四肢瘫痪患者功能水平与运动之间的关系。一项回顾性研究。

Relationship between functional levels and movement in tetraplegic patients. A retrospective study.

作者信息

Mizukami M, Kawai N, Iwasaki Y, Yamamoto Y, Yoshida Y, Koyama N, Sekiguchi S, Kimura T, Nihei R

机构信息

Department of Physical Training, National Rehabilitation Center for the Disabled Hospital, Saitama Prefecture, Japan.

出版信息

Paraplegia. 1995 Apr;33(4):189-94. doi: 10.1038/sc.1995.43.

DOI:10.1038/sc.1995.43

PMID:7609974

Abstract

The aim of the present study was to set targets for each spinal lesion level after determining the relationship between the spinal lesion level and movement abilities in patients with tetraplegia following injury to the cervical cord. A total of 109 patients, 96 men and 13 women were included in the study. We mainly examined locomotion and transfer capabilities according to Zancolli's classification. The results of this study showed that 50% of the patients classified as C6A, 75% of C6B1 and 96% of the patients classified C6B2 accomplished bed transfer. The number of patients who could manage toilet transfer was 53% in the group classified as C6B1 and 85% in group C6B2. These results suggest that achievement of those classified as C6B2 is a clue to the assumption that the patient will achieve toilet transfer capability and can perform ADL independently.

摘要

本研究的目的是在确定颈髓损伤后四肢瘫痪患者的脊髓损伤水平与运动能力之间的关系后，为每个脊髓损伤水平设定目标。共有109名患者纳入研究，其中96名男性和13名女性。我们主要根据赞科利分类法检查运动和转移能力。本研究结果表明，分类为C6A的患者中有50%、C6B1的患者中有75%以及分类为C6B2的患者中有96%完成了床上转移。在分类为C6B1的组中，能够进行如厕转移的患者数量为53%，在C6B2组中为85%。这些结果表明，分类为C6B2的患者取得的成果提示该患者将具备如厕转移能力并能独立进行日常生活活动这一假设。