在脊柱和腹筋肌肉缩中评估感觉和运动功能,使用静止姿势和反应性姿势控制
Joseph A Shrader1, Ashwini Sansare1, Allison C Niemic1
1Rehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA.
Neurology international
|June 25, 2025
概括
脊柱和柱状肌肉缩 (SBMA) 患者表现出自动姿势反应受损,并严重依赖视力保持平衡. flexor 软弱与不良的姿势控制有关,这表明防摔策略的目标.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
背景情况:
- 脊柱和柱状肌肉缩 (SBMA) 是一种X系神经肌肉疾病,导致渐进的肌肉衰弱和感官神经病变.
- 之前的研究表明,SBMA患者在动态平衡和静止姿势姿势控制方面存在缺陷.
- 在SBMA中以前没有报告过自动姿势反应.
研究的目的:
- 在SBMA中扩大对感官姿势控制的现有知识.
- 研究SBMA患者的自动姿势反应.
- 检查SBMA中肌肉强度和平衡能力之间的相关性.
主要方法:
- 采用了横截面研究设计.
- 50名被诊断患有SBMA的男性参与了这项研究.
- 评估平衡使用修改的临床测试的感觉相互作用平衡 (mCTSIB) 和运动控制测试 (MCT);强度是通过异度动力学测量.
主要成果:
- 在大多数mCTSIB条件下,参与者在静静姿势时显著增加了摇摆速度.
- 在SBMA患者中,自动姿势反应与MCT的规范数据相比,显著较慢.
- 横向柔器的弱点与两次平衡测试的表现较差有很强的相关性.
结论:
- SBMA患者表现出异常的感官姿势控制,显着依赖视觉输入.
- 在SBMA中,自动姿势校正受损,这表明对干扰的反应较慢.
- 脚部曲器的弱点与感觉和自动平衡缺陷有关,增加了跌倒风险,并突出了潜在的治疗目标.
关键词:
肯尼迪的疾病.脊柱泡泡肌肉缩 脊柱泡泡肌肉缩 肌肉缩自动姿势反射的自动姿势反射这是一个平衡的平衡,平衡的平衡.后泌尿学 后泌尿学 后泌尿学感官姿势控制 感官姿势控制强度强度强度强度强度强度强度强度强度强度强度强度强更多相关视频
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