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尿失禁,核心形态及其对多发性硬化症平衡和疲劳的影响:一项观察性研究
Cecilia Estrada-Barranco1, Laura García-Ruano2, Cristina-Belén Quilca-Esparza1
1Universidad Europea de Madrid, Faculty of Medicine, Health and Sports, Department of Physiotherapy, Villaviciosa de Odón, Madrid, Spain.
核心肌肉的软弱,特别是腹部横侧肌肉 (TA),与多发性硬化症 (MS) 患者的尿失禁 (UI),平衡不良和疲劳有关. 康复应该优先加强核心和骨盆底肌肉.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理治疗 物理治疗
背景情况:
- 多发性硬化症 (MS) 是一种慢性中枢神经系统疾病,影响生活质量.
- 尿失禁 (UI),平衡缺陷和疲劳是MS患者常见的衰弱症状.
- 了解核心肌肉功能,UI,平衡和疲劳之间的相互作用对于有效的康复至关重要.
研究的目的:
- 研究多发性硬化症 (PwMS) 患者的尿失禁 (UI),核心肌肉形态 (横腹肌 - TA),平衡和疲劳之间的关系.
- 为了确定核心功能障碍和PwMS中的症状严重程度之间的潜在联系.
- 为PwMS体验UI,平衡问题和疲劳提供有针对性的康复策略.
主要方法:
- 一项涉及27个PwMS的横截面观测研究 (17个具有UI,10个没有UI).
- 腹部肌肉厚度的超声波评估 (TA,内部/外部斜视).
- 使用了经过验证的UI (ICIQ-SF,I-QOL),平衡 (TIS,BBS) 和疲劳 (MFIS) 的问卷和尺度.
主要成果:
- 在UI,收缩期间的TA肌肉厚度和平衡 (TIS) 之间发现了显著的相关性.
- 有UI的PwMS显示TA厚度降低,平衡和疲劳得分较差 (尤其是认知疲劳).
- 逻辑回归表示UI严重程度预测功能平衡 (准确率为70.8%).
结论:
- 核心肌肉功能障碍,特别是涉及TA,可能是MS中UI,平衡障碍和疲劳之间的关键因素.
- 建议针对TA和盆地肌肉进行有针对性的强化,以进行康复.
- 提高核心强度可以提高PwMS的UI管理,姿势稳定性和整体日常功能.
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