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多发性硬化症中的小脑功能障碍:研究与康复治疗的考量

Cerebellar Dysfunction in Multiple Sclerosis: Considerations for Research and Rehabilitation Therapy.

作者信息

Edwards Erin M, Fritz Nora E, Therrien Amanda S

机构信息

Translational Neuroscience Program, 2954Wayne State University, Detroit, MI, USA.

Physical Therapy Program, 2954Wayne State University, Detroit, MI, USA.

出版信息

Neurorehabil Neural Repair. 2022 Feb;36(2):103-106. doi: 10.1177/15459683211065442. Epub 2021 Dec 21.

Abstract

. Cerebellar pathology is common among persons with multiple sclerosis (PwMS). The cerebellum is well recognized for its role in motor control and motor learning and cerebellar pathology in multiple sclerosis is associated with enhanced motor impairment and disability progression. . To mitigate motor disability progression, PwMS are commonly prescribed exercise and task-specific rehabilitation training. Yet, whether cerebellar dysfunction differentially affects rehabilitation outcomes in this population remains unknown. Furthermore, we lack rehabilitation interventions targeting cerebellar dysfunction. . Here, we summarize the current understanding of the impact of cerebellar dysfunction on motor control, motor training, and rehabilitation in persons with multiple sclerosis. . Additionally, we highlight critical knowledge gaps and propose that these guide future research studying cerebellar dysfunction in persons with multiple sclerosis.

摘要

小脑病变在多发性硬化症患者(PwMS)中很常见。小脑在运动控制和运动学习中的作用已得到充分认可,多发性硬化症中的小脑病变与运动障碍加重和残疾进展相关。为减轻运动残疾进展,通常会给PwMS患者开运动和特定任务康复训练的处方。然而,小脑功能障碍是否对该人群的康复结果有不同影响仍不清楚。此外,我们缺乏针对小脑功能障碍的康复干预措施。在此,我们总结了目前对小脑功能障碍对多发性硬化症患者运动控制、运动训练和康复影响的理解。此外,我们强调了关键的知识空白,并建议这些空白指导未来对多发性硬化症患者小脑功能障碍的研究。

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