《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 857-860.

• 临床研究 • 上一篇    下一篇

神经根型颈椎病患者与正常人握力测量的对照研究

段亚景;王宁华;谢斌   

  1. 北京大学第一医院物理医学康复科，北京市 100034
  • 收稿日期:2009-07-01 出版日期:2009-09-01 发布日期:2009-09-01
  • 通讯作者: 王宁华

Grip Strength of Cervical Radiculopathy Patients and Healthy Subjects

DUAN Ya-jing,WANG Ning-hua,XIE Bin   

  1. Department of Rehabilitation, Peking University First Hospital, Beijing 100034, China
  • Received:2009-07-01 Published:2009-09-01 Online:2009-09-01

PDF (PC)

被引次数

9

摘要： 目的 探讨电子握力计在神经根型颈椎病患者与正常人中握力测试的重复信度，比较正常人与颈椎病患者最大握力及10 s持续握力耐力的差异。方法 对26例神经根型颈椎病患者及20名正常人分别进行2次最大握力测试和单次10 s持续握力测试。结果 正常人2次重复的最大握力的组内相关系数(ICC)为0.947～0.989，神经根型颈椎病患者ICC为0.903～0.960。正常人最大握力值大于颈椎病患者（P<0.05）。神经根型颈椎病患者患侧为非利手时，非利手握力递减速度小于正常人（P<0.05）。结论 电子握力计是评价正常人及神经根型颈椎病患者握力的可信工具。神经根型颈椎病患者最大握力较正常人有所减退；当患侧为非利手时，握力耐力要好于正常人的非利手。

关键词: 神经根型颈椎病, 握力测量, 信度

Abstract: Objective To explore the test-retest reliability of the computerized dynamometer to measure the grip strength in the healthy subjects and cervical radiculopathy patients, and investigate their characteristics. Methods The grip strength of 20 healthy subjects and 26 radiculopathy patients were measured with dynamometer, including the maximal voluntary grip strength at 5 width twice and the 10 s sustained isometric grip at the second width (45 mm) of the dynamometer once. Results The Intra-class correlation coefficient (ICC) was 0.947～0.989 in healthy subjects, and 0.903～0.960 in cervical radiculopathy patients. The maximal voluntary grip strength of healthy subjects was significantly stronger than that of the radiculopathy patients (P<0.05). The decrease rate of grip strength in non-dominant side, if affected, in the cervical radiculopathy patients was significantly slower than that of the healthy subject's non-dominant side (P<0.05). Conclusion The computerized dynamometer is a reliable tool to evaluate the grip strength in both healthy subjects and cervical radiculopathy patients. The grip strength of healthy subject's is stronger than of the radiculopathy patients. The endurance of grip is better in the radiculopathy patient's non-dominant side if affected.

Key words: cervical radiculopathy, grip test, test-retest reliability