步行训练计划对脊髓损伤患者的影响:单组前性队列研究
Alexander Echemendía Del Valle1,2, Juan Enrique Bender Del Busto2, Armando Sentmanat Belisón1,2
1Department of Therapeutic and Prophylactic Physical Education, Faculty of Physical Education, University of Physical Education and Sports Sciences, Havana 10600, Cuba.
Journal of clinical medicine
|December 9, 2023
概括
这项研究表明,步行训练计划显著改善了脊髓损伤患者的行走能力. 在不同的伤害水平,性别和功能类别中观察到康复的好处.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 脊髓损伤 (SCI) 是一种复杂的疾病,影响运动,感觉和自主功能.
- 恢复行走是SCI康复的首要目标,因为它对运动的影响.
- 改善SCI康复方法是医疗保健系统的优先事项.
研究的目的:
- 评估针对脊髓损伤患者的特定步行训练计划的有效性.
主要方法:
- 根据STROBE指南进行了一项前性队列研究.
- 30名脊髓损伤患者参加了为期8周的身体康复计划.
- 使用非概率抽样来招募符合纳入标准的参与者.
主要成果:
- 在整体患者队列中,统计学上有显著的改善.
- 在不同性别,地形病变水平和功能分类中观察到积极的结果.
- 步行训练计划在改善患者流动性方面表现出有效性.
结论:
- 实施的步行训练计划在胸脊髓受伤患者中产生了显著的积极变化.
- 这些改善是一致的,不管损伤的具体水平,患者的性别,或他们的功能类别.
相关概念视频
Spinal Cord Injury ll: Pathophysiology
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Secondary Spinal Cord Injury llI: Pathophysiology
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...


