Dionyssiotis Yannis, Lyritis George P, Papaioannou Nikolaos, Papagelopoulos Panagiotis, Thomaides Thomas
Rehabilitation Department, General Hospital of Rhodes, Agioi Apostoloi, Rhodes, Greece.
J Rehabil Res Dev. 2009;46(8):1037-44. doi: 10.1682/jrrd.2008.12.0163.
To investigate the influence of the neurological level of injury in bone mineral content (BMC) and mechanical properties, lean mass (LM), and fat mass (FM) among paraplegics with a similar duration of paralysis (DOP), we separated 30 paraplegics into group A (15 men, high-level paraplegia) and group B (15 men, low-level paraplegia) and compared them with group C (33 men, nondisabled). In all subjects, we measured stress-strain index (SSI) at 14% (SSI(2)) and 38% (SSI(3)) of the tibia length and the difference between them using peripheral quantitative computed tomography (XCT 3000 [Stratec Medizintechnik, Pforzheim, Germany]) and lower-limb BMC, LM, and FM (g) using whole-body dual-energy X-ray absorptiometry (Norland XR-36 [Norland Medical Systems, Inc; Fort Atkinson, Wisconsin]). Bone strength parameters, BMC, and LM were statistically decreased, but we found no difference in paraplegic FM compared with group C. We found a correlation between the DOP and the difference between SSI 3 and SSI 2 in group B (r = 0.53, p = 0.03 and r = 0.5, p = 0.04, respectively). We correlated DOP with FM in group A's lower limbs (r = 0.5, p = 0.05). Because of the nonsignificant DOP, the groups with paraplegia act differently in tibia mechanical properties and lower-limb body composition.
为研究在瘫痪持续时间(DOP)相似的截瘫患者中,损伤神经平面对骨矿物质含量(BMC)、力学性能、去脂体重(LM)和脂肪量(FM)的影响,我们将30名截瘫患者分为A组(15名男性,高位截瘫)和B组(15名男性,低位截瘫),并与C组(33名男性,非残疾)进行比较。对所有受试者,我们使用外周定量计算机断层扫描(XCT 3000 [德国普福尔茨海姆的Stratec Medizintechnik公司])测量胫骨长度14%(SSI(2))和38%(SSI(3))处的应力应变指数(SSI)及其差值,使用全身双能X线吸收法(Norland XR - 36 [美国威斯康星州阿特金森堡的Norland Medical Systems公司])测量下肢BMC、LM和FM(克)。骨强度参数、BMC和LM在统计学上有所降低,但我们发现截瘫患者的FM与C组相比无差异。我们发现B组中DOP与SSI 3和SSI 2的差值之间存在相关性(分别为r = 0.53,p = 0.03和r = 0.5,p = 0.04)。我们将A组下肢的DOP与FM进行了相关性分析(r = 0.5,p = 0.05)。由于DOP无统计学意义,截瘫组在胫骨力学性能和下肢身体成分方面表现不同。
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