摘要
目的观察颈髓损伤患者颈肩部残存肌力与呼吸功能的相关性。方法 2015年1月至2016年6月,30例创伤性颈髓损伤患者于损伤后5周、24周检查患者胸锁乳突肌、斜方肌、三角肌肌力,进行感觉、运动功能评分,检测肺功能。结果间断脱机患者三角肌肌力与肺活量在伤后5周、24周呈正相关(r>0.806,P<0.05),感觉评分在伤后5周存在相关性(r=0.914,P<0.01),运动评分(r=0.979,P<0.001)、斜方肌肌力(r=0.894,P<0.01)在伤后24周存在相关性。结论颈肩部残存肌力,特别是三角肌肌力对颈髓损伤患者呼吸功能有一定影响。
Objective To investigate the correlation between residual strength of neck and shoulder muscles and respiratory function in patients with cervical spinal cord injury.Methods From January,2015to June,2016,the muscle strength of sternocleidomastoid,trapezius and deltoid was tested in30patients with cervical spinal cord injury five and24weeks after injury.Meanwhile,their neurological and pulmonary function was evaluated.Results There was correlation between the vital capacity and muscle strength of deltoid both five and24weeks after injury(r>0.806,P<0.05)in the patients intermittent without ventilation,and it was found in sense score five weeks after injury(r=0.914,P<0.01),motor score(r=0.979,P<0.001)and the muscle strength of trapezius(r=0.894,P<0.01)24weeks after injury.Conclusion The residual strength of neck and shoulder muscles,especially of deltoid,plays an important role in the respiratory function in patients with cervical spinal cord injury.
作者
杨明亮
唐丽
杨德刚
陈亮
宫慧明
李建军
YANG Ming-liang;TANG Li;YANG De-gang;CHEN Liang;GONG Hui-ming;LI Jian-jun(Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;Department of Spinal and Neural Function Reconstruction Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China;Department of Cardiovascular Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2017年第11期1308-1312,共5页
Chinese Journal of Rehabilitation Theory and Practice
关键词
颈髓损伤
肺功能
肌力
三角肌
斜方肌
胸锁乳突肌
cervical spinal cord injury
pulmonary function
muscle strength
trapezius
sternocleidomastoid
deltoid
