基于计算机的平衡练习对糖尿病外围神经病变患者的平衡,疼痛,临床表现和神经功能的影响:一项随机对照研究
Duygu Aktar Reyhanıoglu1, Gaye Yıldırım2, Ihsan Şükrü Sengun3
1Physiotherapy and Rehabilitation, Faculty of Health Sciences, Fenerbahce University, Istanbul, Turkey.
Journal of musculoskeletal & neuronal interactions
|June 3, 2024
概括
使用Biodex平衡系统 (BBS) 的计算机平衡练习显著改善了糖尿病外围神经病变 (DPN) 患者的平衡,并减少了神经病痛. 然而,神经功能并没有出现改善.
科学领域:
- 神经学 神经学
- 物理疗法物理治疗
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病周围神经病变 (DPN) 是糖尿病的常见并发症,导致平衡问题和神经病痛.
- 需要有效的干预措施来管理DPN症状并改善患者的生活质量.
研究的目的:
- 评估基于计算机的生物码平衡系统 (BBS) 干预对DPN患者的疗效.
- 评估BBS运动对平衡,神经病痛,临床表现和神经功能的影响.
主要方法:
- 一项随机对照试验涉及32名患有DPN的参与者,被分配到使用BBS的干预组 (IG) 或对照组 (CG).
- 总监每周两次进行BBS练习,持续8周;总监收到糖尿病自我管理信息.
- 评估包括平衡 (姿势稳定,跌倒风险),神经病痛 (DN4),密歇根神经病学查仪器和神经传导测试.
主要成果:
- 在IG中,使用BBS进行平衡训练显著改善了姿势稳定性 (p<0.001) 和降低了跌倒风险 (p<0.001).
- 神经病痛 (p=0.01) 和症状 (p<0.001) 显著减少,临床表现也有所改善 (p=0.02).
- 没有观察到神经功能的显著改善. 与随访时的CG相比,IG在稳定性,跌倒风险和神经病症症状方面显示出更好的结果.
结论:
- 使用BBS的计算机平衡练习在改善平衡和减少DPN患者的神经病痛和症状方面是有效的.
- BBS干预积极影响DPN的临床表现,但不能恢复神经功能.
- 这些发现表明,BBS是管理与DPN相关的功能缺陷的有价值工具.
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