Cíntia Kelly Bittar, Isabela Ferreira Perucci, Danillo Nagel Signorini, Mariana Buratti Mascarenhas, Orcizo Francisco Silvestre, Alberto Cliquet
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引用次数: 0
摘要
简介:脊髓损伤因神经束中断而导致脊髓无法传播感觉和运动刺激的现象被称为脊髓损伤:方法:对14名脊髓损伤患者(8名截瘫患者和6名四肢瘫痪患者)进行了评估,包括病史和临床检查--肌肉力量量表(MRC--医学研究委员会)和手动量角器运动幅度测量(ROM)用于客观评估--以及X光检查。结果与其他研究的已有数据进行了比较:当被问及此事时,14 名被观察的患者中只有一人抱怨手腕持续疼痛,根据视觉模拟量表(VAS),描述为 3 级(弱至中度)。运动评估、MRC 和 ROM 将这组患者分为两个亚组:截瘫患者和四肢瘫痪患者。根据 Kellgren 和 Lawrence 的分类,X 光分析显示所有检查图像均符合骨关节炎和骨关节病的 1 级或 2 级:总之,脊髓损伤患者的手部或腕部没有或极少出现骨关节炎的临床和放射学症状。总体而言,脊髓损伤患者的手部和腕部表现与非损伤患者相似。证据等级 III;回顾性比较研究。
CLINICAL AND FUNCTIONAL EVALUATION OF WRISTS AND HANDS OF SPINAL CORD INJURED PATIENTS.
Introduction: The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury.
Objective: This study analyzes clinically and radiologically the hands and wrists of spinal cord injured patients, evaluating their motor and sensitive functionality, in order to determine if these patients are more likely to develop degenerative alterations.
Methods: 14 patients (8 paraplegics and 6 tetraplegics) were evaluated, undergoing anamnesis and clinical examination - a scale of muscular strength (MRC - Medical Research Council) and the amplitude measurement of the movement with a manual goniometer (ROM), were used for objective evaluation - and x-ray exams. The results were compared with pre-existing data from other studies.
Results: When asked, only one of the 14 observed patients complained about constant wrist pain, described as level 3 (weak to moderate), based on the visual analog scale (VAS). The motor evaluation, MRC and ROM divided the group of patients into two subgroups: paraplegic and tetraplegic patients. The x-ray analysis showed, based on Kellgren and Lawrence classification, that all exam images fit grades 1 or 2 of osteoarthritis and osteoarthrosis.
Conclusion: In conclusion, spinal cord injured patients showed none or minimal clinical and radiological signs of osteoarthritis on hands or wrists. Overall, the hands and wrists of spinal cord-injured patients behave similarly to noninjured patients. Level of Evidence III; Retrospective Comparative Study.
期刊介绍:
A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.