亲感神经肌肉促进技术是否能改善多发性硬化症患者的呼吸参数和吞:一项随机对照研究
Julide Kesebir1, Rabia Gokcen Gozubatık Celik2, Yonca Zenginler3
1Biruni University, Vocational School, Department of Occupational Therapy, Istanbul, Turkey.
Multiple sclerosis and related disorders
|March 15, 2024
概括
自主神经肌肉促进 (PNF) 改善了多发性硬化症患者的呼吸功能,吞和生活质量. 然而,PNF没有优于家庭呼吸练习,除了%FEV1pred.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 多发性硬化症 (MS) 是一种慢性神经疾病,影响呼吸,吞和功能能力.
- 自主神经肌肉促进 (PNF) 是一种治疗方法,可能有利于MS患者.
- 评估PNF对MS患者各种功能结果的影响对于优化康复策略至关重要.
研究的目的:
- 评估PNF技术在呼吸系统参数,吞功能,功能能力,疲劳和PwMS中的生活质量方面的有效性.
- 为了比较PNF与PwMS中的标准家庭呼吸练习的影响.
主要方法:
- 一项随机对照试验涉及34名PwMS,分别分配给PNF组或对照组.
- 在PNF组接受了8周的PNF技术 (头,上肢,干部,呼吸),每周3天.
- 对照组在家中进行了呼吸练习. 评估了呼吸功能 (呼吸量测,MIP,MEP,PCF),2分钟步行测试 (2MWT) 和患者报告的结果 (DYMUS,EAT-10,FSS,MusiQoL).
主要成果:
- 这两组都显示出呼吸压力 (MIP,MEP),咳效率 (PCF),吞 (DYMUS,EAT-10) 和生活质量 (MusiQoL) 的改善.
- 与对照组相比,PNF组在FEV1pred%中表现出显著的改善 (p=0.011).
- 对照组在MIP中显示出明显的差异,有利于他们 (p=0.013),而PNF组在FSS和2MWT方面有所改善.
结论:
- 在轻度至中度PwMS中,PNF技术显示出提高呼吸肌肉强度,呼吸功能,咳效率,吞和生活质量的潜力.
- 观察到的PNF的益处与在家进行的呼吸练习相美,仅有%FEV1pred是唯一显著的优异结果.
- 进一步的研究可能会探索特定的PNF协议,以最大限度地提高PwMS的益处.
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