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脊髓损伤患者的动态平衡与损伤程度

Dynamic balance and level of lesion in spinal cord injured patients.

作者信息

Adegoke B O A, Ogwumike O O, Olatemiju A

机构信息

Department of Physiotherapy, College of Medicine, University College Hospital, Ibadan, Nigeria.

出版信息

Afr J Med Med Sci. 2002 Dec;31(4):357-60.

PMID:15027780
Abstract

This study investigated differences in the dynamic balance of patients with different levels of spinal cord injury (SCI) as well as the intraclass correlation coefficient (ICC) of the modified functional reach test (MFRT). Twenty non-standing Spinal Cord Injured patients (13 males and 7 females) with mean age of 43.15 years (S.D = 10.03 years) participated in the study. They were categorised into three groups based on the level of spinal cord lesion. Group 1 comprised of 8 subjects with C5-T1, quadriplegia, group 2 comprised of 6 subjects with T6-T8 paraplegia and group 3 comprised of 6 subjects with T10-L1 paraplegia. The dynamic balance of all subjects was assessed using the modified functional reach test. The data were summarized using descriptive statistics of mean and standard deviation with further analysis using ANOVA and Pearson product correlation coefficient. The subjects with paraplegia showed higher functional reach (dynamic balance) than the quadriplegics but there was no significant difference in the functional reach values among the three groups. The ICC for MFRT was high and ranged from 0.981 to 0.992. The result of this study therefore seems to suggest that the MFRT cannot be used to classify patients with different levels of SCI.

摘要

本研究调查了不同脊髓损伤(SCI)水平患者的动态平衡差异以及改良功能性伸展测试(MFRT)的组内相关系数(ICC)。20名非站立性脊髓损伤患者(13名男性和7名女性)参与了该研究,平均年龄为43.15岁(标准差 = 10.03岁)。根据脊髓损伤水平,他们被分为三组。第1组由8名C5 - T1节段四肢瘫痪的受试者组成,第2组由6名T6 - T8节段截瘫的受试者组成,第3组由6名T10 - L1节段截瘫的受试者组成。使用改良功能性伸展测试评估所有受试者的动态平衡。数据采用均值和标准差的描述性统计进行汇总,并进一步使用方差分析和皮尔逊积差相关系数进行分析。截瘫患者的功能性伸展(动态平衡)高于四肢瘫痪患者,但三组之间的功能性伸展值无显著差异。MFRT的ICC较高,范围为0.981至0.992。因此,本研究结果似乎表明MFRT不能用于对不同SCI水平的患者进行分类。

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