Trunk Function and Ischial Pressure Offloading in Individuals with Spinal Cord Injury
Trunk Function and Ischial Pressure Offloading in Individuals with Spinal Cord Injury
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DOI：
10.1080/10790268.2017.1328345
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发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Verrier, Mary C.
中科院分区：
文献类型：
--
作者：
Gabison, Sharon;Mathur, Sunita;Verrier, Mary C.
目的：确定脊髓损伤(SCI)患者的躯干功能与坐骨结节卸载之间是否存在关系。设计：前瞻性横断面评估。地点：亚急性康复医院。参与者：15名完全或不完全创伤性和非创伤性脊髓损伤的非卧床参与者，美国脊髓损伤协会损伤评定量表(AIS)，A-D级。结果：能够进行多向伸展测试的受试者被定义为：使用手持测力计的等长躯干力量，使用多向伸展测试的伸展能力，以及使用定制压力匹配的坐骨结节的卸载次数。结果：能够进行多向伸展测试的参与者被定义为而那些不能参与多向测试的人被定义为“非研究人员”。研究人员的躯干力量显著高于非研究人员(P<；0.05)。与研究人员相比，非观察者左侧和右侧坐骨结节的卸载时间较短，但结果仅对右侧坐骨结节的卸载有统计学意义(P<；0.05)。两组的躯干强度和压力卸载时间之间没有相关性。结论：无论个体从事伸展任务的能力如何，脊髓损伤的参与者比右侧坐骨结节的参与者花费更多的时间卸载左侧坐骨结节。这项研究强调了确定可能导致躯干力量不足的脊髓损伤患者卸载行为的因素的必要性。
Objective: To determine if there is a relationship between trunk function and offloading of the ischial tuberosities in individuals with Spinal Cord Injury (SCI).Design: Prospective cross-sectional evaluation.Setting: Sub-acute rehabilitation hospital.Participants: Fifteen non-ambulatory participants with complete or incomplete traumatic and non-traumatic SCI, American Spinal Injury Association Impairment Scale (AIS), Classification A-D.Outcome Measures: Isometric trunk strength using a hand held dynamometer, the ability to reach using the multidirectional reach test and offloading times of the ischial tuberosities using a customized pressure mat.Results: Participants who were able to engage in the multidirectional reach test were defined as "Reachers", whereas individuals who were unable to engage in the multidirectional reach test were defined as "Non-Reachers". Trunk strength was significantly higher in Reachers compared with Non-Reachers (P < 0.05). Offloading times over the left and right ischial tuberosities were lower in Non-Reachers when compared with Reachers, however the results were statistically significant only for offloading over the right ischial tuberosity (P < 0.05). There was no correlation between trunk strength and pressure offloading times for both groups.Conclusions: Regardless of an individual's ability to engage in a reaching task, participants with spinal cord injury spent more time offloading the left ischial tuberosity compared with the right ischial tuberosity. The study highlights the need to identify factors that may contribute to offloading behavior in individuals with spinal cord injury who lack sufficient trunk strength.