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논문 기본 정보

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학술저널
저자정보
Paul Arun John (Orthopaedics Christian Medical College Vellore India) Amritanand Rohit (Department of Orthopaedics Christian Medical College Vellore India) Margabandhu Prabakaran (Hand Physiotherapy Christian Medical College Vellore India) Karuppusami Reka (Biostatistics Christian Medical College Vellore India) David Kenny Samuel (Department of Orthopaedics Christian Medical College Vellore India) Krishnan Venkatesh (Department of Orthopaedics Spinal Disorders Surgery Unit Christian Medical College Vellore India)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.15 No.5
발행연도
2021.10
수록면
664 - 672 (9page)
DOI
10.31616/asj.2020.0253

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Study Design: Retrospective case series. Purpose: This study aimed to examine the efficacy of composite grip strength as a marker of surgical outcome in patients with moderate to severe degenerative cervical myelopathy. Overview of Literature: Degenerative cervical myelopathy causes loss of dexterity, muscle strength, and sensations in the hand. The impact of surgical management on improvement in composite grip strength has received scant attention. Methods: This retrospective study was performed on degenerative cervical myelopathy patients with a complete composite grip strength assessment between January 2013 to January 2019. The Biometrics E-link hand kit was used for the assessment. The following parameters were measured: maximum grip strength, sustained grip strength, three-jaw pinch, maximum key pinch, and sustained key pinch. The pre- and postoperative functional status was assessed using the Nurick grade and the modified Japanese Orthopaedic Association (mJOA) score. Results: A total of 40 patients were included in the study. The mean patient age was 51.9 years. The mean preoperative Nurick grade was 3.5 and the mJOA score was 10.9. The anterior approach was used in 25 patients, and the posterior approach was used in 15 patients. Four patients developed complications. Degenerative cervical myelopathy resulted in decreased handgrip and pinch strength as compared to normative Indian data. There was a significant improvement in the postoperative composite grip strength for all five parameters. There was no differential improvement between the anterior and posterior surgical groups. The improvement in the composite grip strength correlated with the improvement in functional scores. Conclusions: Composite grip strength analysis is an objective method for assessing the impact of degenerative cervical myelopathy on grip strength and monitoring the postoperative improvement. Decompressive surgery resulted in global improvement in all the parameters of composite grip strength.
#Spinal cord diseases #Surgical decompression #Grip strength #Pinch strength

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참고문헌 (25)

참고문헌 신청
Akutagawa T / 2016 / A new method for characterizing hand dysfunction in cervical spondylotic myelopathy : a preliminary study / Spinal Cord 54:221~225 google schola Fehlings MG / 2016 / Introduction : degenerative cervical myelopathy : diagnostic, assessment, and management strategies, surgical complications, and outcome prediction / Neurosurg Focus 40:E1 google schola Ono K / 1987 / Myelopathy hand : new clinical signs of cervical cord damage / J Bone Joint Surg Br 69:215~219 google schola Yukawa Y / 2009 / "Ten second step test"as a new quantifiable parameter of cervical myelopathy / Spine(Phila Pa 1976) 34:82~86 google schola Omori M / 2018 / Hand dexterity impairment in patients with cervical myelopathy : a new quantitative assessment using a natural prehension movement / Behav Neurol 2018:5138234 google schola

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