创伤性脊髓损伤物理治疗.pptVIP

Physical Therapy for Adults with Traumatic Spinal Cord Injury Acknowledgement: International educators for the China Self-Directed Learning Modules MODULE C4/CSDLM/2013/NR Traumatic Spinal Cord Injury Traumatic Spinal Cord Injury (SCI) Majority of traumatic SCI occurs in young adult males Traumatic spinal cord injury is a non-progressive pathology Motor and sensory function on both right and left sides is determined by the level of injury A patient with C6 level injury has intact motor and sensory function bilaterally at and above the C6 level MODULE C4/CSDLM/2013/NR Traumatic Spinal Cord Injury MODULE C4/CSDLM/2013/NR Traumatic Spinal Cord Injury Traumatic Spinal Cord Injury Based on the International Standards for Neurological Classification of Spinal Cord Injury (published by the American Spinal Injury Association, ASIA), patients can be grouped in five categories depending on the severity of impairment from A to E A is complete spinal cord injury with no motor or sensory function below the level E is normal even though patient may have initially exhibited symptoms of spinal cord injury, but is now normal MODULE C4/CSDLM/2013/NR Traumatic Spinal Cord Injury A Complete No motor or sensory function is preserved in the sacral segments S4-5 B Incomplete Sensory but no motor function is preserved below the neurological level and includes S4-5 C Incomplete Motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade less than 3 (fair) D Incomplete Motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade of 3 (fair) or more E Normal Motor and sensory function is normal ASIA Impairment Scale MODULE C4/CSDLM/2013/NR Traumatic Spinal Cord Injury Traumatic Spinal Cord Injury Definitions Paraplegia – is defined as an impairment or loss of motor and/or sensory function of all or part of the trunk and both