康复训练对脊髓损伤患者生活自理能力的影响

Effects of rehabilitation treatment on activities of daily living in spinalcord injured patients

目的探讨脊髓损伤患者经过康复训练后生活自理能力与发病初期脊髓损伤程度之间的关系。方法回顾性分析30例脊髓损伤的患者,按照美国脊髓损伤学会脊髓损伤程度的分级(ASIA)进行分类,对他们进行相同的PT、OT、神经肌肉电刺激、针灸、按摩治疗,按照日常生活能力量表(见附表1)观察治疗前后日常生活能力的改善。对收集的资料进行相关性分析。结果相关性分析表明,ADL改善程度和ASIA级别密切相关(r=0.229),经过康复训练后,生活自理能力均有提高。而分级指数越高,生活自理能力改善的程度越明显。结论脊髓损伤患者进行ASIA分级是必要的,可以预测未来生活自理能力。而提高生活自理能力的关键是进行康复训练。

Objective To study the relation between activities of daily living(ADL)at post-rehabilitation treatment and the levels of spinal cord injuries(SCI)at pre-rehabilitation treatment in spinal cord injured patients.Methods Data of 30 patients with SCI were retrospectively analyzed.30 cases were divided into 4 groups by American Spinal Injury Association Impairment Scale(ASIA) before treatment.They were all treated by the same PT,OT,nerve and muscle electrical stimulation therapy,acupuncture and massage.Modified Barthel index was used to assess ADL before treatment and after treatment.The collected data were correlatively analyzed.Results Barthel index in 30 cases were improved at post rehabilitation treatment.The grade of group was higher,Bathel index of this group were better.The ASIA grade of SCI was positively related to the improved degree of Barthel index(r=0.229).Conclusion It is necessary that SCI patients are evaluated by American Spinal Injury Association Impairment Scale before rehabilitation.And it is helpful to forecast the best activities of daily living of SCI patients in future.The key to improve activities of daily living is timely and effective rehabilitation treatment.