摘要
目的:观察硬膜外脊髓神经电刺激结合康复训练对1例脊髓损伤患者肢体功能恢复的效果。方法:采用常规康复训练方法治疗脊髓损伤后植入脊髓神经刺激器的截瘫患者,每周6次共3周。治疗前、后和1个月随访时通过美国脊髓损伤协会脊髓损伤分级、Lovett肌力分级、改良Barthel指数量表、Berg平衡功能量表和改良Ashworth量表评估患者的肢体功能和日常生活活动能力。结果:治疗3周后,患者的运动、感觉、平衡功能和日常生活活动能力均获得明显改善,且这些改善在1个月随访时仍得以保留。结论:康复训练能改善脊髓损伤后植入脊髓神经刺激器的截瘫患者的肢体功能,是此类患者不可或缺的治疗手段,但要获得良好的效果,患者须长期坚持康复训练。
Objective:To observe the effect of epidural spinal cord stimulation combined with rehabilitation training on the recovery of limb function in a patient with spinal cord injury.Methods:The paraplegic patients with spinal cord nerve stimulator implanted after spinal cord injury was treated with routine rehabilitation training,6 times a week for 3 weeks.The limb function and the abilities of daily living were assessed by the American Spinal Cord Injury Association spinal cord injury scale,Lovett muscle strength scale,modified Barthel index scale,Berg balance function scale,and modified Ashworth scale at pre-treatment,post-treatment,and 1-month follow-up.Results:After 3 weeks of treatment,the patient showed significant improvements in motor,sensory,balance,and daily living,and these improvements were maintained at 1-month follow-up.Conclusion:Rehabilitation training can improve the limb function of paraplegic patients with spinal cord nerve stimulator implantation after spinal cord injury,and is an indispensable treatment for such patients.However,patients must adhere to longterm rehabilitation training to obtain good results.
作者
陈楠
陈婵
顾雨薇
凌骏麒
白玉龙
CHEN Nan;CHEN Chan;GU Yuwei;LING Junqi;BAI Yulong(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China)
出处
《上海医药》
CAS
2023年第7期8-10,36,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
脊髓损伤
硬膜外脊髓神经电刺激
康复训练
spinal cord injury
epidural spinal cord stimulation
rehabilitation training
