患有COPD的个体和患有或不患有萨科佩尼亚的个体在姿势控制和肌肉活动方面是否存在差异?
Walter Sepúlveda-Loyola1, Alejandro Álvarez-Bustos2,3, Juan José Valenzuela-Fuenzalida4
1Faculty of Health and Social Sciences, Universidad de Las Américas, Santiago 7500975, Chile.
Advances in respiratory medicine
|February 25, 2025
概括
患有慢性阻塞性肺病 (COPD) 和麻症的个人表现出更差的平衡和减少的肌肉活化. 这凸显了类病对COPD患者身体功能和稳定性的影响.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 神经学 神经学
背景情况:
- 慢性阻塞性肺部疾病 (COPD) 经常与肉症有关,这种疾病的特征是肌肉质量和力量的损失.
- 萨科白会显著影响功能状况,并增加老年人跌倒的风险.
- 慢性肺炎和肉病对平衡和神经肌肉控制的综合影响尚未完全理解.
研究的目的:
- 为了比较COPD患者的平衡性能和电肌图学 (EMG) 活动,有和没有肉症.
- 调查COPD患者与肉类相关的特定平衡缺陷和肌肉激活模式.
主要方法:
- 使用EWGSOP标准,35名COPD患者被分类为肉或非肉患者.
- 在各种感觉和姿势条件下 (眼睛开/闭,不稳定的表面,单腿姿势) 使用力量平台评估平衡.
- 使用了下肢和干部肌肉的表面电磁共振,定时启动和启动 (TUG) 和简要平衡评估系统测试 (Brief-BESTest).
主要成果:
- 在多重平衡条件下,sarcopenic COPD 患者表现出更大的姿势不稳定性 (增加速度,振荡,压力中心位移).
- 观察到异常的肌肉激活模式,包括身体上部肌肉活动的增加和下肢肌肉激活的减少 (前肌,中肌).
- 在 Sarcopenic COPD 个体中,功能平衡测试 (TUG,Brief-BESTest) 的表现较差.
结论:
- 与没有肉症的患者相比,患有肉症的COPD患者表现出明显的静态和动态平衡受损.
- 较低的下肢肌肉活化有助于在肉性COPD患者中观察到的平衡缺陷.
- 这些发现强调了在COPD管理中解决肉症的重要性,以改善功能结果并降低跌倒风险.
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