遗传性痉挛性截瘫(HSP)包括多种神经退行性疾病,其特征在于行走能力的进行性恶化和长期残疾的高风险。与HSP相关的问题的管理,如刚度,畸形,肌肉挛缩,抽筋,需要严格遵守推荐的物理治疗活动方案。本文的目的是对现有证据进行批判性的叙述性审查,专门针对与HSP背景下各种形式的物理疗法(PT)相关的治疗优势。强调每种不同方法在肌肉放松方面的具体益处,肌肉力量,痉挛减少,改善弱点,增强平衡,姿势,行走能力,和整体生活质量。
■进行文献综述,数据库PubMed,Scopus,和DOAJ(最后一次访问于2023年6月)进行了搜索。
■PubMed搜索总共返回了230篇文章,Scopus返回了218,DOAJ没有返回任何结果。筛选后,最终列表包括7篇关于HSP患者PT治疗的论文.
■电刺激,磁疗,水疗,PT,机器人辅助步态训练,平衡康复有可能增加HSP患者的下肢力量和减轻痉挛。
UNASSIGNED: Hereditary spastic paraplegia (HSP) encompass a variety of neurodegenerative disorders that are characterized by progressive deterioration of walking ability and a high risk for long-term disability. The management of problems associated with HSP, such as stiffness, deformity, muscle contractures, and cramping, requires strict adherence to recommended physiotherapy activity regimes. The aim of this paper is to conduct a critical narrative
review of the available evidence focusing exclusively to the therapeutic advantages associated with various forms of physical therapy (PT) in the context of HSP, emphasizing the specific benefit of every distinct approach in relation to muscle relaxation, muscle strength, spasticity reduction, improvement of weakness, enhancement of balance, posture, walking ability, and overall quality of life.
UNASSIGNED: To conduct a literature
review, the databases PubMed, Scopus, and DOAJ (last access in June 2023) were searched.
UNASSIGNED: The PubMed search returned a total of 230 articles, Scopus returned 218, and DOAJ returned no results. After screening, the final list included 7 papers on PT treatment for HSP patients.
UNASSIGNED: Electrostimulation, magnetotherapy, hydrotherapy, PT, robot-assisted gait training, and balance rehabilitation have the potential to increase lower extremity strength and decrease spasticity in HSP patients.