頚髄症における上肢操作能力の経時的変化 -術前から術後6ヶ月までの変化-

Abstract

We investigated about the postoperative recovery of the upper extremity in the 43 cases with Cervical Myelopathy. The sub-test item (ten items) of the simple test for evaluating hand function (STEF) was used as the index of the upper extremity. And, spinal cord deficiency symptom (FES), muscular strength (grip) and muscle cooperation (ten-second test) were measured together, too. Investigation time was a pre-operating and post-operating (one month, three months and six months). As a result, FES and ten seconds test showed a remarkably improvement in postoperative on month, and it didn't change very much after that. Grip showed slow recovery, and recognized a significant difference after three months. On the other hand, a sub-test 1-3 (grasp element) improved gently with STEF in three months from a postoperative one month, however, a change wasn't seen after that though. A sub-test 4-7 (prehension element) improved remarkably in a postoperative one month, and improvement followed it until three months. A sub-test 8-10 (manipulate element) improved remarkably in a postoperative one month, and an improvement tendency was shown after that as well. A sub-test 8-10 (manipulate element) was thought to have the possibility to show improvement for a postoperative long time by the recovery of a sense and the functional training.