The value of the Van Lieshout test in assessment of the upper limb function in patients with cervical tetraplegia


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Background. An important issue for the rehabilitation of patients with cervical tetraplegia (CT) is the introduction of sensitive and relevant scales and tests to assess the hand function. Assessment of the hand and arm function using the Van Lieshout test provides an objective quantitative assessment of the quality of the performance of the important daily motor tasks. Objective. Identification of factors affecting the upper limb and the hand function in patients with cervical tetraplegia using the Van Lieshout test. Methods. The study included 217 patients who underwent a comprehensive rehabilitation course for the month in the settings of a rehabilitation center. The neurological level of damage - the C3-D1 segments of the spinal cord; the duration of spinal injury was 3.0 (3.0-10.0) years. The examination included determination of the neurological level, injury completeness, calculation of the motor score of the upper limb, as well as an assessment of the level of functional independence in the base (Van Lieshout test) and complex (motor FIM) motor domains. Results. According the results of correlation and regression analyses, it was shown that the upper limb motor function in 65% of cases depends on the neurological status (neurological level, injury completeness, upper limb motor score); against the background of physical rehabilitation, an improvement in the functional state of the patients according to the Van Lieshout test - and FIM score was revealed (a high degree of correlation between both functional motor scales (R2=0.79-0.80). Conclusion. The functional state of the hand and upper limb in patients with cervical tetraplegia (Van Lieshout test) depends on the severity of neurological deficit. This test is an affordable and effective tool that objectifies and guides the course of the rehabilitation process.

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作者简介

Fedor Bushkov

Rehabilitation Center “Preodolenie"

Email: bushkovfedor@mail.ru
PhD, Doctor in Physical Therapy

E. Romanovskaya

Rehabilitation Center “Preodolenie"

E. Usanova

Rehabilitation Center “Preodolenie"

L. Fedotkina

Rehabilitation Center “Preodolenie"

参考

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