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

doi:10.3969/j.issn.1006-9771.2023.06.003

Abstract

Abstract:

Objective To observe the characteristics of gait symmetry and its influencing factors in patients with incomplete spinal cord injury (ISCI).
Methods From May, 2018 to November, 2021, 34 patients with ISCI in Beijing Bo'ai Hospital were divided into symmetrical injury of lower limb (SI) group and asymmetrical injury of lower limb (ASI) group according to the lower extremities motor score (LEMS). Three dimensional motion acquisition system and plantar pressure acquisition system were used for gait test. The symmetry indexes of step length, stance time and swing time were caculated.
Results The symmetry indexes of step length, stance time and swing time were significant lower in SI group than in ASI group (|t| > 2.619, P < 0.01). Stance time and swing time significantly correlated to the difference of bilateral LEMS in ASI group (r > 0.468, P < 0.01). Discriminant analysis showed that gait parameter equations were different for patients with different symmetry of lower limb injuries.
Conclusion The symmetry of lower limb motor function impacts gait symmetry for patients with ISCI, especially the difference value of bilateral total LEMS. Gait parameters can be used to determine the symmetry of lower limb injury in patients with ISCI.

Key words: spinal cord injury, gait, motor function, lower limb, symmetry

CLC Number:

R651.2

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.

Figures/Tables 4

References 46

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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
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)	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

组别	n	步长对称值	站立相对称值	迈步相对称值
对称组	15	0.147±0.096	0.004±0.023	0.205±0.156
非对称组	19	0.364±0.275	0.112±0.082	0.508±0.329
t值		-2.619	3.390	3.281
P值		0.009	0.002	0.003

变量	步长对称值	站立相对称值	迈步相对称值
步速	-0.393	0.557^b	-0.189
跨步长	-0.582^a	0.150	-0.254
左侧下肢运动总分	-0.321	0.319	-0.091
右侧下肢运动总分	-0.321	0.319	-0.091

变量	步长对称值	站立相对称值	迈步相对称值
步速	-0.179	0.237	-0.254
跨步长	-0.533^a	0.312	-0.246
瘫痪重侧下肢运动总分	-0.051	-0.198	-0.290
瘫痪轻侧下肢运动总分	-0.372	0.442	0.586^c
双侧肌力差值	0.251	0.468^b	0.625^d

Relationship between symmetry of lower limb function and gait symmetry in patients with incomplete spinal cord injury

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