| Project/Area Number |
02670653
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| Research Category |
Grant-in-Aid for General Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Research Field |
Orthopaedic surgery
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| Research Institution | Nagoya University |
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Principal Investigator |
KAWAMURA Morio M. D. Nagoya University, College of Medical Technology, Associate Professor, 医療技術短期大学部, 助教授 (30186150)
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| Co-Investigator(Kenkyū-buntansha) |
KIYAMA Takahiro Nagoya University, College of Medical Technology, Associate Professor, 医療技術短期大学部, 助教授 (10177941)
IDA Kunio M. D. Nagoya University, College of Medical Technology, Professor, 医療技術短期大学部, 教授 (10115529)
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| Project Period (FY) |
1990 – 1991
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| Project Status |
Completed (Fiscal Year 1991)
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| Budget Amount *help |
¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1991: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1990: ¥1,000,000 (Direct Cost: ¥1,000,000)
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| Keywords | Spastic Quadriplegia / Cervical Myelopathy / Disturbed Skill / Evaluation / Ten-second Test / Electric Goniometer |
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| Research Abstract |
Following Ten-second Test (10ST) of grasping and releasing of the hand by Ono et al., we designed new 10STs of the ankle and the big toe to evaluate the clumsiness of four extremities of the patients due to the spastic myelopathy. In this study, we investigated whether these 10STs had a clinical availability or not. As a method, the sensor blocks of the electric goniometer were put on the finger, the ankle or the big toe joint of the subjects. The subjects were assigned to practice flexion and extension movement of these joints for ten seconds under their maximum efforts. The frequency and the motion patterns were recorded and the differences were analyzed between the normal subject's group and the myelopathic patient's group.
The results were as follows : 1) The patient's group indicated the statistically lower freduency in every 10STs than the normal control group did. 2) The patient's group showed the periodical irregularities of the flexion and the extention movements and the appear
… More
ance of abnormal notches on the waves more frequently than the normal group showed. 3) In the patient's group, there was a statistical correlation between the 10STs of hand and that of ankle or big toe. 4) The JOA scored of the upper extremities, which is now popularly used for clinical evaluation, wall correlated to the 10ST of hand, but no correlation was recognized between JOA score of the lower extremities and the 10ST of ankle or big toe. 5) There was no statistical difference between pre- and postoperative states in the patient's group. 6)The angular velocity of flexion and extension phases was well-balanced in the normal group, but not in the patient's group. 7) The pattern of imbalance of angular velocity showed the involved level of cervical myelopathy to some extent. 8) The 10STs of ankle and big toe were available to the evaluation of involvement of the paraparetic lower extremities.
Finally, we concluded that these 10STs are very available to the evaluation for the clumsiness of the hand and the feet in cervical myelopathy and paraparesis. Less
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