早期多发性硬化症患者在与匹配的健康对照相比,在身体,认知和患者报告的结果方面存在重大缺陷
Cecilie Thrue1, Lars G Hvid1,2, Mette Diechmann1
1Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark.
Neurorehabilitation and neural repair
|February 13, 2025
概括
早期多发性硬化症 (MS) 患者与健康对照人群相比,表现出显著的身体和认知缺陷. 这些发现强调了早期诊断和干预的必要性,以管理疾病的影响.
科学领域:
- 神经学 神经学
- 神经免疫学 神经免疫学
- 康复医学 康复医学 康复医学
背景情况:
- 在多发性硬化症 (MS) 中,早期发现缺陷对于及时诊断和治疗至关重要.
- "时间很重要"的原则强调了迅速干预的重要性,以减少疾病活动和影响.
研究的目的:
- 将早期多发性硬化患者的身体,认知和患者报告结果与匹配的健康对照 (HC) 进行比较.
主要方法:
- 一项涉及84名早期多发性硬化患者 (诊断后≤2年) 和84名年龄/性别匹配的HC的横截面研究.
- 包括身体功能测试,认知测试和患者报告的结果措施在内的综合评估电池.
主要成果:
- 多发性硬化患者在各种指标上表现出5%至150%的缺陷,包括行走能力,上肢功能,有氧能力,体力活动,疲劳和疲劳.
- 认知功能出现了4%至20%的缺陷,只有符号数字模式测试和选择性提醒测试的延迟没有显著差异.
- 在MS患者中,与HC患者相比,生活质量下降了7%至8%.
结论:
- 与健康个体相比,早期多发性硬化症患者经历了相当大的身体,认知和患者报告的缺陷.
- 这些早期损害突显了采取积极战略的必要性,以保持或增强MS的功能储备能力.
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