在患有多发性硬化症的患者中,CoDuSe计划对平衡,跌倒风险和步行的长期影响
Waleed S Mahmoud1,2, Marwa M Ibrahim1,3, Nadia L Radwan1,4
1Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Physiotherapy theory and practice
|August 1, 2025
概括
联合核心稳定,双任务和感官运动 (CoDuSe) 计划显著改善了多发性硬化症患者的平衡和步态. 这些好处持续长达24周,降低了跌倒风险.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 多发性硬化症 (MS) 通常会导致平衡和行走障碍.
- 这些缺陷显著影响患者的流动性和生活质量.
- 有效的康复策略对于管理MS相关的功能衰退至关重要.
研究的目的:
- 评估一个结合的核心稳定,双任务和感官运动 (CoDuSe) 计划的长期疗效.
- 为了比较CoDuSe程序的效果与MS患者的标准炼程序.
- 评估对平衡,跌倒风险和步行表现的影响.
主要方法:
- 39名多发性硬化患者被随机分配到CoDuSe+标准炼或单独标准炼组.
- 两组人都接受了为期8周的训练,每周2次.
- 评估包括Berg平衡量,Biodex平衡系统,25英尺步行测试和MS步行量在多个时间点.
主要成果:
- 与对照组相比,CoDuSe组在所有结果指标上都显示出显著的改善 (p < .001).
- 观察到持续的益处:平衡改善至16周,跌倒风险至24周,步态至16周.
- 在伯格平衡量,整体稳定性指数和MS步行量表得分中发现了具体的改善.
结论:
- 与标准运动相结合的CoDuSe计划为MS患者提供了平衡,跌倒风险和步态的持久改善.
- 这种综合方法为增强MS功能移动性提供了有价值的治疗选择.
- 这些发现支持在MS康复中针对性多式模式运动干预措施的长期有效性.
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