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相关概念视频

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

34
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
492
Arteries of Lower Limbs01:20

Arteries of Lower Limbs

2.3K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
2.3K
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

990
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

43
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
43
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

32
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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相关实验视频

Updated: Sep 10, 2025

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
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多发性硬化和血管并发症患者的上肢和下肢功能差异

Heather M DelMastro1, Laura B Simaitis2, Ashley Constantine2

  • 1Mandell Center for Multiple Sclerosis, Mount Sinai Rehabilitation Hospital, Trinity Health Of New England, 490 Blue Hills Ave., Hartford, CT, United States; Department of Rehabilitation Medicine, Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road, North Haven, CT, USA.

Multiple sclerosis and related disorders
|August 21, 2025
PubMed
概括

血管并发症使多发性硬化症患者的功能恶化,特别是行走和上肢协调. 糖尿病对患有多发性硬化症 (PwMS) 的人的步行速度和行动能力产生重大影响.

关键词:
功能多发性硬化症上肢血管并发症步行和平衡

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科学领域:

  • 神经学
  • 血管医学
  • 康复科学

背景情况:

  • 患有多发性硬化症 (PwMS) 的人比普通人群更常见的血管并发症.
  • 关于血管疾病对肢体功能影响的研究有限.

研究的目的:

  • 为了比较PwMS的上肢 (UL) 和下肢 (LL) 功能.
  • 确定与UL或LL功能障碍相关的特定并发症.

主要方法:

  • 一个横截面研究的二次分析.
  • 评估了LL功能 (定时25英尺步行,定时上升和去) 和UL功能 (手指到鼻子测试,九洞杆测试,握力,盒子和块测试).
  • 使用双变量统计和调整的线性回归来分析数据.

主要成果:

  • 患有血管并发症的PwMS表现较差.
  • 经过协变量调整后,血管并发症与步行速度 (T25FW),移动性 (TUG) 和UL协调 (FNT) 的表现较差相关.
  • 糖尿病与T25FW和TUG表现的降低有显著联系.

结论:

  • 血管疾病加剧了与多发性硬化相关的步行,平衡,运动和UL协调功能缺陷.
  • 糖尿病是导致步行和行动能力减弱的一个重要因素.
  • 这些发现强调了血管疾病和多发性硬化病的综合影响,