《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (6): 639-645.doi: 10.3969/j.issn.1006-9771.2023.06.003
王一吉1,2,3, 周红俊1,2(), 何泽佳1,2, 刘根林1,2, 郑樱1,2, 郝春霞1,2, 卫波1,2, 康海琼1,2, 张缨1,2, 逯晓蕾1,2, 袁媛1,2, 蒙倩茹1,2
收稿日期:
2022-10-10
修回日期:
2023-03-22
出版日期:
2023-06-25
发布日期:
2023-07-14
通讯作者:
周红俊,E-mail: 作者简介:
王一吉(1982-),男,汉族,湖南衡阳市人,医学博士,副主任医师,主要研究方向:脊髓损伤康复。
基金资助:
WANG Yiji1,2,3, ZHOU Hongjun1,2(), HE Zejia1,2, LIU Genlin1,2, ZHENG Ying1,2, HAO Chunxia1,2, WEI Bo1,2, KANG Haiqiong1,2, ZHANG Ying1,2, LU Xiaolei1,2, YUAN Yuan1,2, MENG Qianru1,2
Received:
2022-10-10
Revised:
2023-03-22
Published:
2023-06-25
Online:
2023-07-14
Contact:
ZHOU Hongjun, E-mail: Supported by:
摘要:
目的 观察不完全性脊髓损伤患者步态对称性特点及影响因素。
方法 2018年5月至2021年11月,北京博爱医院不完全性脊髓损伤患者34例,根据左右下肢运动评分的差异分为下肢对称损伤组(对称组,n = 15)和下肢非对称损伤组(非对称组,n = 19)。采用三维运动采集系统和足底压力采集系统进行步态测试。计算步长以及站立相和迈步相对称值。
结果 对称组的步长对称值、站立相对称值和迈步相对称值均明显低于非对称组(|t| > 2.619, P < 0.01)。非对称组站立相对称值和迈步相对称值与双侧下肢肌力差值呈正相关(r > 0.468, P < 0.01)。判别分析显示,下肢损伤不同对称性患者的步态参数方程不同。
结论 下肢运动功能对称性影响脊髓损伤患者步态对称性,左右下肢运动总分的差值是重要的影响因素。步态参数可用于判定脊髓损伤患者的下肢损伤对称性。
中图分类号:
王一吉, 周红俊, 何泽佳, 刘根林, 郑樱, 郝春霞, 卫波, 康海琼, 张缨, 逯晓蕾, 袁媛, 蒙倩茹. 不完全性脊髓损伤患者运动功能对称性与步态对称性的关系[J]. 《中国康复理论与实践》, 2023, 29(6): 639-645.
WANG Yiji, ZHOU Hongjun, HE Zejia, LIU Genlin, ZHENG Ying, HAO Chunxia, WEI Bo, KANG Haiqiong, ZHANG Ying, LU Xiaolei, YUAN Yuan, MENG Qianru. Relationship between symmetry of lower limb function and gait symmetry in patients with incomplete spinal cord injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 639-645.
表1
两组基线资料比较"
组别 | n | 性别 (男/女)/n | 年龄/岁 | 身高/cm | 体质量/kg | 双下肢运动总分 | 肌张力 | 步速/(m·s-1) | 损伤平面/n | AIS分级/n | 人辅助/n | 辅助器/n | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
颈段 | 胸腰段 | C | D | 是 | 否 | 是 | 否 | |||||||||
对称组 | 15 | 13/2 | 38±15 | 172.4±4.8 | 69.8±10.8 | 36.9±3.8 | 0±1 | 0.2±0.1 | 6 | 9 | 1 | 14 | 6 | 9 | 1 | 14 |
非对称组 | 19 | 11/8 | 44±17 | 169.1±8.9 | 67.5±11.8 | 33.8±5.8 | 0±1 | 0.2±0.1 | 9 | 10 | 1 | 18 | 10 | 9 | 0 | 19 |
χ2/t/Z值 | 3.342 | 1.073 | -1.315 | -0.579 | -1.802 | -0.400 | -0.542 | 0.185 | 0.030 | 0.537 | 1.305 | |||||
P值 | 0.128 | 0.291 | 0.198 | 0.566 | 0.081 | 0.689 | 0.592 | 0.738 | 1.000 | 0.510 | 0.441 |
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