走向健康的步骤:倒行预测了多发性硬化症患者的身体活动水平
Michael VanNostrand1,2, Patrick G Monaghan1,2, Taylor N Takla1,3
1Neuroimaging and Neurorehabilitation Laboratory, Wayne State University, Detroit, MI, USA.
Neurorehabilitation and neural repair
|January 23, 2026
概括
倒行速度准确地预测了患有多发性硬化症 (PwMS) 的人每天的步骤目标. 倒行速度更快表明身体活动水平更高,有助于临床干预运动和健康.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 身体活动 (PA) 对身体,认知和心理健康至关重要.
- 患有多发性硬化症 (PwMS) 的人经常面临由于移动性,认知和心理因素的PA限制.
- 需要临床实用的方法来评估PwMS中的PA.
研究的目的:
- 开发一种临床方法,结合患者报告的结果和客观措施,以确定PwMS是否达到每日步数目标.
- 在PwMS中确定满足PA建议的预测因素.
主要方法:
- 45 PwMS完成了移动性评估 (平衡,前行[FW],后行[BW]),认知测试和自我报告措施.
- 菲特比特设备跟踪了PA3个月,评估了每天7500步的目标.
- 后勤回归分析了达到步骤目标的预测因素.
主要成果:
- 15名参与者实现了每日步骤目标.
- 达到目标的人报告说,他们的移动能力受限较少,也不那么担心跌倒.
- 在舒适的 (0.89 m/s) 和快的 (1.25 m/s) 速度下向后行走 (BW) 是实现每日步骤目标 (80-82.2%准确率) 的最强有力的预测因素.
- 认知功能在各组之间没有差异.
结论:
- 倒行 (BW) 速度是PwMS中实现每日步骤目标的临床相关预测指标.
- 已建立的BW速度切断可以准确地预测PA粘附.
- BW评估可以为在PwMS中促进PA的干预提供信息.
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