摘要
目的:观察颈、胸段创伤性脊髓损伤后肌痉挛患者综合康复治疗疗效及病程对康复疗效的影响。方法:根据其病程将30例颈、胸段创伤性脊髓损伤后肌痉挛患者分为早期组和晚期组,并分别给予运动治疗、热疗及气压式四肢血液循环促进装置等综合康复治疗,治疗前、后采用改良的Ashworth痉挛评分法(ModifiedAshworthScale,MAS)评定。结果:两组患者治疗前、后MAS评分差异均有显著性意义(t=16.170,P<0.0001;t=6.00,P<0.0001),并且早期组疗效优于晚期组(t=-5.014,P<0.01)。结论:对于创伤性脊髓损伤后肌痉挛应尽早采取综合康复治疗。
AIM:To observe the therapeutic effects of comprehensive rehabilitation in pati ents with muscle spasticity due to traumatic spinal cord injury(SCI) in neck and thorax, and the correlation with course of disease. METHODS:Thirty patients with muscle spasticity due to traumatic spinal cord in jury in neck and thorax level were divided into earlier stage group and later st age group according to the course of disease.They all received comprehensive reh abilitation including exercises,heat treatment and automatic air-pressure blood circulation promoter and so on,and then improved Modified Ashworth Scale(MAS) w as adopted for assessing the therapeutic effects after treatment.RESULTS:Scores for MAS were significantly improved after comprehensive rehabil itation treatment in both groups(t=16.170,P< 0.000 1; t=6.00, P< 0.000 1);moreov er the therapeutic effect in earlier stage group were better than those in later stage group(t=-5.014,P< 0.01).CONCLUSION:Comprehensive rehabilitation therapy is effective, which should be applied in the treatment of muscle spasticity after traumatic spinal cord injury as earlier as possible.
出处
《中国临床康复》
CSCD
2004年第11期2132-2133,共2页
Chinese Journal of Clinical Rehabilitation
