肌痛 (FM) 诊断往往是延迟的,由于缺乏黄金标准测试,依赖主观评估.
- FM表现出各种症状,包括身体,认知和心理障碍,以及各种类型的疼痛 (nociplastic, nociceptive, neuropathic).
- 姿势障碍和神经运动失调是FM的重要症状,可能会增加死亡率和发病率.
研究的目的:
- 调查膜膜肌肉变化与纤维肌痛中的功能运动问题之间的潜在联系.
- 突出呼吸机制在纤维肌痛病理生理学中的低估作用.
- 为治疗纤维肌痛提出新的临床和治疗观点.
主要方法:
- 文献综述专注于纤维肌痛中隔膜功能和运动症状之间的关系.
- 分析现有关于FM疼痛分类和功能功能障碍的研究.
- 探索膜干涉的潜在诊断和治疗影响.
主要成果:
- 目前的文献经常低估了呼吸功能,特别是腹膜功能对纤维肌痛症状的影响.
- 隔膜变化可能导致FM患者观察到的姿势不稳定和神经运动失调.
- 在FM中,呼吸模式和运动控制之间的相互作用需要进一步研究.
结论:
- 隔膜功能障碍是潜在的,但尚未被充分研究的,导致纤维肌痛运动障碍的因素.
- 对呼吸系统康复的进一步研究可能为纤维肌痛提供新的治疗策略.
- 将呼吸评估纳入临床实践可能会改善纤维肌痛诊断和管理.
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