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脊髓刺激和内输液管理在残疾人运动员:一个回顾案例系列

Rayan Fawaz, Camilla De Laurentis¹, Audrey Thomas¹

¹Service de Neurochirurgie Fonctionnelle, Hôpital neurologique et neurochirurgical Pierre Wertheimer, Hospices Civils de Lyon.

American journal of physical medicine & rehabilitation

|April 21, 2025

概括

脊髓刺激 (SCS) 和内巴克洛芬 (ITB) 对准运动员来说是可行的,有助于疼痛和性管理. 仔细监测对于解决潜在的并发症和优化适应性运动中的表现至关重要.

科学领域:

神经科学是一个神经科学.
运动医学运动医学
康复工程康复工程康复工程

背景情况:

体育运动员经常面临性和疼痛影响表现的挑战.
脑内巴克洛芬 (ITB) 和脊髓刺激 (SCS) 是治疗神经疾病的已知方法.
这些技术在精英残疾人运动员中的应用需要特别考虑.

研究的目的:

为了评估ITB和SCS在四名残疾人运动员中的安全性和有效性.
详细介绍运动群体中与这些设备相关的管理策略和潜在并发症.
探索ITB和SCS对残疾人运动员训练和竞争能力的影响.

主要方法:

四名接受ITB或SCS的残疾人运动员的案例系列.
数据收集包括刺激参数,导管放置,药物剂量和疼痛/度评估 (疼痛量表,修改的阿什沃思量表).
记录了手术并发症和3个月后的随访数据.

主要成果:

患者参加了体育运动,包括坐着排球,射击,手自行车和乒乓球.
一名SCS患者经历了幻肢疼痛缓解,使其能够恢复训练;另一个患有电极骨折.
通过个性化输液策略 (连续或玻尿酸) 适应培训需求,ITB改善了性.

结论:

虽然SCS和ITB对残疾人运动员没有禁忌,但它们需要专门的监测.
考虑到适应性运动的独特需求,个性化管理至关重要.
需要进一步的研究来充分评估SCS和ITB对准运动员表现的影响.

关键词:

截肢是一种截肢.巴克洛芬是一种导管内治疗治疗导管内治疗神经调节是一种神经调节.一个残疾人运动员.幻肢是一个幻肢.幻肢疼痛幻肢疼痛幻肢疼痛脊髓刺激脊髓刺激运动运动运动运动运动.

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