创伤性脊髓损伤物理治疗

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1、PhysicalTherapyforAdultswithTraumaticSpinalCordInjuryAcknowledgement:InternationaleducatorsfortheChinaSelf-DirectedLearningModulesMODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury1TraumaticSpinalCordInjury(SCI)MajorityoftraumaticSCIoccursinyoungadultmalesTraumaticspinalcordinjuryisanon-

2、progressivepathologyMotorandsensoryfunctiononbothrightandleftsidesisdeterminedbythelevelofinjuryApatientwithC6levelinjuryhasintactmotorandsensoryfunctionbilaterallyatandabovetheC6levelMODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury2MODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury3Traum

3、aticSpinalCordInjuryBasedontheInternationalStandardsforNeurologicalClassificationofSpinalCordInjury(publishedbytheAmericanSpinalInjuryAssociation,ASIA),patientscanbegroupedinfivecategoriesdependingontheseverityofimpairmentfromAtoEAiscompletespinalcordinjurywithnomotororsensoryfunction

4、belowthelevelEisnormaleventhoughpatientmayhaveinitiallyexhibitedsymptomsofspinalcordinjury,butisnownormalMODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury4ACompleteNomotororsensoryfunctionispreservedinthesacralsegmentsS4-5BIncompleteSensorybutnomotorfunctionispreservedbelowtheneurologic

5、allevelandincludesS4-5CIncompleteMotorfunctionispreservedbelowtheneurologicallevel,andmorethanhalfofkeymusclesbelowtheneurologicallevelhaveamusclegradelessthan3(fair)DIncompleteMotorfunctionispreservedbelowtheneurologicallevel,andatleasthalfofkeymusclesbelowtheneurologicallevelhaveamu

6、sclegradeof3(fair)ormoreENormalMotorandsensoryfunctionisnormalASIAImpairmentScaleMODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury5TraumaticSpinalCordInjuryDefinitionsParaplegia–isdefinedasanimpairmentorlossofmotorand/orsensoryfunctionofallorpartofthetrunkandbothlowerextremitiesTetraple

7、gia–isdefinedasanimpairmentorlossofmotorand/orsensoryfunctioninbothupperextremitiesinadditiontotrunkandbothlowerextremities;respirationisoftenaffectedMODULEC4/CSDLM/2013/NRTraumaticSpinalCordInjury6SpinalCordAnatomySpinehas8cervical,12thoracic,5lumbar,5sacral,and1coccygealspinalnerves

8、(leve