Elektromyographische Untersuchung von Rumpfmuskeln bei Patienten mit Kamptokormie und bei Probanden

Die Erhaltung des aufrechten Standes und Ganges des Menschen erfordert eine genau abgestimmte Aktivierung von verschiedenen Muskeln um leichten Störungen des Gleichgewichts entgegen wirken zu können. Werden abweichend von dem aufrechten Stand Vor- oder Seitneigungen des Oberkörpers eingenommen, verändern sich die auf den Körper wirkenden Kräfte und machen stabilisierende Mechanismen zum Erhalt des zweibeinigen Standes erforderlich. Um die muskuläre Beteiligung bei diesen Mechanismen zu untersuchen, wurde bei 10 jungen gesunden Probanden, 10 gesunden älteren Probanden und 10 unter Morbus Parkinson und einer abnormen Vor- bzw. kombinierten Seitvorneigung (Kamptokormie) leidende Patienten an 6 Muskeln (M. rectus femoris, M. obliquus externus abdominis, M. rectus abdominis, M. erector spinae (Höhe Th12), M. iliocostalis lumborum, M. erector spinae (Höhe L3)) bilateral ein Elektromyogramm (EMG) abgeleitet. Diese Arbeit liefert zum einen wichtige physiologische Vergleichsdaten für die Untersuchung von abnormen Haltungen, insbesondere der Kamptokormie, zum anderen ergeben sich Konsequenzen für das therapeutische Vorgehen bei diesem Krankheitsbild

Motor, cognitive and mobility deficits in 1000 geriatric patients : protocol of a quantitative observational study before and after routine clinical geriatric treatment – the ComOn-study

© The Author(s). 2020 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Background: Motor and cognitive deficits and consequently mobility problems are common in geriatric patients. The currently available methods for diagnosis and for the evaluation of treatment in this vulnerable cohort are limited. The aims of the ComOn (COgnitive and Motor interactions in the Older populatioN) study are (i) to define quantitative markers with clinical relevance for motor and cognitive deficits, (ii) to investigate the interaction between both motor and cognitive deficits and (iii) to assess health status as well as treatment outcome of 1000 geriatric inpatients in hospitals of Kiel (Germany), Brescia (Italy), Porto (Portugal), Curitiba (Brazil) and Bochum (Germany). Methods: This is a prospective, explorative observational multi-center study. In addition to the comprehensive geriatric assessment, quantitative measures of reduced mobility and motor and cognitive deficits are performed before and after a two week's inpatient stay. Components of the assessment are mobile technology-based assessments of gait, balance and transfer performance, neuropsychological tests, frailty, sarcopenia, autonomic dysfunction and sensation, and questionnaires to assess behavioral deficits, activities of daily living, quality of life, fear of falling and dysphagia. Structural MRI and an unsupervised 24/7 home assessment of mobility are performed in a subgroup of participants. The study will also investigate the minimal clinically relevant change of the investigated parameters. Discussion: This study will help form a better understanding of symptoms and their complex interactions and treatment effects in a large geriatric cohort.info:eu-repo/semantics/publishedVersio