目的 观察脊髓损伤对肢体承重能力的影响,揭示脊髓损伤后下肢承重能力随时间的变化规律。方法 6只成年雌性恒河猴行T7-9右半侧1 cm切除术。采用Foot-Scan系统测量恒河猴脊髓损伤前,损伤后6周、12周时双下肢足底压力百分比。结果 损伤前,双下肢足底压力百分比无显著性差异(Z=-1.330, P>0.05);损伤后6周和12周,左下肢足底压力百分比显著高于右下肢(Z>4.783, P<0.001)。损伤前后,右下肢足底压力百分比呈现逐步显著下降趋势(Z=3.191, P<0.001)。结论 脊髓损伤后,损伤侧下肢承重能力严重缺失,不经干预则呈持续下降趋势。
关键词:
脊髓损伤; 下肢; 体重; 支撑; 恒河猴
赵文
,
魏瑞晗
,
饶家声
,
赵璨
,
田鹏宇
,
周侠
,
季润
,
李立峰
,
杨朝阳
,
李晓光
. 脊髓损伤后恒河猴双下肢体重支撑的改变[J]. 中国康复理论与实践, 2018
, 24(3)
: 266
-268
.
DOI: 10.3969/j.issn.1006-9771.2017.00.001
Objective To observe the influence of spinal cord injury on lower limbs weight support capacity, and the changes with time. Methods Six adult female rhesus monkeys with thoracic (T7-9) right spinal cord hemi-section were measured the plantar pressure ratio of both lower limbs with Foot-Scan system before, and six and twelve weeks after operation. Results There was no statistical difference between both sides of limbs before operation (Z=-1.330, P>0.05), while the plantar pressure ratio was more on the left limbs six and twelve weeks after operation (Z>4.783, P<0.001). The plantar pressure ratio of right lower limb became less and less during observation (Z=3.191, P<0.001).Conclusion The weight support capacity of affected limbs is injured after spinal cord hemi-section in monkeys, and would become worse without intervention.
[1] Li XG, Yang ZY, Zhang AF, et al.Repair of thoracic spinal cord injury by chitosan tube implantation in adult rats[J]. Biomaterials, 2008, 30(6): 1121-1132.
[2] Lee BB, Cripps RA, Fitzharris M, et al.The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate[J]. Spinal Cord, 2014, 52(2): 110-116.
[3] 马文静,王鸿勋,孙乃祥,等. TMS-MEP评价大鼠脊髓损伤后运动功能障碍程度的研究[J]. 中国法医学杂志, 2014, 29(2): 104-108.
[4] 樊霄燕,周军杰,曹成福,等. 基于F-Scan三维动态足底压力分析系统的动静态足底压力分析[J]. 中国组织工程研究, 2011, 15(50): 9406-9409.
[5] 陈雁西,俞光荣. F-Scan足底压力步态分析仪临床应用现状[J]. 国际骨科学杂志, 2005, 26(3): 187-189.
[6] 梁成军. 足底压力测量在步态分析及病理足评估中的应用[J]. 中国组织工程研究, 2007, 11(40): 8149-8152.
[7] Demes B, O'Neill MC. Ground reaction forces and center of mass mechanics of bipedal capuchin monkeys: implications for the evolution of human bipedalism[J]. Am J Physical Anthropol, 2013, 150(1): 76-86.
[8] Park IB, Lee S, Kim S, et al.Evaluation of plantar pressure and force in diabetes using Tekscan F-Scan in-shoe foot force and gait analysis system[J]. Febs Lett, 2015, 230(1-2): 61-66.
[9] 王立平,李建设. 足底压力测量技术的发展现状与应用研究[J]. 浙江体育科学, 2004, 26(1): 40-43.
[10] 和瑞婷,葛飞,向沙,等. 伴足溃疡病史的糖尿病周围神经病变患者足底压力分布特点分析[J]. 中国糖尿病杂志, 2016, 8(7): 401-404.
[11] Khalil N, Beis JM, Paysant J, et al.Analyse instrumentale baropodométrique embarquée : place du système F-Scan® dans l'évaluation de la chirurgie du pied[J]. Médecine Et Chirurgie Du Pied, 2016, 32(3): 77-83.
[12] Catalfamo P, Moser D, Ghoussayni S, et al.Detection of gait events using an F-Scan in-shoe pressure measurement system[J]. Gait Posture, 2008, 28(3): 420-426.
[13] Kong P, De-Heer H.Wearing the F-Scan mobile in-shoe pressure measurement system alters gait characteristics during running[J]. Gait Posture, 2009, 29(1): 143-145.
[14] Grégoire C, Mary BB, James WF, et al.Can experiments in nonhuman primates expedite the translation of treatments for spinal cord injury in humans?[J]. Nature Med, 2017, 13(5): 561-566.
[15] Do-Hun L, Jae KL.Animal models of axon regeneration after spinal cord injury[J]. Neurosci Bull, 2013, 29(4): 436-444.
[16] 宋伟,赵文,魏瑞晗,等. 脊髓损伤恒河猴后肢步态数据处理方法的设计[J]. 中国康复理论与实践, 2013, 19(8): 734-738.
[17] 陈景敏. 脊髓损伤患者的康复指导及心理护理[C]. 北京:世界灾害护理大会, 2014.
[18] 王欣,王宁华,谢斌,等. 功能性电刺激结合圆周运动对脊髓损伤患者下肢功能重建的作用[J]. 中华物理医学与康复杂志, 2011, 33(1): 74-76.
[19] 张扬媚,高云芳. 废用性肌萎缩的研究进展[J]. 中华物理医学与康复杂志, 2012, 34(7): 550-553.
[20] 魏蓉,徐秀群,姚尤梅,等. 足踝肌力康复训练器的研制与应用[J]. 江苏医药, 2015, 41(18): 2227-2228.
[21] 李莉,姜燕. 避免脑梗塞患者肌肉萎缩的护理[J]. 医药前沿, 2014(14): 292.
[22] 杨斌. 失神经后骨骼肌萎缩机制及治疗研究进展[J]. 实用医学杂志, 2009, 25(4): 505-506.
[23] 王光. 细胞生长因子对失神经骨骼肌萎缩的作用机制分析[J]. 医学综述, 2010, 16(18): 2754-2757.
[24] 裴艳宏,刘坤祥. 浅谈失神经骨骼肌萎缩中医药治疗的研究进展[J]. 医学信息, 2013, 8(16): 679-680.
[25] 孙文善,赵晓冬,王余民,等. 穴位埋线防治骨折后废用性肌萎缩临床观察[J]. 中国现代医药杂志, 2015(2): 57-58.