叩足实验评价脊髓型颈椎病患者下肢运动功能  

Foot tapping test for lower extremity motor function of cervical spondylotic myelopathy

作　　者：钟伟洋[1] 梁欣洁[1] 权正学[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,重庆400016

出　　处：《中南大学学报（医学版）》2014年第3期296-300,共5页Journal of Central South University ：Medical Science

摘　　要：目的:研究叩足实验(foot tapping test,FTT)在健康人群中的正常值及其在评估脊髓型颈椎病患者下肢运动功能中的作用。方法:纳入被诊断为脊髓型颈椎病的患者124例,其中男68人,年龄(58.49±14.60)岁,女56人,年龄(57.55±18.27)岁和正常对照组160例,其中男80人,年龄(45.43±17.98)岁,女80人,年龄(45.2±17.47)岁。检测正常对照组FFT值,对脊髓型颈椎病患者进行术前、术后随访1年的FTT和日本矫形科学学会(Japanese Orthopedic Association,JOA)评分、抓握手实验(Grip and Release Test,GRT)。结果:脊髓型颈椎病患者FT值为(22.23±2.53),明显低于健康人群(33.23±3.17)(P<0.05)。所有患者均获得随访,术后1年随访FTT值为(28.48±1.99),较术前(22.23±2.53)明显升高(P<0.05)。FT值与年龄呈负相关,与JOALE分值及GRT值呈正相关。结论:FT值在术后有明显改善,可作为脊髓型颈椎病的客观定量评估指标。Objective: To investigate the standard value of foot tapping test(FT) in healthy population and FT for lower extremity motor function in patients with cervical compressive myelopathy. Methods: Totally 124 patients [68 males,(58.49±14.60) years old; 56 females,(57.55±18.27) years old] diagnosed of cervical myelopathy and 160 healthy volunteers [80 males,(45.43±17.98) years old; 80 females,(45.2±17.47) years old] participated in our study. The patients who underwent surgery were evaluated both before and 1 year at er the surgery. We performed FT and Grip and Release Test and evaluated with the modii ed Japanese Orthopaedic Association( JOA) score for cervical myelopathy. Results: The value of FTT was(22.23±2.53) in myelopathic patients, significantly lower than(33.23 ±3.17) in the healthy group(decreasing with age)(P<0.05). The value of FTT was positively correlated with the lower extremity motor function of modified JOA scoreand the value of Grip and Release Test. In the patients who underwent surgery, the value of FT was(22.23±2.53) preoperatively and was improved to(28.48±1.99) at one year postoperatively(P<0.05). Conclusion: The FTT score has been improved by surgery. The FTT is an easy and useful quantitative assessment for lower extremity motor function in patients with cervical myelopathy, especially those who cannot walk.

关 键 词：叩足实验 脊髓型颈椎病 下肢 运动功能 

分 类 号：R681.55[医药卫生—骨科学]