Early Application of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation During Acute Inpatient Rehabilitation for High Cervical Spinal Cord Injury: A Case Report.

IF 2.4 4区 医学 Q1 REHABILITATION
Danyal Tahseen, Halle Flate, Hilary Osterman, Cory Wernimont
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引用次数: 0

Abstract

Abstract: Early recovery of arm and trunk function after high cervical spinal cord injury is challenging. We report a case of a 42-yr-old woman with subacute C3 AIS (ASIA Impairment Scale) B spinal cord injury treated with cervical and thoracic transcutaneous spinal cord stimulation during acute inpatient rehabilitation. Initiated 6 wks after injury alongside physical therapy, transcutaneous spinal cord stimulation was associated with improved motor scores (0-10), sensory gains, and AIS conversion to C. Functional gains included better trunk control and voluntary upper extremity movement. Treatment was well tolerated without adverse effects. This case supports the feasibility and potential efficacy of early transcutaneous spinal cord stimulation integration in acute cervical spinal cord injury rehabilitation and warrants further study.

颈胸经皮脊髓刺激(tSCS)在高位颈脊髓损伤急性住院康复中的早期应用:1例报告。
摘要:高位颈脊髓损伤(SCI)后臂躯干功能的早期恢复具有挑战性。我们报告一例42岁女性亚急性C3 AIS B型脊髓损伤患者,在急性住院康复期间接受颈胸经皮脊髓刺激(tSCS)治疗。损伤后6周开始进行物理治疗,tSCS与运动评分(0 - 10)改善、感觉增益和AIS转换为c相关。功能增益包括更好的躯干控制和自主上肢运动。治疗耐受性良好,无不良反应。本病例支持早期tSCS整合在急性颈椎损伤康复中的可行性和潜在疗效,值得进一步研究。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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