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Updated: May 8, 2025

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脊髓损伤后的伸展:为这种常见的临床实践提供证据的呼吁

Todd E Williams¹, Louis A DeMark², Tinuade A Olarewaju¹

¹Department of Physical Therapy, University of Florida, Gainesville, FL, United States.

Frontiers in rehabilitation sciences

|December 25, 2024

概括

脊髓损伤 (SCI) 的伸展可能不会改善性或运动功能,尽管这是一个首选的方法. 需要更多的研究来了解其长期影响,并优化SCI患者的治疗方案.

科学领域:

康复医学康复医学康复医学
神经科学是一个神经科学.
物理疗法物理治疗

背景情况:

伸展通常用于脊髓损伤 (SCI) 康复,以控制性和关节问题.
尽管它很受欢迎,但科学证据支持伸展对SCI的益处,特别是对于性和运动功能,是有限的.
在老鼠中进行的临床前研究表明,拉伸可能会对运动输出和脊髓功能产生负面影响.

研究的目的:

批判性地评估现有的证据,对人类和老鼠的静态拉伸有SCI.
研究拉伸对运动范围,关节收缩和运动输出 (自愿和非自愿) 的影响.
挑战目前关于SCI康复中伸展的假设,并倡导进一步的研究.

主要方法:

关于SCI静态拉伸的科学文献的综述.
在动物模型 (老鼠) 中讨论临床前发现.
分析对运动范围,性和运动功能的影响.

主要成果:

有限的证据支持伸展对SCI的短期 (<1小时) 益处.
长期影响和对运动功能的影响仍然在很大程度上未在人类SCI.未检查.
动物研究表明,拉伸对运动输出和脊髓刺激性有潜在的负面影响.

结论:

伸展在改善SCI中的性和运动功能的有效性需要进一步研究.
当前的康复实践可能基于假设而不是有力的证据.
未来的研究应该探索拉伸诱导效应背后的机制,并为SCI开发优化拉伸方案.

关键词:

发动机输出的电机输出.康复康复康复康复康复康复性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性等.脊髓损伤导致的脊髓损伤拉伸拉伸是一种拉伸.步行功能步行功能

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相关概念视频

The Spinal Cord

The Spinal Cord

The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.