包涵体肌炎患者手部功能与手持超声波成像之间的关系

Q3 Medicine

Journal of Clinical Neuromuscular Disease Pub Date : 2024-03-01 DOI:10.1097/CND.0000000000000463

Carolyn Black, Haibi Cai, Aliya Shabbir, Leo H Wang

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引用次数: 0

摘要

目的：包涵体肌炎（IBM）的超声研究报告了一种特征性模式，即拇屈肌（FDP）的回声密度增加，而尺桡侧屈肌（FCU）的回声密度相对较低。我们研究了 FDP 和 FCU 肌肉的回声密度与手部力量或患者报告结果（PROs）之间的关系：方法：共招募了 15 名 IBM 患者。方法：共招募了 15 名 IBM 患者，通过床旁超声检查获得了 FDP 和 FCU 肌肉的超声图像，并使用改良的 Heckmatt 评分进行了分级。通过测力计测量手部握力和中立捏力。通过IBM上肢功能量表对PROs进行评估：结果：FDP 和/或 FCU 改良 Heckmatt 评分与握力、中性捏力和 PROs 有显著关系：结论：前臂的定点超声检查可作为神经肌肉检查的延伸。基于改良 Heckmatt 评分的半定性回声强度评级似乎与客观力量测量和 PROs 有很好的相关性。

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Relationship Between Hand Function and Handheld Ultrasound Imaging in Inclusion Body Myositis.

Objective: Ultrasound studies in inclusion body myositis (IBM) have reported a characteristic pattern of increased echointensity in the flexor digitorum profundus (FDP) with relative sparing of the flexor carpi ulnaris (FCU). We examined the relationship between echointensity of the FDP and FCU muscles and hand strength or patient-reported outcomes (PROs).

Methods: A total of 15 patients with IBM were recruited. Ultrasound images of the FDP and FCU muscles were obtained by a point-of-care ultrasound and graded using the modified Heckmatt score. Hand grip and neutral pinch strength were measured by dynamometry. PROs were assessed by the IBM Upper Extremity Function Scale.

Results: FDP and/or FCU modified Heckmatt score showed a significant relationship with grip, neutral pinch strength, and PROs.

Conclusions: Point-of-care ultrasound examination of the forearm may serve as an extension of the neuromuscular examination. The semi-qualitative echointensity rating based on modified Heckmatt score seems to correlate well with the objective strength measurement and PROs.

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来源期刊

Journal of Clinical Neuromuscular Disease Medicine-Medicine (all)

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.