轴性脊椎关节炎的功能和生理结果:比较生物和非生物治疗方法
Fulden Sari1, Zeliha Çelİk2, Gülay Alp3
1Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Bingol University, Bingöl, Turkey.
Physiotherapy theory and practice
|September 25, 2025
概括
与健康个体相比,轴性脊椎关节炎 (axSpA) 患者的运动能力和核心耐力降低. 治疗类型影响结果,这表明个性化康复计划对于管理axSpA功能限制至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 药理疗法是为了增强轴性脊柱关节炎 (axSpA) 患者的身体和生理功能而建立的.
- 了解不同治疗方式对功能能力的影响对于优化患者护理至关重要.
研究的目的:
- 为了比较axSpA患者的核心耐力,运动能力,心肺反应,生活质量 (QoL) 和疾病活动,在生物与非生物治疗与健康对照对比下进行生物与非生物治疗.
- 调查 axSpA.治疗史和功能结果之间的关系.
主要方法:
- 横截面研究包括52名接受生物治疗的患者,57名接受非生物药物治疗的患者和46名健康对照.
- 评估核心耐力,运动能力 (六分钟步骤测试),疾病活动指数 (BASDAI,ASDAS-CRP),功能状态 (BASFI),X光学得分,疼痛,QOL (ASQoL) 和肌肉疲劳.
- 还评估了心肺反应和实验室标记 (CRP,ESR).
主要成果:
- 与健康对照组相比,AxSpA患者的运动能力和核心肌肉耐力显著降低,疲劳水平更高 (p < .05).
- 接受非生物治疗的患者比接受生物治疗的患者显示较低的Bath结脊髓炎计量指数 (BASMI) 值 (p < .05).
- 运动能力 (步数) 与疾病活动 (BASDAI,ASDAS-CRP),功能状态 (BASFI),QOL (ASQoL) 和干部肌肉耐力有中度至强度的相关性,解释了34.1%的变异.
结论:
- 轴性脊椎关节炎患者在运动能力和核心耐力方面经历了显著的缺陷,受治疗类型的影响.
- 这些发现支持了个性化康复计划的需要,这些计划考虑了个人的功能限制和治疗史.
- 了解治疗对运动能力和耐力的影响,可以为 axSpA. axSpA. 开发更有效的物理治疗干预措施提供信息.
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