手部功能障碍在女性RA和psA患者中更为明显,并且在没有同时出现手部炎症的患者中也发现
Birte Coppers, Simon Heinrich1, Sara Bayat
1Institute of Applied Dynamics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GERMANY.
Medicine and science in sports and exercise
|July 31, 2025
概括
在类风湿性关节炎 (RA) 和牛皮性关节炎 (PsA) 患者中,手部功能显著受损,特别是在女性中. 这种损伤即使没有活跃的手部炎症也会持续存在,影响握力和精细运动技能.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
背景情况:
- 手的功能对于患有类风湿性关节炎 (RA) 和牛皮性关节炎 (PsA) 的患者的日常活动至关重要.
- 在炎症性关节炎管理中,全面的手部功能评估未得到充分利用.
- 了解手部功能缺陷是改善RA和PsA患者生活质量的关键.
研究的目的:
- 为了全面评估和比较RA和PsA患者的手部功能,与健康对照对比.
- 调查疾病活动得分与手部功能障碍之间的关联.
- 探索性别特异性差异以及并发性炎症对手部功能的影响.
主要方法:
- 涉及RA,PsA患者和健康对照 (HC) 的横截面研究.
- 使用同度握力,动态握力和精细运动技能 (莫伯格拾起测试) 评估手部功能.
- 统计分析采用了线性混合效应模型,按性别分层,并分析了没有并发手炎的子组.
主要成果:
- 与HC相比,RA和PsA患者表现出较低的握力和精细运动技能.
- 损伤在女性患者中更为明显;男性表现出更好的握力维护.
- 较高的疾病活动分数 (RA的DAS28,PsA的DAPSA) 与动态握力和精细运动技能的降低相关,特别是在女性中.
结论:
- 在RA和PsA患者中,手部功能同样受到损害.
- 女性患者体验到更显著的手部功能缺陷.
- 即使没有活跃的关节炎症,手部功能受损也很明显.
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