多发性硬化症治疗方法的性模式评估和认可 (SPARTA):一个多中心流行病学研究
Paolo De Blasiis1,2, Andrea Massimiani3, Cristina Inglese4
1Department of Health Sciences, University of Basilicata, 85100, Potenza, Italy. paolo.deblasiis@unibas.it.
Journal of neurology
|December 12, 2024
概括
肌肉软弱和性通常对患有多发性硬化症 (pwMS) 的患者产生不对称的影响,特别是在下肢. 识别这些组合模式有助于规划针对性治疗以改善功能.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 流行病学 流行病学
背景情况:
- 和肌肉衰弱是多发性硬化症 (pwMS) 患者的主要残疾症状,通常会影响下肢,导致运动缺陷,疲劳和跌倒.
- 关于 pwMS 肌肉衰弱和性的综合模式,对称性和局部性的数据有限.
研究的目的:
- 在患有多发性硬化症 (pwMS) 的人群中,描述肌肉疲弱和的普遍组合模式.
- 在性治疗前进行功能平衡评估.
主要方法:
- 招募了具有下肢性的pwMS (EDSS 3.56.5).
- 收集关于肌肉疲弱,性,对称性和其他功能系统参与的数据.
- 进行流行率分析以确定组合模式.
主要成果:
- 包括300 pwMS;肌肉软弱和性主要是不对称的,而帕帕雷斯是常见的.
- 症状发生率,特别是肌肉衰弱,随着扩展残疾状态量表 (EDSS) 得分的提高而增加.
- 确定了12种常见的组合模式,其中"遥远中间和扩散性弱点" (29.3%) 是最常见的.
结论:
- 突出了pwMS中普遍存在的虚弱和的综合模式.
- 这些发现支持临床实践,帮助评估和优化药物治疗和康复治疗计划.
更多相关视频
08:40Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
Published on: June 12, 2019
7.4K
07:20Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
Published on: August 9, 2024
1.0K
相关概念视频
Multiple Sclerosis l: Introduction
Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
Alterations in Muscle Tone ll
Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
