Pomerleau Pierre, Perron Marc, Bouyer Laurent J, Maltais Désirée B
National Capital Integrated University Health and Social Services Centre, 525 boulevard Wilfrid-Hamel, Quebec City, QC, G1M 2S8, Canada.
Department of Rehabilitation, Université Laval, 1050 avenue de la médecine, Quebec City, QC, G1V 0A6, Canada.
Int J Rehabil Res. 2018 Mar;41(1):92-94. doi: 10.1097/MRR.0000000000000269.
The effects, on spasticity-related clinical measure results [initial knee flexion velocity during the pendulum test (F1-VEL); Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) scores], of a 5-week passive cycling program were assessed in a 67-year-old man with chronic, complete, thoracic-level SCI. Three weekly evaluations were performed before and after training, at the start, middle, and end of the training (ET), and 24 h following ET. The F1-VEL increased significantly from baseline, from ET to the 2-week follow-up evaluation. A trend was found for an improvement from baseline in SCI-SET scores, from middle of training onwards. These findings, which can inform clinical decisions and clinical trial development, suggest that the F1-VEL pendulum test result may be used to document the effect on knee extensor spasticity of a passive cycling program in chronic, complete, thoracic-level SCI. Whether this is also true for the SCI-SET requires future confirmation.
对一名67岁慢性、完全性胸段脊髓损伤男性患者进行了一项为期5周的被动骑行计划，评估其对痉挛相关临床测量结果[钟摆试验期间的初始膝关节屈曲速度（F1-VEL）；脊髓损伤痉挛评估工具（SCI-SET）评分]的影响。在训练前后、训练开始、中间和结束时（ET）以及ET后24小时进行了三次每周评估。从基线到ET，再到2周随访评估，F1-VEL显著增加。从训练中期开始，SCI-SET评分有从基线改善的趋势。这些发现可为临床决策和临床试验发展提供参考，表明F1-VEL钟摆试验结果可用于记录被动骑行计划对慢性、完全性胸段脊髓损伤患者膝伸肌痉挛的影响。SCI-SET是否也如此还需要未来进一步证实。
