BTE系统对颈脊髓损伤后上肢肌力强化训练的效果

doi:10.3969/j.issn.1006-9771.2020.05.021

Abstract

Abstract:

Objective To investigate the effect of BTE system intensive training on upper limbs for cervical spinal cord injured patients in various courses.Methods From June, 2019 to January, 2020, 60 inpatients with traumatic C_6-7 spinal cord injury were selected into sub-acute group (one to two months after surgery, n = 15), recovery group (three to six months after surgery, n = 15), stable group (over six months after surgery, n = 15) according to the course of disease, and control group (over six months after surgery, n = 15). The control group received comprehensive rehabilitation, while the other groups received upper limbs intensive training on BTE system in addition, for four weeks. They were assessed with Upper Extremity Motor Score (UEMS) and Functional Independence Measure (FIM), meassured isometric peak torque (IPT) and isotonic extreme muscle endurance (IEE) of bilateral elbow extensors before and after treatment.Results All the indexes improved after treatment (t > 3.500, P < 0.01), and they were significantly different among the groups ( F > 9.257, P < 0.001), in which, it was the most of UEMS and IPT in the sub-acute group, and IEE and FIM in the recovery group. Conclusion BTE system intensive training is effective on upper limbs after cervical spinal cord injury. Sub-acute patients may improve more in motor function and explosive power, while patients at recovery stage do better in endurance and activities of daily living. Even stable patients can benefit from it somehow.

Key words: spinal cord injury, upper limbs, muscle strength, BTE system, isometric peak torque, isotonic extreme muscle endurance

CLC Number:

R651.2

FENG Xiao-juan, LI Jian-jun. Effects of BTE System Intensive Training on Upper Limbs after Cervical Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(5): 597-602.

Figures/Tables 5

References 48

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组别	n	性别(n)		年龄(岁)	病程(d)	ASIA运动平面(n)
组别	n	男	女	年龄(岁)	病程(d)	C₆	C₇
对照组	15	8	7	40.27±8.88	263.13±37.91	7	8
亚急性期	15	8	7	45.47±14.39	46.93±14.10	8	7
恢复期	15	7	8	40.20±14.59	117.93±18.84	9	6
稳定期	15	6	9	38.87±11.53	293.73±81.64	9	6
χ²/F值		0.734		0.808	49.543	0.741
P值		0.865		0.495	< 0.001	0.864

组别	治疗前	治疗后	t值	P值
对照组	20.07±2.05	20.53±0.05	3.500	0.004
亚急性期组	19.47±2.64	24.87±3.68	5.807	< 0.001
恢复期组	19.27±2.55	22.07±2.02	10.583	< 0.001
稳定期组	19.47±2.10	20.80±2.21	11.523	< 0.001
F值	0.326	9.257
P值	0.807	< 0.001

组别	治疗前	治疗后	t值	P值
对照组	70.03±3.86	73.60±3.78	8.911	< 0.001
亚急性期组	68.07±3.73	80.93±4.08	14.941	< 0.001
恢复期组	69.53±5.02	86.00±5.39	7.726	< 0.001
稳定期组	71.20±3.67	78.27±4.43	15.675	< 0.001
F值	3.104	20.237
P值	0.169	< 0.001

组别	治疗前	治疗后	t值	P值
对照组	81.29±43.26	87.33±17.15	14.182	< 0.001
亚急性期组	90.43±43.76	197.09±56.15	10.695	< 0.001
恢复期组	81.05±33.85	145.48±32.94	17.275	< 0.001
稳定期组	93.96±60.06	130.31±62.59	7.782	< 0.001
F值	1.994	14.574
P值	0.125	< 0.001

组别	治疗前	治疗后	t值	P值
对照组	425.87±149.25	510.90±152.59	16.433	< 0.001
亚急性期组	432.87±287.45	939.07±350.20	6.397	< 0.001
恢复期组	418.39±204.96	1415.38±460.41	6.324	< 0.001
稳定期组	428.63±272.15	694.56±384.66	8.843	< 0.001
F值	0.695	21.494
P值	0.559	< 0.001

Effects of BTE System Intensive Training on Upper Limbs after Cervical Spinal Cord Injury

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