临床特征 前交叉带后重建与皮质脊髓管中的结构变化相关
Le Yu1,2, Zhengbiao Jin1, Xiao'ao Xue1
1Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Journal of athletic training
|May 22, 2024
概括
前十字带重建 (ACLR) 患者表现出皮质脊髓管 (CST) 完整性受损,辐射扩散率更高,与更长的恢复时间有关. 这表明ACLR之后的神经质变化.
科学领域:
- 神经科学是一个神经科学.
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
背景情况:
- 在前十字带重建 (ACLR) 后的患者中,皮质脊柱管 (CST) 的结构异常没有得到充分记录.
- 在ACLR患者中,CST结构和临床结果之间的关系需要进一步研究.
研究的目的:
- 确定ACLR患者和健康对照人群之间是否存在CST结构特征的差异.
- 检查ACLR患者中CST结构和临床特征之间的关联.
主要方法:
- 一项涉及26名ACLR患者和26名健康对照者的横截面研究.
- 扩散张力成像 (DTI) 用于评估CST的白质微观结构.
- 进行了组间比较和与临床数据的相关性分析.
主要成果:
- 与对照人群相比,ACLR患者表现出小分离异构和轴向扩散率的降低,以及CST中的辐射扩散率 (RD) 的增加.
- 此外,ACLR患者在Y平衡测试中表现较差.
- 在ACLR患者中,较高的RD值与更长的术后持续时间有显著的相关性.
结论:
- ACLR患者表现出受损的CST结构完整性,其特点是较低的分数异构和较高的RD,特别是在受伤四肢相反的通道中.
- 增加的RD和更长的术后持续时间之间的关联表明,受损的CST完整性可能代表了对ACLR的不适应性神经可塑性反应.
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