Quantitative Assessment of Proprioception Using Dynamometer in Incomplete Spinal Cord Injury Patients: A Preliminary Study
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Objective To investigate the feasibility of a knee proprioception evaluation using a dynamometer as a tool for evaluating proprioception of the lower extremities in patients with incomplete spinal cord injury (SCI), and to explore its usefulness in predicting the ambulatory outcome. Methods A total of 14 SCI patients (10 tetraplegic, 4 paraplegic; all AIS D) were included in this study. The passive repositioning error (PRE) and active repositioning error (ARE) were measured with a dynamometer, along with tibial somatosensory evoked potential (SSEP) and abductor hallucis motor-evoked potential (MEP). Ambulatory capacity was assessed with the Walking Index for Spinal Cord Injury II (WISCI-II), both at the time of the proprioception test (WISCI_i) and at least 6 months after the test (WISCI_6mo). Results The PRE showed a negative correlation with WISCI_i (r=-0.440, p=0.034) and WISCI_6mo (r=-0.568, p=0.010). Linear multiple regression showed the type of injury, lower extremities motor score, MEP, and PRE accounted for 75.4% of the WISCI_6mo variance (p=0.080). Conclusion Proprioception of the knee can be measured quantitatively with a dynamometer in patients with incomplete SCI, and PRE was related to the outcome of the ambulatory capacity. Along with the neurological and electrophysiological examinations, a proprioception test using a dynamometer may have supplementary value in predicting the ambulatory capacity in patients with incomplete SCI.
Abstract
Objective To investigate the feasibility of a knee proprioception evaluation using a dynamometer as a tool for evaluating proprioception of the lower extremities in patients with incomplete spinal cord injury (SCI), and to explore its usefulness in predicting the ambulatory outcome. Methods A total of 14 SCI patients (10 tetraplegic, 4 paraplegic; all AIS D) were included in this study. The passive repositioning error (PRE) and active repositioning error (ARE) were measured with a dynamometer, along with tibial somatosensory evoked potential (SSEP) and abductor hallucis motor-evoked potential (MEP). Ambulatory capacity was assessed with the Walking Index for Spinal Cord Injury II (WISCI-II), both at the time of the proprioception test (WISCI_i) and at least 6 months after the test (WISCI_6mo). Results The PRE showed a negative correlation with WISCI_i (r=-0.440, p=0.034) and WISCI_6mo (r=-0.568, p=0.010). Linear multiple regression showed the type of injury, lower extremities motor score, MEP, and PRE accounted for 75.4% of the WISCI_6mo variance (p=0.080). Conclusion Proprioception of the knee can be measured quantitatively with a dynamometer in patients with incomplete SCI, and PRE was related to the outcome of the ambulatory capacity. Along with the neurological and electrophysiological examinations, a proprioception test using a dynamometer may have supplementary value in predicting the ambulatory capacity in patients with incomplete SCI.
참고문헌 (24)
- Curt A, "Functional outcome following spinal cord injury: significance of motor-evoked potentials and ASIA scores", Arch Phys Med Rehabil, 79, pp.81~86 (1998)
- Curt A, "Ambulatory capacity in spinal cord injury:significance of somatosensory evoked potentials and ASIA protocol in predicting outcome", Arch Phys Med Rehabil, 78, pp.39~43 (1997)
- Waters RL, "Motor and sensory recovery following incomplete tetraplegia", Arch Phys Med Rehabil, 75, pp.306~311 (1994)
- Burns SP, "Recovery of ambulation in motorincomplete tetraplegia", Arch Phys Med Rehabil, 78, pp.1169~1172 (1997)
- Oleson CV, "Prognostic value of pinprick preservation in motor complete, sensory incomplete spinal cord injury", Arch Phys Med Rehabil, 86, pp.988~992 (2005)
- Waters RL, "Prediction of ambulatory performance based on motor scores derived from standards of the American Spinal Injury Association", Arch Phys Med Rehabil, 75, pp.756~760 (1994)
- Van Middendorp JJ, "ASIA impairment scale conversion in traumatic SCI: is it related with the ability to walk? A descriptive comparison with functional ambulation outcome measures in 273 patients", Spinal Cord, 47, pp.555~560 (2009)
- Curt A, "Electrophysiological recordings in patients with spinal cord injury: significance for predicting outcome", Spinal Cord, 37, pp.157~165 (1999)
- Pai YC, "Effect of age and osteoarthritis on knee proprioception", Arthritis Rheum, 40, pp.2260~2265 (1997)
- Barrett DS, "Joint proprioception in normal, osteoarthritic and replaced knees", J Bone Joint Surg Br, 73, pp.53~56 (1991)
- Nagai T, "Reliability, precision, and gender differences in knee internal", external rotation proprioception measurements, 2012, pp.13, 233~237
- Drouin JM, , Eur J Appl Physiol, 91, pp.22~29 (2004)
- Kirshblum SC, "International standards for neurological classification of spinal cord injury (revised 2011)", J Spinal Cord Med, 34, pp.535~546 (2011)
- DeLisa JA, "Manual of nerve conduction velocity and somatosensory evoked potentials" (1987), Raven Press
- Di Lazzaro V, "The diagnostic value of motor evoked potentials", Clin Neurophysiol, 110, pp.1297~1307 (1999)
- Dittuno PL, "Walking index for spinal cord injury (WISCI II): scale revision", Spinal Cord, 39, pp.654~656 (2001)
- Lephart SM, "Proprioception of the ankle and knee", Sports Med, 25, pp.149~155 (1998)
- Riskowski JL, "Proprioception, gait kinematics, and rate of loading during walking: are they related?", J Musculoskelet Neuronal Interact, 5, pp.379~387 (2005)
- Amatachaya S, "External cues benefit walking ability of ambulatory patients with spinal cord injury", J Spinal Cord Med, 36, pp.638~644 (2013)
- Bayramoglu M, "Effects of osteoarthritis and fatigue on proprioception of the knee joint", Arch Phys Med Rehabil, 88, pp.346~350 (2007)
- Yang JM, "Correlation of knee proprioception with muscle strength and spasticity in stroke patients", J Phys Ther Sci, 27, pp.2705~2708 (2015)
- Arockiaraj J, "Proprioceptive changes in the contralateral knee joint following anterior cruciate injury", Bone Joint J, 95B, pp.188~191 (2013)
- Wirz M, "Muscle force and gait performance: relationships after spinal cord injury", Arch Phys Med Rehabil, 87, pp.1218~1222 (2006)
- Maegele M, "Recruitment of spinal motor pools during voluntary movements versus stepping after human spinal cord injury", J Neurotrauma, 19, pp.1217~1229 (2002)