Dzięcioł-Anikiej Zofia, Kuryliszyn-Moskal Anna, Kułakowska Alina, Dzięcioł Janusz, Baumgart Mariusz, Kostro Amanda Maria
Department of Rehabilitation, Medical University of Białystok, 15-089 Białystok, Poland.
Laboratory of Physical Activity Clinical Research Center (CBK), Medical University of Białystok, 15-089 Białystok, Poland.
J Clin Med. 2025 May 30;14(11):3854. doi: 10.3390/jcm14113854.
Multiple sclerosis (MS) is an inflammatory and neurodegenerative disease of the central nervous system. MS lesions can affect the motor, sensory, and visual nerves, leading to impaired balance, muscle tension, and pain. The occurrence of the above can significantly affect quality of life. There is therefore a need to use objective methods of functional assessment for balance and gait disorders in patients with MS. The aim of the study was to assess the functional status and quality of life in people with multiple sclerosis with the simultaneous use of an accelerometer and baropodometric mat. : The research was conducted using functional tests: Tinetti test, Tandem Pivot Test, timed up and go test, and the Berg Balance Scale. In addition, the Sensor Medica baropodometric mat and the Baiobit balance and gait assessment system were used to objectively assess balance and gait. The assessment was performed once. The study involved 34 participants diagnosed with relapsing-remitting multiple sclerosis compared to a control group consisting of healthy individuals with similar demographic data to the study group. : Significant differences were found between the study and control groups in both functional and baropodometric assessments as well as when using an accelerometer in the pelvic area. : Higher disturbances and differences are detected in the pelvic area; therefore, it is necessary to consider assessment using the simultaneous measurement of the displacement of the center of gravity located both on the pelvis and on the feet during the performance of different tasks-static and dynamic.
多发性硬化症(MS)是一种中枢神经系统的炎症性和神经退行性疾病。MS病变可影响运动、感觉和视觉神经,导致平衡、肌肉张力和疼痛受损。上述情况的发生会显著影响生活质量。因此,需要使用客观的功能评估方法来评估MS患者的平衡和步态障碍。本研究的目的是同时使用加速度计和压力平台测量垫来评估多发性硬化症患者的功能状态和生活质量。:研究采用功能测试进行:Tinetti测试、串联枢轴测试、定时起立行走测试和伯格平衡量表。此外,还使用了Sensor Medica压力平台测量垫和Baiobit平衡与步态评估系统来客观评估平衡和步态。评估仅进行了一次。该研究纳入了34名被诊断为复发缓解型多发性硬化症的参与者,并与一个由人口统计学数据与研究组相似的健康个体组成的对照组进行比较。:在功能和压力平台测量评估以及在骨盆区域使用加速度计时,研究组和对照组之间均发现了显著差异。:在骨盆区域检测到更高的干扰和差异;因此,有必要考虑在执行不同任务(静态和动态)时,同时测量位于骨盆和足部的重心位移来进行评估。