摘要
脊髓损伤(SCI)是因创伤、退化性疾病等导致的脊髓结构及其功能损害.SCI以胸腰段损伤最为常见,患者表现为"截瘫";而颈段脊髓损伤后,患者表现为"四肢瘫痪".SCI及其并发症会严重影响患者的日常生活及身心健康,故需及早开展康复治疗,以增加其关节活动范围,改善神经功能,防止肌肉萎缩或变形,提高其步行能力,优化平衡功能,提升患者的生活质量.本文介绍1例确诊的颈-胸段SCI患者,其进行早、中、末三期康复训练后,徒手肌力评定量表、Tecnobody测力平台测试、起立-步行-返回时间测试结果均得到明显改善.现阶段,SCI后患者的评估及康复训练方案制定还不够规范,因此,本文对患者情况进行报道,以期为临床提供参考.
Spinal cord injury(SCI)is the damage to the structure and function of the spinal cord caused by trauma and degenerative diseases.Thoracolumbar injuries were the most common in SCI,and patients presented with"paraplegia",while cervical SCI patient presented with"quadriplegia".SCI and its complications can seriously affect patients'daily life and physical and mental health.Therefore,early rehabilitation treatment is needed to increase the range of joint motion,improve nerve function,prevent muscle atrophy or deformation,improve walking ability,optimize balance function,and improve patients'quality of life.This paper describes a patient diagnosed with cervic-thoracic SCI.After the early,middle and final stages of rehabilitation training,the results of unarmed muscle strength rating scale,Tecnobody force platform test,and standing-walking-return time test were significantly improved.At present,the evaluation of patients after SCI and the formulation of rehabilitation training programs are not standardized enough.Therefore,this paper reported the situation of patients in order to provide reference for clinical practice.
作者
刘建松
胡焱
LIU Jiansong;HU Yan(Department of Rehabilitation Medicine,Beijing Zhongguancun Hospital,Beijing,100190,China;Department of Traditional Chinese Medicine,Xinhua Street Community Health Service Center,Tongzhou District,Beijing City,Beijing,101100,China)
出处
《反射疗法与康复医学》
2023年第3期175-178,共4页
Reflexology And Rehabilitation Medicine
关键词
脊髓损伤
步行能力
康复训练
Spinal cord injury
Walking ability
Rehabilitation training
