Yoshimasa Sagawa, Coline Guilhendou, Thierry Moulin, Antonio Vinicius Soares, Pierre Decavel
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https://www.earticle.net/Article/A446105
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The rehabilitation process of people with multiple sclerosis (PwMS) is a challenge, and decision-making requires a thorough assessment to in-crease the chances of success in rehabilitation planning. The aim of this study was to investigate the importance of the neuro-orthopaedic check-Up (NOChU) for gait prognosis. Participated in the study 105 PwMS with different levels of impairment. The NOChU includes measurements of passive range of motion (ROM), muscle strength, and spasticity. Addi-tionally, was carried out the spatial-temporal analysis of the walking, Timed Up and Go test, and 6-min walk test. ROM remained relatively preserved to perform daily life activities except for ankle dorsiflexion. Muscle strength was also relatively preserved. Spasticity affected es-pecially the ankle muscles, clearly the sural triceps. Among the NOChU measurements the catch seemed to have the most impact on walking on its different phases and on other activities. Accurate NOChU measure-ments play a crucial role in clinical settings, guiding informed decisions in rehabilitation planning. Future research endeavours could focus on exploring the correlations between NOChU deficiencies and the decline in walking capabilities among PwMS, with the goal of proposing per-sonalized treatment strategies that address their specific requirements.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Participants Evaluations Characteristics of the participants Neuro-orthopaedic check-up Walking analysis Analysis RESULTS ROM Muscular strength DISCUSSION SUPPLEMENTARY MATERIALS CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
Yoshimasa Sagawa [ Integrative and Clinical Neurosciences, UMR 1322 INSERM, University of Franche-Comté, Besançon, France, Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France ]
Coline Guilhendou [ Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France ]
Thierry Moulin [ Integrative and Clinical Neurosciences, UMR 1322 INSERM, University of Franche-Comté, Besançon, France ]
Antonio Vinicius Soares [ Integrative and Clinical Neurosciences, UMR 1322 INSERM, University of Franche-Comté, Besançon, France, Laboratory of Clinical Functional Exploration of Movement, University Hospital of Besançon, Besançon, France, University of Joinville Region, Joinville, Brazil ]
Corresponding Author
Pierre Decavel [ Integrative and Clinical Neurosciences, UMR 1322 INSERM, University of Franche-Comté, Besançon, France ]