Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases

• Material Type: 文書・図像類
• Title: Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
• Author/Editor: Kitade, Ippei; Arishima, Hidetaka; Kikuta, Ken-ichiro
• Author Heading: Kitade, Ippei; Arishima, Hidetaka; Kikuta, Ken-ichiro
• Publication, Distribution, etc.: The Japan Neurosurgical Society
• Publication Date: 2014-06-21
• Publication Date (W3CDTF): 2014-06-21
• Periodical title: NMC Case Report Journal
• No. or year of volume/issue: 1 1
• Volume: 1
• Issue: 1
• Pages: 20-23
• ISSN (Periodical Title): ISSN : 2188-4226
• Text Language Code: eng
• Subject Heading: intrathecal baclofen; cervical spinal cord injury; gait ability; spatiotemporal gait motion parameter; spasticity
• Target Audience: 一般
• Note (General): We examine the quantitative changes in the gait motion of patients with cervical spinal cord injuries (CSCIs) before and after the intrathecal baclofen (ITB) screening test. The subjects were three patients with CSCI, who exhibited spasticity in the lower extremities. They could all walk 10 or more meters with/without aids. All patients were subjected to the ITB screening test, in which they had gabalon (50 μg) injected into their spinal column via paramedian puncture at the L3–4 level. The subjects had their ankle clonus; patellar tendon reflex; and modified Ashworth scale, Berg balance scale, Spinal Cord Independence Measure, and 10-meter walk test (10MWT) assessed before and 5 hours after the ITB screening test. At 5 hours after the ITB screening test, all of the patients exhibited decreased spasticity in static position, and improved balance. There were no differences in the abilities of any of the patients to perform ADL. One patient did not change the spatiotemporal gait motion parameters (walking time, step count, and step length in the 10MWT). Therefore, the pomp implantation for ITB therapy was not performed. Two patients who had suffered CSCI more than 20 years ago exhibited a reduced walking time, increased step count, and step length. Out of the two patients one received the pomp of implantation after ITB screening test, and the other was planned to operate. The spatiotemporal gait motion parameters might be one of the useful tests to decide the pomp implantation for CSCI patients who hope improvement of gait ability.
• Source: https://u-fukui.repo.nii.ac.jp/?action=repository_action_common_download&item_id=20343&item_no=1&attribute_id=22&file_no=1
• Access Restrictions: 限定公開
• Rights (production): Copyright 〓 2014 The Japan Neurosurgical Society
• Related Material (DOI): 10.2176/nmccrj.2013-0301
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 福井大学 : 福井大学学術機関リポジトリ