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足形态是否会影响多发性硬化症患者的姿势控制?

Giulia Casu¹, Micaela Porta¹, Federico Arippa¹

¹Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Piazza d'Armi, 09123 Cagliari, Italy.

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概括

足高度显著影响多发性硬化症 (pwMS) 没有视力的人的平衡. 高或低的门增加了姿势摇摆,表明脚结构是跌倒风险评估和康复的关键.

科学领域:

神经学神经学
生物力学生物力学
康复科学康复科学康复科学

背景情况:

姿势不稳定是多发性硬化症 (pwMS) 患者的常见挑战.
在pwMS中导致姿势控制缺陷的因素尚未完全理解.
脚与地面的界面,包括脚形态,可能会影响平衡.

研究的目的:

研究足形态的作用,特别是中间纵向弓高度,在调节 pwMS 的姿势稳定性.
为了确定足部结构是否与多发性硬化症患者的姿势摆动增加有关.

主要方法:

94名 pwMS 患者同时对姿势摇摆和脚部压力分布进行了评估.
使用压力中心 (COP) 分析测量静静直立姿势时的姿势摆动.
脚形态被分类 (高,正常,低弧) 使用弧度指数 (AI).

主要成果:

与正常弧形相比,高弧形和低弧形脚的PwMS显著增加了姿势摆动,但仅在视觉输入缺席时.
更大的摇摆区域,更长的COP路径长度和更大的位移表明了摇摆的增加.
足形态影响平衡控制在pwMS的感官剥夺条件下.

结论:

足形态是确定pwMS具有更高平衡障碍和跌倒风险的重要因素.
分析脚部结构可能有助于制定针对多发性硬化症的个性化康复策略.
了解脚与地面的界面对于管理 pwMS 中的姿势不稳定至关重要.

关键词:

指数指数指数资产负债表的平衡情况足部形态足部形态多发性硬化症是多发性硬化症.姿势摇摆是一种姿势摇摆.

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