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A Kinesiologic and Electrophysiological Evaluation of Spastic Quadriplegia in Cervical Myelopathy

脊髓型颈椎病痉挛性四肢瘫痪的运动学和电生理学评估

基本信息

批准号：
02670653
负责人：
KAWAMURA Morio
金额：
$ 1.09万
依托单位：
Nagoya University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1991
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-02670653/
关键词：
Spastic Quadriplegia Cervical Myelopathy Disturbed Skill Evaluation Ten-second Test Electric Goniometer

项目摘要

Following Ten-second Test (10ST) of grasping and releasing of the hand by Ono et al., we designed new 10STs of the ankle and the big toe to evaluate the clumsiness of four extremities of the patients due to the spastic myelopathy. In this study, we investigated whether these 10STs had a clinical availability or not. As a method, the sensor blocks of the electric goniometer were put on the finger, the ankle or the big toe joint of the subjects. The subjects were assigned to practice flexion and extension movement of these joints for ten seconds under their maximum efforts. The frequency and the motion patterns were recorded and the differences were analyzed between the normal subject's group and the myelopathic patient's group.The results were as follows : 1) The patient's group indicated the statistically lower freduency in every 10STs than the normal control group did. 2) The patient's group showed the periodical irregularities of the flexion and the extention movements and the appear … More ance of abnormal notches on the waves more frequently than the normal group showed. 3) In the patient's group, there was a statistical correlation between the 10STs of hand and that of ankle or big toe. 4) The JOA scored of the upper extremities, which is now popularly used for clinical evaluation, wall correlated to the 10ST of hand, but no correlation was recognized between JOA score of the lower extremities and the 10ST of ankle or big toe. 5) There was no statistical difference between pre- and postoperative states in the patient's group. 6)The angular velocity of flexion and extension phases was well-balanced in the normal group, but not in the patient's group. 7) The pattern of imbalance of angular velocity showed the involved level of cervical myelopathy to some extent. 8) The 10STs of ankle and big toe were available to the evaluation of involvement of the paraparetic lower extremities.Finally, we concluded that these 10STs are very available to the evaluation for the clumsiness of the hand and the feet in cervical myelopathy and paraparesis. Less

在Ono等人进行的抓握和释放手的十秒测试（10ST）之后，我们设计了新的踝关节和大脚趾的10个ST，以评估痉挛性脊髓病患者的四肢笨拙。在这项研究中，我们调查了这10种ST是否具有临床可用性。作为一种方法，将电子角度计的传感器块放置在受试者的手指、踝关节或大脚趾关节上。受试者被要求在最大努力下练习这些关节的屈曲和伸展运动10秒钟。结果表明：（1）脊髓病患者组每10个ST段的频率均低于正常对照组（P <0.05），而脊髓病患者组每10个ST段的频率均低于正常对照组（P <0.05）。2)患者组表现为周期性的屈伸运动不规则， ...更多信息异常切迹的出现率明显高于正常组。3)在患者组中，手的10个ST与踝关节或大脚趾的ST之间存在统计学相关性。4)临床常用的上肢乔亚评分与手部10 ST相关，下肢乔亚评分与踝、拇趾10 ST无相关性。5)患者组术前和术后状态之间无统计学差异。6)正常组的屈曲和伸展阶段的角速度平衡良好，但患者组则不然。7)角速度不平衡的模式在一定程度上反映了脊髓型颈椎病的累及程度。8)踝关节和大拇趾的10个ST段可用于评估下肢瘫痪的受累情况，最后，我们认为这10个ST段对颈脊髓病和下肢瘫痪的手和脚的笨拙程度的评估是非常有用的。少