在患有多发性硬化症的患者中,康复治疗与仅药物治疗相比
Florin Mihai Marcu1,2, Doriana Ciobanu2, Ioan Cosmin Boca2
1Department of Psychoneuroscience and Rehabilitation, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
Turkish journal of medical sciences
|May 30, 2024
概括
康复治疗与药物治疗相结合,可显著改善多发性硬化症 (MS) 患者的运动能力和手的灵敏度. 在家中长期坚持身体和职业治疗对于持续的好处至关重要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 多发性硬化症 (MS) 的治疗旨在控制症状,而不是治愈疾病.
- 康复治疗 (RT),包括物理治疗 (PT) 和职业治疗 (OT),为MS患者提供了好处.
- RT可以提高有氧能力,肌肉力量,协调和日常生活活动.
研究的目的:
- 在MS患者中,评估RT (PT,OT,药物治疗) 与单独药物治疗相比的疗效.
- 强调家庭PT和OT对于MS患者的长期重要性.
主要方法:
- 一项后续观察性研究包括了77名从2020年到2022年的多发性硬化症患者.
- 患者被分为两组:RT合规 (A组) 和不合规 (B组).
- 评估的参数包括定时25英尺步行 (T25FW),9洞测试 (9HPT) 和步调听力序列加法测试 (PASAT).
主要成果:
- RT组显示出移动性和腿部功能的显著改善 (T25FW,p < 0.05).
- 在占主导地位的手指灵敏度 (9HPT,p < 0.05) 中观察到显著改善.
结论:
- 将药物治疗与康复治疗相结合,对于管理多发性硬化症至关重要.
- RT有助于恢复下肢肌肉力量,改善行走协调和平衡.
- 主导手的提高灵巧度是这种综合方法的一个主要好处.
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