在患有多发性硬化症的患者下肢附加肌肉的机械变化的表征
Tuba Maden1, Hakan Polat2, Emine Kiliçparlar Cengiz3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.
Clinical biomechanics (Bristol, Avon)
|July 10, 2025
概括
肌肉机械特性随着多发性硬化症 (pwMS) 患者的性增加而发生变化. 变化会影响度,度和弹性,特别是在肌区域,指导治疗策略.
科学领域:
- 神经学 神经学
- 生物机械工程 生物机械工程
- 康复科学 康复科学 康复科学
背景情况:
- 导管是多发性硬化症 (MS) 的一个常见挑战.
- 了解肌肉机械性质的变化对于管理MS患者的性至关重要.
- 目前的管理策略需要更好地了解区域肌肉变化的情况.
研究的目的:
- 在多发性硬化 (pwMS) 患者的不同肌肉部位的肌肉机械性质 (音调,刚性,弹性) 变化的研究,基于添加器度的严重程度.
- 为了将这些机械变化与修改的阿什沃思尺度 (MAS) 等级相关联.
主要方法:
- 42个pwMS被双边评估.
- 使用修改的阿什沃思尺度 (MAS) 评估接器动性,将患者分类为MAS0,MAS1,MAS1+和MAS2组.
- 使用MyotonPro®在腹部,肌和肌部位测量了肌肉机械特性 (音调,刚性,弹性).
主要成果:
- 在肌肉腹部和肌部部位观察到肌调和硬度的显著差异,并增加了MAS等级 (p < 0.05).
- 在腹部和肌部位之间,弹性没有显著差异 (p > 0.05).
- 所有测量的机械性质 (色调,刚性,弹性) 在肌部位上显示出在MAS等级 (p < 0.05) 中显著的差异,弹性与MAS中等负相关 (r = -0.358,p < 0.05).
结论:
- 随着 pwMS 的性进展,粘弹性特性变化从收缩肌肉结构扩展到非收缩肌肉结构.
- 肌区域的机械变化显著影响肌肉度,度和弹性.
- 的治疗策略应考虑肌肉的区域机械特征和的严重程度.
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