摘要
目的:观察颈髓损伤患者综合康复治疗的结局。方法:40例颈髓损伤患者予以综合康复治疗,包括上肢肌功能性电刺激、肌力训练、平衡转移训练、平衡膀胱等并配合传统疗法及矫形器的应用等。结果:经过60-215 d的治疗后ASIA运动、感觉评分及ADL评分与治疗前比较,颈髓部分损伤患者有明显提高(P<0.01或0.05);完全损伤患者ASIA运动评分有明显提高(P<0.05),而ASIA感觉及ADL评分虽有改善,但差异无显著性意义。结论:综合康复治疗能显著改善和提高颈髓损伤患者的生存质量,其中部分损伤患者最为显著。
Objective： To investigate whether there is a difference in function improvement in the patients with spinal cord injury （SCI） at different levels and degrees, in order to examine the effect of the comprehensive rehabilitation. Methods： Forty patients with SCI were treated with the electrical stimulation, muscle-strengthening exercise, balance and transfer training and orthosis etc. The function of the patients was assessed by ASIA and Barthel index before and after rehabilitation. Result： After rehabilitation, the motor scores （ASIA） was significantly higher in patients with incomplete lesions （P〈0.05）, and sensory scores （ASIA） was not significantly improved, the Barthel index was significantly higher （P〈0.01） in patient with incomplete lesion, and was not significantly improved in patient with complete lesion. Conclusion： Comprehensive rehabilitation was able to significantly improve and advance the motor function and ADL, especially in the patients with incomplete lesions.
出处
《中国康复》
2005年第5期290-291,共2页
Chinese Journal of Rehabilitation
基金
同济医院中青年科研基金(209-66-99)
关键词
颈脊髓损伤
康复治疗
功能评定
cervical spinal cord injury
rehabilitation therapy
functional assessment
