前列腺增生症症状管理:当前的辅助技术和药物治疗方法。

IF 1.9 4区 医学 Q2 REHABILITATION Disability and Rehabilitation-Assistive Technology Pub Date : 2024-11-20 DOI:10.1080/17483107.2024.2431058
George Hitti, Aaron Kavanaugh, Brian Zukotynski, Fabrizio Billi
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引用次数: 0

摘要

背景:面肩胛肌肉营养不良症(FSHD)是一种与遗传有关的疾病,其特征是控制面部和肩胛运动的肌肉逐渐退化。受影响肌肉群的严重程度和分布因患者人口统计学特征而有很大差异,因此需要采用不同的辅助方法:本综述旨在评估针对FSHD特定表现的辅助设备和治疗方案(包括药物和康复疗法)的有效性:方法:对现有文献和临床试验进行分析,探讨当前的辅助技术和药物治疗方法,重点关注它们在不同症状严重程度的前列腺增生症患者中的应用:结果:尽管类固醇、补充剂、蛋白抑制剂和基因敲除策略等几种药物治疗方法正在研究中,但还没有一种方法能完全抵消由毒性DUX4产生驱动的疾病过程。因此,目前市场上的各种辅助设备对于提高生活质量仍然至关重要:结论:尽管药理研究取得了进展,但由于前列腺增生症的表现多种多样,因此有必要将辅助技术和量身定制的治疗干预措施结合起来,采取个性化的方法。未来的研究应继续探索综合策略,以满足前列腺增生症患者的独特需求。
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Management of FSHD symptoms: current assistive technologies and pharmacological approaches.

Background: Facioscapulohumeral Muscular Dystrophy (FSHD) is a genetically linked disorder characterized by the progressive deterioration of muscles controlling facial and scapular movement. The severity and distribution of affected muscle groups vary significantly across patient demographics, necessitating diverse assistive approaches.

Objective: This review aims to evaluate the effectiveness of assistive devices and therapeutic options, including medications and rehabilitative therapies, tailored to specific manifestations of FSHD.

Methods: An analysis of existing literature and clinical trials was conducted to explore current assistive technologies and pharmacological treatments, focusing on their application to FSHD patients with varying symptom severity.

Results: Although several pharmacological treatments, such as steroids, supplements, protein inhibitors, and knockout strategies, are under investigation, none have yet fully counteracted the disease process driven by toxic DUX4 production. Consequently, the broad assortment of assistive devices currently on the market remain critical for improving quality of life.

Conclusion: Despite advances in pharmacological research, the variability in FSHD manifestations necessitates a personalized approach combining assistive technologies and tailored therapeutic interventions. Future research should continue exploring integrative strategies to address the unique needs of FSHD patients.

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来源期刊
CiteScore
5.70
自引率
13.60%
发文量
128
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