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Rehabilitation Practice and Science

Translated Title

脊髓損傷患者脊髓的損傷程度與其適能之相關性

Abstract

The daily activities of patients with spinal cord injury (SCI), especially those of quadriplegics or non-ambulatory SCI patients, are usually inadequate to maintain physical fitness. Lack of participation in a regular activity program may result in a debilitative cycle. Therefore, cardiopulmonary problems rank high in these patients during the acute stage and also the later years.The purpose of this study is to investigate the correlation between neurological impairment, cardiopulmonary function, upper limbs muscle strength and functional capacity in the patients. Sixty-three subjects were enrolled according to the American spinal cord injury association (ASIA) impairment scale A,B,C and then separated into 4 groups (classes 1B-4) according to the International Impairment Classification of the British Medical Research Council. There were 10 cases in class IB, 10 cases in class 2 (T1-T5), 12 cases in class 3(T6-T10) and 31 cases in class 4 (T11-L3). Fitness measurements included spirometry, slow vital capacity, maximal voluntary ventilation (MVV), peak oxygen uptake (peak VO2), peak work, peak heart rate (HR) peak torque, average power, total work of upper limb of isokinetic test, handgrip power, and scores of self-care and mobility of functional independence measure. One-way ANOVA, Pearson correlation and stepwise regression were used for statistical analysis. The results showed that FVC (forced vital capacity)，FVC (%, pred)，FEV1(％, pred），peak VO2 (%, pred)，peak work，peak work (%, pred)，peak heart rate (HR)，peak HR (%, pred), handgrip, self-care and mobility were significantly correlated with the level of SCI. And FVC, FEV1, MVV and SVC had also correlated with isokinetic muscle strengh, peak work, peak VO2 and hand grip strength. The peak VO2 was correlated with peak torque, total work, average power, and handgrip strength of bilateral upper limbs. The results showed close relationship between the SCI level, cardiopulmonary function, isokinetic muscle strength and functional ability. Therefore, it emphasized that a systemic exercise-conditioning program is very important for non-ambulatory SCI patients.

Language

Traditional Chinese

First Page

19

Last Page

28

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