PDF(Pubmed)
Abstract：
UNASSIGNED: Trunk control, which plays a key role in balance and mobility, decreases in patients with multiple sclerosis (PwMS) and many parameters such as sensory, motor, and musculoskeletal systems affect trunk control. The aim of this study was to compare trunk control, spinal mobility, and spinal posture in PwMS with healthy controls and investigate the relationship between trunk control with spinal posture and spinal mobility in PwMS.
UNASSIGNED: The study was completed with 38 PwMS and 38 healthy controls with matched age and sex. Trunk control was evaluated with the Trunk Impairment Scale (TIS). Spinal posture and mobility were evaluated in sagittal and frontal planes using an IDIAG M360 Spinal Mouse. Spinal posture was evaluated in upright, maximum flexion, extension, left and right lateral flexion positions, and spinal mobility was evaluated from upright to flexion, extension, right and left flexion positions in sagittal and frontal planes.
UNASSIGNED: TIS scores, thoracic mobility angles (from upright to flexion and left lateral flexion), lumbar mobility angles (from upright to extension and right lateral flexion) and lumbar posture angle (maximum right lateral flexion) were lower, and thoracic posture angles (upright and maximum extension) were higher in PwMS than healthy controls (p < 0.05). No significant difference was found between other spinal postures and mobility values. In addition, there was only a negative relationship between thoracic spinal mobility from upright to extension and trunk control in PwMS (r = -0.349; p = 0.032).
UNASSIGNED: These findings indicate the importance of early detection of trunk disturbances in PwMS. Thus, even in the early stages of multiple sclerosis, detailed trunk assessment will guide the implementation of comprehensive exercise programs.
UNASSIGNED: The study was completed with 38 PwMS and 38 healthy controls with matched age and sex. Trunk control was evaluated with the Trunk Impairment Scale (TIS). Spinal posture and mobility were evaluated in sagittal and frontal planes using an IDIAG M360 Spinal Mouse. Spinal posture was evaluated in upright, maximum flexion, extension, left and right lateral flexion positions, and spinal mobility was evaluated from upright to flexion, extension, right and left flexion positions in sagittal and frontal planes.
UNASSIGNED: TIS scores, thoracic mobility angles (from upright to flexion and left lateral flexion), lumbar mobility angles (from upright to extension and right lateral flexion) and lumbar posture angle (maximum right lateral flexion) were lower, and thoracic posture angles (upright and maximum extension) were higher in PwMS than healthy controls (p < 0.05). No significant difference was found between other spinal postures and mobility values. In addition, there was only a negative relationship between thoracic spinal mobility from upright to extension and trunk control in PwMS (r = -0.349; p = 0.032).
UNASSIGNED: These findings indicate the importance of early detection of trunk disturbances in PwMS. Thus, even in the early stages of multiple sclerosis, detailed trunk assessment will guide the implementation of comprehensive exercise programs.
摘要：
■行李箱控制，在平衡和流动性中起着关键作用，多发性硬化症（PwMS）患者的减少和许多参数，如感觉，电机,肌肉骨骼系统影响躯干控制。这项研究的目的是比较躯干控制，脊柱活动度,与健康对照者的PwMS和脊柱姿势，并研究PwMS中躯干控制与脊柱姿势和脊柱活动度之间的关系。
■研究完成了38个PwMS和38个年龄和性别相匹配的健康对照。用躯干损伤量表(TIS)评估躯干控制。使用IDIAGM360脊柱小鼠在矢状面和额面评估脊柱姿势和活动性。脊柱姿势以直立姿势进行评估，最大屈曲,扩展,左右侧屈位,脊柱活动度从直立到屈曲进行了评估，扩展,矢状面和额面的左右屈曲位置。
■TIS分数，胸廓活动度角（从直立到屈曲和左外侧屈曲），腰椎活动角度（从直立到伸展和右侧屈侧）和腰椎姿势角度（最大右侧屈侧）较低，PwMS的胸姿角度（直立和最大伸展）高于健康对照组（p<0.05）。其他脊柱姿势和活动度值之间没有发现显着差异。此外,在PwMS中，从直立到伸展的胸椎活动度与躯干控制之间仅存在负相关关系（r=-0.349；p=0.032）。
■这些发现表明了在PwMS中早期检测躯干干扰的重要性。因此，即使在多发性硬化症的早期阶段，详细的干线评估将指导综合锻炼计划的实施。
■研究完成了38个PwMS和38个年龄和性别相匹配的健康对照。用躯干损伤量表(TIS)评估躯干控制。使用IDIAGM360脊柱小鼠在矢状面和额面评估脊柱姿势和活动性。脊柱姿势以直立姿势进行评估，最大屈曲,扩展,左右侧屈位,脊柱活动度从直立到屈曲进行了评估，扩展,矢状面和额面的左右屈曲位置。
■TIS分数，胸廓活动度角（从直立到屈曲和左外侧屈曲），腰椎活动角度（从直立到伸展和右侧屈侧）和腰椎姿势角度（最大右侧屈侧）较低，PwMS的胸姿角度（直立和最大伸展）高于健康对照组（p<0.05）。其他脊柱姿势和活动度值之间没有发现显着差异。此外,在PwMS中，从直立到伸展的胸椎活动度与躯干控制之间仅存在负相关关系（r=-0.349；p=0.032）。
■这些发现表明了在PwMS中早期检测躯干干扰的重要性。因此，即使在多发性硬化症的早期阶段，详细的干线评估将指导综合锻炼计划的实施。
