脊髓损伤后居家康复的研究进展

doi:10.3969/j.issn.1006-9771.2021.02.009

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (2): 177-181.doi: 10.3969/j.issn.1006-9771.2021.02.009

脊髓损伤后居家康复的研究进展

魏嵩¹,高峰²,刘俊¹,李建军^1,^3,^4,⁵()

^1.首都医科大学康复医学院，北京市 100068
^2.中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科，北京市 100068
^3.中国康复科学所，北京市 100068
^4.北京脑重大疾病研究院神经损伤与修复研究所，北京市 100068
^5.北京市神经损伤与康复重点实验室，北京市 100068

收稿日期:2020-10-17 修回日期:2020-11-28 出版日期:2021-02-25 发布日期:2021-02-26
通讯作者: 李建军 E-mail:crrc100@163.com
作者简介:魏嵩(1996-)，男，汉族，北京市人，硕士研究生，主要研究方向：脊柱脊髓损伤的康复与治疗|李建军(1962-)，男，汉族，教授，主任医师，博士生和博士后导师，主要研究方向：康复医学、康复教育、康复管理及脊柱脊髓损伤的康复与治疗。
基金资助:
国家重点研究发展计划(2018YFF0301104);北京市科技计划重大项目课题(D161100002816004);首都卫生发展科研专项项目(No.首发 2018-1-6011);中国康复研究中心科研项目(2019ZX-04)

Advance in Home-based Rehabilitation after Spinal Cord Injury (review)

Song WEI¹,Feng GAO²,Jun LIU¹,Jian-jun LI^1,^3,^4,⁵()

^1.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
^2.Department of Spinal and Neural Function Reconstruction, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
^3.China Institute of Rehabilitation Science, Beijing 100068, China
^4.Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing 100068, China
^5.Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China

Received:2020-10-17 Revised:2020-11-28 Published:2021-02-25 Online:2021-02-26
Contact: Jian-jun LI E-mail:crrc100@163.com
Supported by:
National Key Research and Development Plan(2018YFF0301104);Beijing Municipal Science and Technology Plan Major Project(D161100002816004);Capital Health Development Research Special Project(2018-1-6011);China Rehabilitation Research Center Research Project(2019ZX-04)

摘要/Abstract

摘要：

居家康复可以有效减少脊髓损伤患者的临床并发症，加快患者的神经功能恢复，减轻医疗保健系统的负担。居家康复在多个研究中表现出有效性，应用神经反馈可使40%脊髓损伤居家患者的神经病理性疼痛得到缓解；应用可穿戴技术可监测手功能恢复情况并促进手运动功能的恢复；家用便携式刺激器和表面电极可抑制不必要的膀胱活动，改善尿失禁；在家进行加强伸展训练可以减轻慢性脊髓损伤患者的肩部疼痛；家中使用功能性电刺激可以改善脊髓损伤患者因失去神经营养而萎缩的肌肉功能。居家康复还存在一定局限性，如设备操作复杂、费用昂贵、不易携带，还有待进一步发展。

关键词: 脊髓损伤, 居家康复, 综述

Abstract:

Home-based rehabilitation can effectively reduce the clinical complications of patients with spinal cord injury and accelerate the recovery of neurological function, as well as reduce the heavy economic burden on healthcare system. Home-based rehabilitation has shown effectiveness in multiple studies. Neurofeedback could relieve the neuropathic pain of 40% home patients with spinal cord injury. Wearable technology could monitor and promote the recovery of hand motor function. Household portable stimulators and surface electrodes could inhibit unnecessary bladder activity and improve urinary incontinence. Strengthening stretching training at home could reduce shoulder pain in patients with chronic spinal cord injury. Using functional electrical stimulation at home could improve the muscle function of patients with spinal cord injury due to loss of neurotrophic muscle atrophy. There are still some disadvantages of home-based rehabilitation, such as complicated operation, expensiveness and not convenient to carry for training equipment, which need to be further developed.

Key words: spinal cord injury, home-based rehabilitation, review

中图分类号:

R651.2

魏嵩,高峰,刘俊,李建军. 脊髓损伤后居家康复的研究进展[J]. 《中国康复理论与实践》, 2021, 27(2): 177-181.

Song WEI,Feng GAO,Jun LIU,Jian-jun LI. Advance in Home-based Rehabilitation after Spinal Cord Injury (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 177-181.

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脊髓损伤后居家康复的研究进展

Advance in Home-based Rehabilitation after Spinal Cord Injury (review)

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