探索与多发性硬化症中病相关的因素:从范围审查的见解
Rachid Kaddoura1, Hanan Faraji1, Malek Othman1
1College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Clinical interventions in aging
|May 28, 2024
概括
跌倒在多发性硬化症 (MS) 患者中很常见,特别是在诊断的早期. 关键因素包括疾病进展,移动性问题,疲劳和认知功能障碍,突出了预防跌倒策略的领域.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 是一种慢性中枢神经系统炎症性疾病.
- 跌倒是MS患者的一个重要问题,特别是在诊断后的前六个月内.
- 识别跌倒风险因素对于患者安全和干预开发至关重要.
研究的目的:
- 进行范围审查,以确定与多发性硬化症患者跌倒相关的因素.
- 提高认识,并为旨在减少多发性硬化人口中跌倒风险和随后受伤的策略提供信息.
主要方法:
- 在Medline,Google Scholar,Scopus和Embase中使用与落和MS相关的Mesh术语进行了全面的文献搜索.
- 包括的研究发表于2012年至2022年之间,使用了明确的定义,并涉及符合麦当劳MS诊断标准的患者.
- 数据提取集中在导致摔倒的因素上,使用扩展残疾状况量表 (EDSS) 或患者确定的疾病阶段 (PDDS) 评分,如有.
主要成果:
- 在本次范围审查中,包括了18篇文章.
- 确定与多发性硬化症患者的跌倒有显著关联的关键因素包括疾病的严重程度和进展.
- 其他主要导致因素包括运动和平衡障碍,膀功能障碍,跌倒恐惧,疲劳和认知功能障碍.
结论:
- 这次范围审查成功确定了导致多发性硬化症患者倒的普遍因素.
- 调查结果强调了针对移动性,自身感知和平衡的干预措施的必要性,以减轻跌倒和受伤的风险.
- 了解这些因素对于为MS社区开发有效,有针对性的跌倒预防计划至关重要.
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