ABSTRACT
Objective:To analyze the clinical data on hospitalized spinal cord injury patients with calf muscle vein thromboses (MCVTs) seeking prevention and treatment techniques.Methods:The medical records of 423 patients with spinal cord injury were collected. Those with MCVT constituted the observation group, while those without served as controls. Their clinical data were compared.Results:The risk factors for MCVT were screened in logistic regression analyses. The results showed that age, an ASIA grade of A or B, spinal fusion, preventive anticoagulation, physiotherapy treatment and a homocysteine level >15μmol/L were risk factors for the occurrence of a MCVT.Conclusions:Age, an ASIA grade of A or B, spinal fusion or an elevated serum homocysteine level are all risk factors for MCVT. Active anticoagulation and physical therapy may reduce the risk.
ABSTRACT
The mechanism of cell transplantation in repairing spinal cord injury mainly include replacing damaged neurons, protecting host neurons, preventing apoptosis, promoting axon regeneration and synapse formation, promoting myelination and secreting nutritional factors to improve microenvironment. A variety of cells have been used to repair spinal cord injury in animal models with certain effects, but the repair effect on complete injury is not obvious. Due to the difficulty in repairing spinal cord injury and the complexity of high-quality clinical studies, there lacks safe and effective comprehensive treatment method to maximize the improvement and recovery of patients' motor function. In order to summarize the research progress of cell therapy in the treatment of spinal cord injury and promote the in-depth study in this field, this article reviews various cell repair methods for spinal cord injury in aspects of their current status, safety and effectiveness and discusses the prospects of cell repair of spinal cord injury.
ABSTRACT
Recovery, rehabilitation and repair of spinal cord injury are frequently mentioned in clinical practice, scientific research and teaching practice of spinal cord injury. The term of spinal cord injury rehabilitation is abused and relevant terms needs to be standardized. Based on the 《International Classification of Function, Disability and Health》(ICF), the following issues are discussed: spinal cord injury recovery and ICF impairment classification, spinal cord injury rehabilitation and ICF activity, participation classification, and the relationship between spinal cord injury recovery, rehabilitation and repair. The terms of spinal cord injury recovery, rehabilitation and repair are comprehensively analyzed to provide reference for clinical practice. Meanwhile, spinal cord injury researches are summarized and prospected.
ABSTRACT
The mechanism of cell transplantation in repairing spinal cord injury mainly include replacing damaged neurons,protecting host neurons,preventing apoptosis,promoting axon regeneration and synapse formation,promoting myelination and secreting nutritional factors to improve microenvironment.A variety of cells have been used to repair spinal cord injury in animal models with certain effects,but the repair effect on complete injury is not obvious.Due to the difficulty in repairing spinal cord injury and the complexity of high-quality clinical studies,there lacks safe and effective comprehensive treatment method to maximize the improvement and recovery of patients' motor function.In order to summarize the research progress of cell therapy in the treatment of spinal cord injury and promote the in-depth study in this field,this article reviews various cell repair methods for spinal cord injury in aspects of their current status,safety and effectiveness and discusses the prospects of cell repair of spinal cord injury.
ABSTRACT
Recovery,rehabilitation and repair of spinal cord injury are frequently mentioned in clinical practice,scientific research and teaching practice of spinal cord injury.The term of spinal cord injury rehabilitation is abused and relevant terms needs to be standardized.Based on the 《 International Classification of Function,Disability and Health》(ICF),the following issues are discussed: spinal cord injury recovery and ICF impairment classification,spinal cord injury rehabilitation and ICF activity,participation classification,and the relationship between spinal cord injury recovery,rehabilitation and repair.The terms of spinal cord injury recovery,rehabilitation and repair are comprehensively analyzed to provide reference for clinical practice.Meanwhile,spinal cord injury researches are summarized and prospected.
ABSTRACT
@#Changes in metabolism after spinal cord injury cause many nutritional problems, leading to an increased incidence of dyslipidemia, diabetes and cardiovascular diseases. Unreasonable diet structure will promote the occurrence of metabolic abnormalities, induce secondary lesions, and increase mortality in patients with spinal cord injury at early stage. A comprehensive intervention including exercise, diet and dietary supplements is needed .
ABSTRACT
Objective To compare the difference of the spinal cord injury rehabilitation physician training systems between Harvard Uni-versity and Capital Medical University. Methods The spinal cord injury rehabilitation physician training systems of Capital Medical Univer-sity and Harvard University were investigated, including the degree training time, residence training time, training fee and institution. Re-sults Degree education time was more in the basic science in Harvard University than in Capital Medical University. The residence training time was 7 years and 5 years for Harvard University and Capital Medical University, respectively, and the ratio of specialties and sub-spe-cialties was not significantly different. There was a total of 26 spinal cord injury community rehabilitation clinics in Harvard University sys-tem, and none in Capital Medical University. Conclusion Some light can be drawn from the spinal cord injury rehabilitation physician train-ing system of Harvard University, to improve the scholastic building of Capital Medical University.
ABSTRACT
Neurogenic detrusor overactivity (NDO) often occurs after spinal cord injury, which often causes urinary tract infection, vesi-coureteral reflux, or even renal failure, and seriously impacts on the patient's quality of life. This paper reviewed the mechanism, the com-mon treatment methods, and neuromodulation theray of NDO after spinal cord injury, and elaborated percutaneous posterior tibial nerve stimulation, pudendal nerve regulation and the sacral neuromodulation respectively.
ABSTRACT
@#Objective To investigate the effects of short-segment pedicle screws system on type A thoracic and lumbar spine fracture with or without pedicle screws on the fractured level. Methods 23 patients with type A thoracic and lumbar spine fracture were included, in which 11 cases received traditional short-segment pedicle screws system without pedicle screws on the fractured level (group A), and other 12 cases with pedicle screws on the fractured level (group B). The anterior vertebral height, posterior vertebral height and local kyphosis an-gle were measured before and after operation. Results All pedicle screws were successfully implanted with good location and stability. The vertebral height and kyphosis angle significantly improved after operation in both groups (P<0.05), and the improvement of kyphosis angle was more in group B than in group A (P<0.05). Conclusion Short-segment pedicle screws system with pedicle screws on the fractured level may fine correct the kyphosis angle in short term.
ABSTRACT
Spinal cord injury rehabilitation is an important part of rehabilitation medicine. The clinical education of graduates in spinal cord injury specialty is complex and unique. The graduates' incorrect learning methods and poor academic basis are dominant factors that will influence the teaching quality. And the teachers' poor professional knowledge will lead to the failing of meeting the requirements of clin-ical teaching and will influence the teaching quality. The teachers should make individualized teaching plan based on the student's academic background, clinical basis and degree level. In clinical practice, the teaching departments should improve their hardware and software condi-tion. The clinical teachers should try to improve their professional level and teaching skills by intensifying the self-education. The graduate students should make modification and innovation in learning methods according to their own problems.
ABSTRACT
@#Spinal cord injury rehabilitation is an important part of rehabilitation medicine. The clinical education of graduates in spinal cord injury specialty is complex and unique. The graduates' incorrect learning methods and poor academic basis are dominant factors that will influence the teaching quality. And the teachers' poor professional knowledge will lead to the failing of meeting the requirements of clinical teaching and will influence the teaching quality. The teachers should make individualized teaching plan based on the student's academic background, clinical basis and degree level. In clinical practice, the teaching departments should improve their hardware and software condition. The clinical teachers should try to improve their professional level and teaching skills by intensifying the self-education. The graduate students should make modification and innovation in learning methods according to their own problems.
ABSTRACT
@#Objective To explore the factors related with bladder function after surgical intervention in patients with first lumbar burst fractures uniting isolated conus medullaris syndrome (CMS). Methods 25 patients complicated CMS in 618 patients with Ｌ1 burst fracture were analyzed retrospectively. Results The recovery rate of patients with saddle sensation weakness was higher than the patients with saddle sensation disappeared (P<0.05). There was no difference in bladder function between patients accepted surgery within 2 weeks and more than 2 weeks (P>0.05). Conclusion Saddle sensation before surgery related with the recovery of bladder function.
ABSTRACT
@#Objective To explore the effects of rehabilitation for adult cervical spinal cord injury without radiological abnormality. Methods 80 patients were studied retrospectively. Results The increase of motor score of anterior, posterior and conservative group were around 5, 2 and 2, whereas that of FIM were 11, 17 and 15, respectively. The changes of sensory score were uncertain.Conclusion The effect of surgical or conservative treatment is limited on neurological recovery, while rehabilitation can bring more functional independence to patients with cervical spinal cord injury without radiological abnormality.
ABSTRACT
@#From the data collected from the sample, the provincial Disabled Person's Federation, Bureau of Civil Affairs and Bureau of Health, it showed that the distribution of rehabilitation resources in China is closely correlated with the regional economy and the grades of hospital, which result in converging in cities. The problems including the supply of rehabilitation services can't meet the requirement; the distribution of rehabilitation resources is uneven; the rules of rehabilitation services should be enhanced, and the efficiency should be improved. It suggested that the resources existing in varied rehabilitation systems should be integrated efficiently; the community based rehabilitation should be encouraged by the policy; the information system for rehabilitation services all over the country should be established; and the expense for rehabilitation and constructing new rehabilitation institutions should be financed.
ABSTRACT
@#Objective Through investigating the status quo of the rehabilitation of the disabled in 2004 to 2007 in China, we could provide strong bases for constructing rehabilitation agencies and cultivating rehabilitation personnel in the future, as well as guide to institute plans and goals of disability rehabilitation.Methods The literature search method to obtain most of the macro data about the status quo of China's rehabilitation of the disabled and the overall rehabilitation plans and goals. The use of on-site survey to investigate five representative areas,(I.e. Beijing city, Shandong, Heilongjiang, Shanxi, and Yunnan Province), to collect and add relevant data about the status of the rehabilitation of the disabled. We did statistical analysis based on it.Results The number of the disabled obtaining rehabilitation significantly increased year by year, the growth rates were 7.3% (2005), 24.3% (2006) and 22.4% (2007) respectively. There were the biggest growth in the number of physical disabilities and mental illness rehabilitation, which far exceeding the State plans (over-the completion rates was 192.7% and 242.1% respectively), over-the completion rates of the others were all more than 10% in varying degrees. The national plans and task of rehabilitation were multiply completed. The related data in different parts had their own characteristics, which subjecting to a variety of local factors. Conclusion The overall national strategy of rehabilitation should be further improved on the basis of the "Tenth Five-Year" and the "11th Five-Year" plans and goals. The local rehabilitation strategy should be based on the local medical and health conditions, the geographical features, the rates of disability, the economic development level and the cultural background, as well as the demand of rehabilitation of the disabled.
ABSTRACT
@#ObjectiveTo investigate the concurrent and predictive validity of ASIA2000 motor scale.MethodsConsecutive observation was done to the 42 patients who were admitted in CRRC from September 2003 to September 2004.ASIA motor score and conventional motor score were recorded respectively 1 month and 3 months after injury.ResultsPearson correlation coefficient between the MDP of the two systems was 0.945,while that of the MRP was 0.897.ConclusionThe ASIA2000 motor score has good validity.