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强直性脊柱炎患者运动方案下静态足底压力及平衡测定变化的初步研究

Preliminary Studies on Changes in Static Plantar Pressure and Stabilometry in Patients with Ankylosing Spondylitis Undergoing an Exercise Program.

作者信息

Seres Ioana Gabriela, Bolovan Andrei Daniel, Dragomir Daniela, Duse Adina Octavia, Popa Daniel, Sinmarghitan Georgeta Mioara, Amaricai Elena

机构信息

Doctoral School, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania.

出版信息

J Clin Med. 2024 Aug 9;13(16):4673. doi: 10.3390/jcm13164673.

Abstract

: Studies have reported that patients suffering from ankylosing spondylitis (AS) have decreased postural stability in comparison to healthy subjects. Our study aims to compare static plantar pressure and stabilometry parameters in AS patients who performed an 8-week exercise program (spine motion and flexibility exercises; stretching of hamstring, erector spine, and shoulder muscles; control abdominal and diaphragm breathing exercises and chest expansion exercises), in three different testing conditions (eyes open, eyes closed, and head retroflexed). : Plantar pressure (the loading of the first and fifth metatarsal heads (MT1, MT5) and calcaneus) and stabilometry (CoP path length, 90% confidence ellipse area, and maximum CoP speed) were recorded in 28 AS patients (age 56.64 ± 10.3 years; body mass index 29.4 ± 4.9 kg/m) at the beginning of rehabilitation and after 8 weeks. At first evaluation, there were significant differences ( < 0.05) for the foot loading sites (MT1, MT5, and calcaneus), both for the right and left feet, when comparing eyes open with the other two testing situations. : After rehabilitation, significant differences were recorded between eyes-open and head-retroflexed conditions for MT1 ( = 0.03 for right; = 0.004 for left) and calcaneus ( = 0.014 for right; = 0.011 for left). A significantly higher CoP path length was registered in both initial and final assessments when tested with eyes closed. The maximum CoP speed had increased values at both evaluations when tested with head retroflexed. : The CoP path length decreased after the physical exercise program, with a better postural stability after rehabilitation.

摘要

研究报告称,与健康受试者相比,强直性脊柱炎(AS)患者的姿势稳定性有所下降。我们的研究旨在比较强直性脊柱炎患者在三种不同测试条件(睁眼、闭眼和头部后伸)下进行为期8周的运动计划(脊柱运动和灵活性锻炼;腘绳肌、竖脊肌和肩部肌肉拉伸;控制腹部和膈肌呼吸练习以及扩胸练习)后的静态足底压力和稳定测量参数。在28例强直性脊柱炎患者(年龄56.64±10.3岁;体重指数29.4±4.9kg/m)康复开始时和8周后记录足底压力(第一和第五跖骨头(MT1、MT5)以及跟骨的负荷)和稳定测量参数(重心路径长度、90%置信椭圆面积和最大重心速度)。在首次评估时,将睁眼与其他两种测试情况进行比较时,双脚的足部负荷部位(MT1、MT5和跟骨)均存在显著差异(P<0.05)。康复后,MT1(右侧P = 0.03;左侧P = 0.004)和跟骨(右侧P = 0.014;左侧P = 0.011)在睁眼和头部后伸条件之间记录到显著差异。闭眼测试时,初始和最终评估中记录的重心路径长度均显著更高。头部后伸测试时,两次评估中的最大重心速度值均有所增加。体育锻炼计划后重心路径长度缩短,康复后姿势稳定性更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f69b/11355246/19ba778cbca0/jcm-13-04673-g001.jpg

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