Tsuji Tetsuya, Liu Meigen, Hase Kimitaka, Masakado Yoshihisa, Chino Naoichi
Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
J Rehabil Med. 2003 Jul;35(4):184-8. doi: 10.1080/16501970306126.
To analyse side difference in bilateral trunk muscles in patients with hemiparetic stroke, to relate it with impairment and disability variables and to evaluate longitudinal changes.
In a sample of 83 inpatients with hemiparetic stroke undergoing rehabilitation, we measured the cross-sectional area of the paravertebral muscle and thigh muscles using computed tomography at admission and discharge. Classifying them by paravertebral muscle side difference (group I: contralateral > ipsilateral; II: contralateral = ipsilateral; III: contralateral < ipsilateral) we analysed group difference in the Stroke Impairment Assessment Set, the Functional Independence Measure and walk velocity.
In contrast to thigh muscles, the paravertebral muscle cross-sectional area was significantly greater on the side contralateral to the brain lesion. Discharge paravertebral muscle cross-sectional area increased significantly from admission values. The Stroke Impairment Assessment Set, Functional Independence Measure and walk velocity were significantly lower in group I.
The contralateral paravertebral muscle cross-sectional area was larger than the ipsilateral ones, and this was related to the degree of impairment and functional limitations.
分析偏瘫性脑卒中患者双侧躯干肌肉的差异，将其与损伤和残疾变量相关联，并评估纵向变化。
在83例接受康复治疗的偏瘫性脑卒中住院患者样本中，我们在入院时和出院时使用计算机断层扫描测量椎旁肌和大腿肌肉的横截面积。根据椎旁肌侧别差异对患者进行分类（第一组：对侧>同侧；第二组：对侧=同侧；第三组：对侧<同侧），我们分析了在卒中损伤评估量表、功能独立性测量和步行速度方面的组间差异。
与大腿肌肉不同，脑损伤对侧的椎旁肌横截面积明显更大。出院时椎旁肌横截面积较入院时显著增加。第一组的卒中损伤评估量表、功能独立性测量和步行速度显著更低。
对侧椎旁肌横截面积大于同侧，且这与损伤程度和功能受限有关。
