《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (2): 177-181.doi: 10.3969/j.issn.1006-9771.2021.02.009

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

Song WEI1,Feng GAO2,Jun LIU1,Jian-jun LI1,3,4,5()   

  1. 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)

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

CLC Number: