下肢淋巴会破坏静态和动态平衡
Özlem Karasimav1, Pınar Borman2, Meltem Dalyan2
1Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Sports Health and Rehabilitation Laboratory, Ankara, Turkey.
Clinical biomechanics (Bristol, Avon)
|May 4, 2024
概括
与健康个体相比,下肢淋巴显著损害了患者的静态和动态平衡. 建议在淋巴水康复计划中进行平衡评估和炼.
科学领域:
- 物理治疗 物理治疗
- 康复医学 康复医学 康复医学
- 临床生物力学 临床生物力学
背景情况:
- 下肢淋巴显著影响患者的生活质量,特别是在平衡方面,尽管文献很少.
- 了解平衡缺陷对于有效的患者管理和康复策略至关重要.
研究的目的:
- 为了比较下肢淋巴的患者与健康对照者的静态和动态平衡.
- 调查平衡参数与疾病持续时间,功能状态和身体活动水平之间的关系.
主要方法:
- 一项涉及30名淋巴患者和30名健康参与者的病例控制研究 (52名女性,8名男性;平均年龄为50.63±9.72岁).
- 评估静态平衡 (在稳定/不稳定的地面上摆动,眼睛开/闭) 和动态稳定.
- 平衡参数与淋巴持续时间,功能状态和体力活动的相关性分析.
主要成果:
- 与对照组相比,淋巴 edem 患者在大多数疾病中表现出明显较差的动态稳定性 (P=0.049) 和受损的静态平衡.
- 平衡缺陷,包括横向摇摆,与淋巴持续时间相关 (P≤0.046).
- 前后摆动与功能状态 (P=0.02) 和身体活动 (P≤0.016) 相相关.
结论:
- 下肢淋巴明显改变静态和动态平衡,特别是在具有挑战性的感觉条件下 (闭眼,不稳定的地面).
- 常规平衡评估和将平衡练习纳入康复中,建议用于淋巴患者,特别是在疾病早期阶段.
相关概念视频
01:11Assessing Blood pressure in the Leg
17.9K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
17.9K
01:10Homeostatic Imbalance
33.3K
Homeostasis is the maintenance of a stable internal environment within the body, which is crucial for the proper functioning of cells, tissues, organs, and organ systems. The body has various control mechanisms that work together to regulate various physiological parameters such as temperature, blood pressure, pH balance, and fluid balance, to name a few. These control mechanisms are based on feedback loops that can be either positive or negative.
However, sometimes these feedback loops fail,...
However, sometimes these feedback loops fail,...
33.3K
01:31Diabetic Foot Ulcer
33
Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory...
33
01:28Diabetic Nephropathy
32
Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration...
32
01:22Diabetic Neuropathy
59
DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...
59