使用便携式经皮脊髓刺激装置有效治疗完全性脊髓损伤患者的直立性低血压:1例报告。

IF 1.5 4区 医学 Q3 CLINICAL NEUROLOGY
Sandra Jia Yi Lau, Pan Zi Hang, Wu Lijia, Chen Jing
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引用次数: 0

摘要

背景:直立性低血压(OH)是脊髓损伤(SCI)患者的一种衰弱性疾病,其特征是自主调节功能受损,直立体位时血压(BP)显著下降。尽管有药物和非药物干预,OH仍然存在,限制了康复进展和日常功能活动。经皮脊髓刺激(tSCS)是一种非侵入性的方式,在解决心血管失调方面显示出希望。然而,tSCS的临床应用往往受到可用性的限制。结果:本病例报告描述了一种市售神经肌肉电刺激(NMES)装置的新应用,该装置适用于经皮脊髓刺激,用于49岁C5完全性脊髓损伤和常规治疗难治的严重OH的男性。干预显示直立体位时血压立即稳定,症状得到缓解,功能得到显著改善,包括坐姿耐受性改善和生活质量提高。结论:这些研究结果表明,NMES可以作为传统tSCS的一种具有成本效益和便携性的替代方案,并可能拓宽脊髓损伤患者OH的治疗选择。需要进一步的研究来验证这些结果并优化其临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effective management of orthostatic hypotension in a patient with complete spinal cord injury using a portable transcutaneous spinal cord stimulation device: A case report.

Context: Orthostatic hypotension (OH) is a debilitating condition in spinal cord injury (SCI) patients, characterized by impaired autonomic regulation and significant drops in blood pressure (BP) upon upright positioning. Despite pharmacological and non-pharmacological interventions, OH often persists, limiting rehabilitation progression and daily functional activities. Transcutaneous spinal cord stimulation (tSCS), is a non-invasive modality that has shown promise in addressing cardiovascular dysregulation. However, clinical application of tSCS is often constrained by availability.

Findings: This case report describes a novel application of a commercially available neuromuscular electrical stimulation (NMES) device, adapted for transcutaneous spinal cord stimulation, in a 49-year-old male with C5 complete SCI and severe OH refractory to conventional treatments. The intervention demonstrated immediate stabilization of BP and symptom resolution during upright positioning, enabling significant functional gains, including improved sitting tolerance and enhanced quality of life.

Conclusion: These findings suggest that NMES can be a cost-effective and portable alternative to traditional tSCS, and may broaden therapeutic options for managing OH in SCI patients. Further research is warranted to validate these results and optimize its clinical application.

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来源期刊
Journal of Spinal Cord Medicine
Journal of Spinal Cord Medicine 医学-临床神经学
CiteScore
4.20
自引率
5.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.
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