在患有多发性硬化症的人中,向后行走速度储备
Patrick G Monaghan1, Michael VanNostrand1, Nora E Fritz2
1Department of Health Care Sciences, Wayne State University, Detroit, MI, United States.
Multiple sclerosis and related disorders
|March 23, 2024
概括
在多发性硬化症 (MS) 患者的倒行速度储备 (BW-WSR) 没有显示出与前行步行措施相比的明显优势,以评估功能性移动性或跌倒风险. 需要进一步的研究来确定MS患者最敏感的临床评估.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 在患有多发性硬化症 (PwMS) 的人群中,步行速度的降低很普遍,与跌倒风险的增加有关.
- 步行速度储备 (WSR) 评估了按需增加步行速度的能力.
- 倒行是PwMS中跌倒风险的敏感指标,但其储备 (BW-WSR) 尚未研究功能移动性或认知关联.
研究的目的:
- 在PwMS中研究倒行速度储备 (BW-WSR) 的临床实用性.
- 检查BW-WSR与功能移动性,认知功能和潜在跌倒之间的关系.
- 将BW-WSR与前行行速储量 (FW-WSR) 和其他已确定的措施进行比较.
主要方法:
- 23名PwMS完成了以首选速度 (PWS) 和最大速度 (MWS) 的前进 (FW) 和后退 (BW) 步行试验.
- 计算的FW-WSR (MWS-PWS向前) 和BW-WSR (MWS-PWS向后) 的情况.
- 与功能移动性 (定时上行),认知测试 (SDMT,BVMT-R,CVLT,TMT A/B) 和潜在跌倒相关的WSR测量.
主要成果:
- 较低的BW-WSR与较大的MS疾病严重程度和较差的步行,平衡和认知测试 (信息处理速度,注意力) 的表现相关.
- FW-WSR显示了类似的关联.
- 无论是FW-WSR还是BW-WSR都没有预测这个群体的未来下降.
结论:
- 在评估PwMS时,BW-WSR没有比FW-WSR或首选/最大步行速度提供显著的优势.
- 在PwMS中确定功能性移动性和跌倒风险的敏感临床措施仍然至关重要.
- 这项研究为PwMS提供了对功能性移动性新型评估的见解.
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