UMSC Hasselt - Pelt, Belgium; REVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt University, Belgium.
Kongsgården physiotherapy, Bodø, Norway; Nordland Hospital Trust, Bodø, Norway.
Mult Scler Relat Disord. 2022 Jan;57:103325. doi: 10.1016/j.msard.2021.103325. Epub 2021 Oct 23.
Trunk control is essential for movement, balance and walking and is ignored in the regular medical follow-up.
First, to describe the distribution of trunk impairments in the full range of disability levels in individuals with MS. Second, to identify the relationship between trunk control, measured by the Trunk Impairment Scale (TIS 2.0.), and general disability measured by the Expanded Disability Status Scale (EDSS).
154 individuals with MS were included (mean age 53.6; SD 11.06), EDSS ranging from 1.0- 8.5 (mean 4.47; SD 2.55). The relationship between EDSS and TIS 2.0. was calculated by Spearman correlation coefficient for the total sample and subgroups, EDSS ≤ 4 versus EDSS ≥ 4.5.
Trunk impairments were detected throughout the full range of disability, including individuals with low disability. Pelvic elevation and lower trunk rotation appeared most difficult to perform. In the total sample, a moderate correlation was found (rho= -0.608**) between disability (EDSS) and trunk performance (TIS 2.0.). Sub-analyses revealed a poor correlation (rho= -0.193) for the EDSS ≤ 4 subgroup and a strong correlation for the EDSS ≥ 4.5 subgroup (rho= -0.712**).
The results advocate for including trunk assessment already at early disease stages of MS, particularly of pelvic elevation and trunk rotation, and dedicated rehabilitation strategies.
躯干控制对于运动、平衡和行走至关重要，但在常规的医学随访中却被忽视了。
首先，描述多发性硬化症（MS）患者在全残疾范围内躯干损伤的分布情况。其次，确定躯干控制（通过躯干损伤量表（TIS 2.0.）测量）与扩展残疾状况量表（EDSS）测量的一般残疾之间的关系。
纳入了 154 名 MS 患者（平均年龄 53.6 岁；标准差 11.06 岁），EDSS 从 1.0 到 8.5（平均 4.47 岁；标准差 2.55 岁）。通过 Spearman 相关系数计算总样本和亚组（EDSS≤4 与 EDSS≥4.5）中 EDSS 与 TIS 2.0.之间的关系。
在整个残疾范围内都发现了躯干损伤，包括残疾程度较低的患者。骨盆抬高和下躯干旋转似乎最难以完成。在总样本中，发现残疾（EDSS）和躯干表现（TIS 2.0.）之间存在中度相关性（rho=-0.608**）。亚组分析显示，EDSS≤4 亚组的相关性较差（rho=-0.193），而 EDSS≥4.5 亚组的相关性较强（rho=-0.712**）。
结果表明，MS 的早期疾病阶段就应进行躯干评估，特别是骨盆抬高和躯干旋转的评估，并应采取专门的康复策略。
