Beninato M, O'Kane K S, Sullivan P E
Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Charlestown Navy Yard, Boston, MA 02129, USA.
Spinal Cord. 2004 Sep;42(9):533-40. doi: 10.1038/sj.sc.3101635.
Retrospective analysis.
The objectives of this research were to, in subjects with lower cervical spinal cord injury (SCI), examine the relationship between strength of muscle groups as measured by the manual muscle test (MMT) and function (reflected as burden of care) as measured by individual functional independence measure (FIM) motor tasks, and investigate the extent to which MMT scores explain the variance of the motor FIM scores.
Acute rehabilitation hospitals, Boston, MA, USA.
Retrospective pilot study of 20 in-patients, age 18-62 years, with an SCI between C5 and C7. Discharge demographic variables, MMT and motor FIM scores were analyzed. Descriptive statistics, Spearman's rank correlation coefficients, stepwise regressions were performed.
MMT scores for elbow flexion followed by shoulder flexion and wrist extension correlated with the greatest number of FIM tasks. MMT scores explained some part of the variance in the eight of 12 motor FIM tasks. In six of eight tasks, one key muscle explained a large portion of the variance.
Key muscles relative to FIM tasks can be identified. These findings may help focus therapeutic interventions aimed at achievement in these tasks.
回顾性分析。
本研究的目的是，在患有下颈段脊髓损伤（SCI）的受试者中，检查通过徒手肌力测试（MMT）测量的肌肉群力量与通过个体功能独立性测量（FIM）运动任务测量的功能（以护理负担表示）之间的关系，并调查MMT评分对运动FIM评分方差的解释程度。
美国马萨诸塞州波士顿的急性康复医院。
对20名年龄在18 - 62岁、C5至C7脊髓损伤的住院患者进行回顾性试点研究。分析出院时的人口统计学变量、MMT和运动FIM评分。进行描述性统计、Spearman等级相关系数和逐步回归分析。
屈肘的MMT评分，其次是肩屈曲和腕伸展的MMT评分，与最多数量的FIM任务相关。MMT评分解释了12项运动FIM任务中8项任务方差的一部分。在8项任务中的6项中，一块关键肌肉解释了大部分方差。
可以确定与FIM任务相关的关键肌肉。这些发现可能有助于将治疗干预重点放在旨在完成这些任务上。
