脊髓刺激治疗脊髓损伤的潜力。

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Eli Justin Forouzan, Mohammed Yousif Rashid, Ned F Nasr, Alaa Abd-Elsayed, Nebojsa Nick Knezevic
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引用次数: 0

摘要

回顾的目的:在美国,脊髓损伤每年影响大约18,000人,最常见的是由机械损伤引起的。随之而来的截瘫严重损害了运动功能,迫切需要超越传统康复和药物治疗的创新治疗策略。这篇综述评估了脊髓刺激(SCS)在改善脊髓损伤患者运动功能方面的有效性,特别关注截瘫患者。SCS是一种新兴的干预手段,因其激活瘫痪肌肉和增强物理治疗效果的能力而受到关注。最近的发现:我们的综述表明,当与康复策略最佳结合时,SCS可以导致显著的功能改善。SCS的成功很大程度上取决于具有个性化参数的电极的精确放置以及刺激与强化体育训练的结合。这篇综述强调了SCS在改善脊髓损伤所致截瘫患者运动预后方面的巨大潜力,强调需要进一步研究优化SCS参数、电极放置及其与康复方案的结合。这篇综述强调了SCS作为一种治疗干预措施的潜力,可以改善脊髓损伤引起的截瘫患者的运动功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Potential of Spinal Cord Stimulation in Treating Spinal Cord Injury.

Purpose of the review: In the United States, spinal cord injuries affect approximately 18,000 individuals annually, most commonly resulting from mechanical trauma. The consequent paraplegia severely impairs motor functions, creating an urgent need for innovative therapeutic strategies that extend beyond traditional rehabilitation and pharmacotherapy. This review assesses the effectiveness of Spinal Cord Stimulation (SCS) in improving motor function in patients with spinal cord injuries, with a particular focus on paraplegia. SCS, an emerging intervention, has gained attention for its ability to activate paralyzed muscles and enhance the effects of physical therapy.

Recent findings: Our review demonstrates that SCS can lead to significant functional improvements when optimally combined with rehabilitation strategies. The success of SCS depends largely on the precise placement of electrodes with individualized parameters and the integration of stimulation with intensive physical training. This review underscores the considerable potential of SCS to improve motor outcomes in individuals with paraplegia caused by spinal cord injury, emphasizing the need for further research to optimize SCS parameters, electrode placement, and its integration with rehabilitation protocols. This review highlights the potential of SCS as a therapeutic intervention for improving motor function in individuals with paraplegia caused by spinal cord injuries.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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