多发性硬化症患者在物理治疗后表现出更常规的质量加速中心
Brenda L Davies1, Rashelle M Hoffman2, Heidi Reelfs3
1Office of Graduate and Postdoctoral Studies, University of Minnesota Medical School, Minneapolis, MN.
Archives of rehabilitation research and clinical translation
|March 14, 2024
概括
物理治疗改善了多发性硬化症 (pwMS) 患者的步态变化和运动能力. 一个为期6周的计划增强了步行的规律性和行走测试,表明pwMS的显著益处.
科学领域:
- 神经学 神经学
- 物理疗法物理治疗
- 生物医学工程 生物医学工程
背景情况:
- 患有多发性硬化症 (pwMS) 的人经常表现出改变的步态变化和减少的运动能力.
- 步态变化,特别是质量中心 (COM) 加速,与健康个体相比,在pwMS中不那么规律.
研究的目的:
- 为了研究一个为期6周的物理治疗计划对 pwMS 的步态变化和移动性的影响.
- 为了确定步态变化的改善是否与增强的移动性结果相关.
主要方法:
- 一项前后设计研究,涉及15个pwMS和15个健康对照.
- 这是一项为期6周的干预计划,将现场和家庭练习相结合,针对力量,灵活性,平衡和步行.
- 评估步行参数,包括偏好的步行速度,时空动力学和6分钟步行测试,并分析COM加速变化.
主要成果:
- 干预后,pwMS显示COM标准偏差增加了12%,时间依赖变化的规律性增加了7%.
- 这些变化与大效果大小 (0.91和0.94) 相关,表明有意义的改善.
- 改善COM规律性与增强的偏好步行速度和6分钟步行测试的表现相关联.
结论:
- 一个结构化的物理治疗计划可以显著改善pwMS的改变步态变异性.
- 观察到的步行规律的改善与增强的整体流动性有关.
- 这项研究突出了针对性物理治疗在治疗多发性硬化症的运动缺陷方面的潜力.
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