水中疗法对不完全性颈脊髓损伤患者功能表现的影响:一个案例研究

D. Patil, Prajakta Dingle
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引用次数: 0

摘要

脊髓损伤(SCI)是一种使人衰弱并导致永久性运动和感觉缺陷的创伤性事件。运动和/或感觉缺陷的严重程度和永久性程度取决于脊髓组织损伤的位置和程度。本病例报告描述了一个水中治疗方案和19岁男性不完全性脊髓损伤的结果。采用美国脊髓损伤协会(ASIA)、脊髓独立性测量(SCIM)和脊髓损伤步行指数(WISCI)对自我保健、功能活动能力和步行参数进行检测。患者接受水中治疗,每周3次,每次1小时,共6周。干预包括水上活动,旨在提高自我护理的大运动技能,功能活动和步态参数。脊髓独立性评分由32分提高到43分。病人的行走指数有了很大的改善,在没有矫形器和辅助的情况下,他能够在步行架上行走10米。本病例报告的结果表明,19岁脊髓损伤患者的自我护理、功能活动能力和行走参数得到了成功的改善。该研究为治疗师利用水生疗法作为脊髓损伤患者的一种模式提供了临床信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Added Effect of Aquatic Therapy on Functional Performance in Incomplete Cervical Spinal Cord Injury Level: A Case Study
Spinal cord injury (SCI) is a traumatic event that is debilitating and results in permanent motor and sensory deficits. The severity and degree of permanence of the motor and/or sensory deficits is dependent upon the location and extent of damage to the spinal cord tissue. This case report describes an aquatic therapy program and the outcome for 19-year-old male with incomplete spinal cord injury. Self-care, functional mobility and walking parameters examined using American Spinal Cord Injury Association (ASIA), Spinal Cord Independence Measures (SCIM) and Walking Index Spinal Cord Injury (WISCI). The patient received aquatic therapy thrice in a week for one-hour session, for 6 weeks. The intervention included aquatic activities designed to improve gross motor skills for self-care, functional mobility and gait parameters. Spinal cord independence measure score improved from 32 to 43. Patient showed drastic improvement in Walking Index, where he was able to walk 10 meters in walking frame with no orthosis and no assistance. The outcomes of this case report demonstrate the successful improvement of self-care, functional mobility and walking parameters in 19-year-old patient with SCI. The study provides clinical information for therapists utilizing aquatic therapy as a modality for Spinal Cord Injury patients.
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