Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.
Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
NeuroRehabilitation. 2020;46(3):333-341. doi: 10.3233/NRE-192987.
Patients with MS, regardless of the complexity of the activity or sensory conditions, commonly present a significant postural control deficit compared to healthy subjects.
To investigate which postural self-correction strategies are adopted by patients with Multiple Sclerosis versus a group of healthy-subjects and how self-correction can influence the control of postural balance.
A case-control prospective observational study was conducted. Person with Multiple Sclerosis and a group of healthy volunteers were enrolled. Patients included were instructed with vocal commands, to reach a self-correction posture, and they were compared to healthy subjects. Clinical assessments including Balance, Stabilometry and Postural evaluation of the spine were performed.
Sixty patients (30: control-group; 30: treatment-group) were enrolled. In the treatment group, the analysis reported a significant statistical difference between path length and center of pressure speed in self-correction posture with closed-eyes (p = 0,049; 0,047) and an improvement in C7 and L3 levels in self-correction posture (p < 0,01-C7; p < 0,01-L3). There are significant statistical differences about path length between the two groups in all examined conditions (p = 0,0001). At sagittal plane evaluation, results show an increase of all measurements in both posture (C7-neutral posture p = 0,0001; L3-neutral posture p = 0,0001; C7-self-correction posture p = 0,0001; L3-self-correction posture p = 0,0001).
Further study should investigate dynamic situations and different Multiple Sclerosis forms to complete balance analysis and to establish a correct rehabilitative program with self-correction exercise as powerful focus.
与健康受试者相比，无论活动或感觉条件的复杂性如何，多发性硬化症患者通常都存在明显的姿势控制缺陷。
研究多发性硬化症患者与一组健康受试者采用的哪些姿势自我纠正策略，以及自我纠正如何影响姿势平衡的控制。
进行了一项病例对照前瞻性观察研究。招募了多发性硬化症患者和一组健康志愿者。患者被口头指令引导，达到自我纠正姿势，并与健康受试者进行比较。进行了平衡、稳定度和脊柱姿势评估的临床评估。
纳入 60 名患者（30 名对照组；30 名治疗组）。在治疗组中，分析报告在闭眼时自我纠正姿势的路径长度和中心点速度（p=0.049；0.047）以及 C7 和 L3 水平在自我纠正姿势时的改善有显著的统计学差异（p<0.01-C7；p<0.01-L3）。在所有检查条件下，两组之间的路径长度都有显著的统计学差异（p=0.0001）。在矢状面评估中，结果显示两种姿势（C7-中立姿势 p=0.0001；L3-中立姿势 p=0.0001；C7-自我纠正姿势 p=0.0001；L3-自我纠正姿势 p=0.0001）的所有测量值都增加。
应进一步研究动态情况和不同的多发性硬化症形式，以完成平衡分析，并建立以自我纠正运动为重点的正确康复计划。
