颈髓损伤平面及运动功能恢复的观察

Cervical cord injuries and exercise rehabilitation

目的观察１０５例不同损伤平面的颈髓患者经过康复训练后所取得的运动功能改善。方法根据Ｉａｎｃｏｌｉ对四肢瘫患者的分级，对不同损伤平面患者的移动、移乘能力进行了测试。结果Ｃ６Ａ２中５０％、Ｃ６Ｂ１中６７％的患者可完成床上的移动；Ｃ６Ｂ２中７１％、Ｃ６Ｂ３中８１％的患者可完成轮椅床，Ｃ７Ａ中７５％可完成轮椅厕所转移。结论四肢瘫患者的不同损伤平面决定了他们应取得的运动功能，而且移动能力决定了他们独立生活能力的程度。

Objective Rehabilitation outcome of 105 tetraplegic patients with different spinal lesion levels were analyzed. Methods Locomotion and transfer capabilities according to Iancollis classification were mainly examined. Results 50% of the patients were classified as C6A1 67% of C6B1 accomplished bed transfer,and 71% of C6B2 and 81% of the patients classified as C6B3 accomplished wheelchair to bed transfer.The patients who could manage wheelchair-toilet was 75% in the group classified as C7A. Conclusion The tetraplegic patients with various spinal lesion levels can determine their movement abilities and will also determine their functional level to perform by self-care.