步行训练在脊髓损伤致下肢运动功能障碍康复中的临床应用进展

Advances in research on rehabilitation of lower limb dyskinesia caused by spinal cord injury via walking training

脊髓损伤是一种严重影响患者生活能力的疾病,常因交通事故、工伤事故和运动失误引起脊柱骨折或脊柱结构的改变发生脊髓的损伤,而引起一系列功能障碍,其中运动功能障碍是脊髓损伤后的一个常见症状。早期的康复训练有利于改善患者运动功能,而步行训练在脊髓损伤患者运动功能的康复中扮演重要角色。该文就不同节段脊髓损伤所致运动功能障碍的特点,步行训练的时效性及适应证,不同的步行训练在脊髓损伤所致下肢运动能力康复中的临床应用进展作一综述。

Spinal cord injury(SCI)is a disease that seriously affects the living ability of patients.SCI is often caused by spinal fractures or structural changes due to traffic accidents,industrial accidents and movement errors resulting in a series of dysfunctions of which dyskinesia is a common symptom after SCI.Early rehabilitation training is beneficial to improving the movement function of the patients,and walking training plays an important role in the rehabilitation of movement function of the patients with SCI.In this paper,we review the characteristics of movement dysfunction caused by different segments of SCI,the timeliness and indications of walking training,and the advances in research on rehabilitation of lower limb dyskinesia caused by SCI via different walking trainings.