《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (07): 421-422.

• 临床研究 • 上一篇    下一篇

早期康复对脊髓损伤患者步行功能恢复的临床观察

范晓华; 宫艺; 刘俊兰   

  1. 山东省立医院康复医学中心 山东济南市 250021
  • 收稿日期:2004-04-01 出版日期:2004-07-25 发布日期:2004-07-25

Effect of early rehabilitation on the ambulatory capacity in patients with acute spinal cord injury

FAN Xiao-hua, GONG Yi, LIU Jun-lan   

  1. Department of Rehabilitation Medicine, Shandong Provincial Hospital, Jinan 250021, Shandong, China
  • Received:2004-04-01 Published:2004-07-25 Online:2004-07-25

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被引次数

66

摘要： 目的探讨早期康复对脊髓损伤患者步行能力的影响及运动和感觉功能与步行能力之间的相关性。方法对47例脊髓损伤患者给予综合康复治疗,在入院时和治疗过程中根据美国脊髓损伤学会(ASIA)1992年的标准评定患者的运动与感觉功能,采用Hoffer步行能力分级评定步行能力。结果伤后12个月时患者的运动功能和感觉功能比入院时显著增加(P<0.05),入院时的运动功能与患者最终获得的步行能力相关(P<0.05)。结论早期康复能改善脊髓损伤患者的运动功能和感觉功能,入院时的运动功能与患者最终获得的步行能力相关。

关键词: 康复, 脊髓损伤, 运动功能, 步行

Abstract: Objective To study the effect of early rehabilitation on the ambulatory capacity and the relationship between motor , sensory function and ambulatory function in patients with acute spinal cord injury.Methods 47 patients with spinal cord injury were treated with comprehensive rehabilitation program. Their motor and sensory function were assessed using Standards for Neurological Classification of Spinal Cord Injury (ASIA, 1992) and their ambulatory function were assessed using Hoffer's ambulation classification during the treatment.Results Motor and sensory function increased significantly in the 12 months after trauma (P<0.05). Motor score at admission was correlated with the outcome of the ambulatory capacity(P<0.05).Conclusion Early rehabilitation was effective. The initial motor function was related to the outcome of the ambulatory capacity in patients with spinal cord injury.

Key words: early rehabilitation, spinal cord injury, ambulatory capacity