多发性硬化症患者的运动引起的热敏性:定义,患病率,病因和管理-A范围审查
Anna Šilarová1, Lars G Hvid2, Pavel Hradílek3
1Department of Rehabilitation and Sports Medicine, University Hospital Ostrava, Czechia; Faculty of Medicine, University of Ostrava, Czechia; Department of Clinical Neurosciences, University of Ostrava, Czechia.
Multiple sclerosis and related disorders
|August 30, 2024
概括
运动引起的热敏性 (EIHS) 影响了许多患有多发性硬化症 (pwMS) 的患者,影响了他们炼的能力. 冷却干预可以帮助管理EIHS症状,改善pwMS的运动参与.
科学领域:
- 神经学 神经学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 运动对多发性硬化症 (MS) 症状管理和疾病修饰有好处.
- 运动引起的热敏性 (EIHS) 是患有多发性硬化症 (pwMS) 的人面临的常见挑战,可能会限制运动参与.
- 现有的文献缺乏在 pwMS 中对 EIHS 的全面审查.
研究的目的:
- 在 pwMS 中定义 EIHS.
- 总结EIHS的流行情况和潜在的机制.
- 审查pwMS的EIHS治疗和临床管理策略.
主要方法:
- 使用范围审查方法来综合当前的知识.
主要成果:
- 提出了EIHS的拟议定义.
- 在29-80%的pwMS中报告了EIHS.
- 潜在的机制包括脱髓化,中枢神经系统病变,出汗和热感官功能的改变,疾病稳定性和神经心理因素.
- EIHS的严重程度受运动类型,强度和格式的影响.
- 冷却干预可以减轻EIHS的严重程度.
结论:
- 在pwMS中,EIHS很普遍,尽管它的机制需要进一步研究.
- 与运动相关的因素显著影响EIHS的严重程度.
- 冷却策略为 pwMS 中的 EIHS 管理提供了一种可行的方法,促进了持续的练习参与.
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