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Rehabilitation of spinal cord injuries

World Journal of Orthopedics 2015年第1期6卷 8-16页

作者： kemal nas Levent Yazmalar Volkan ?ah Abdulkadir Ayd?n Kadriye ?ne? Department of Physical Medicine and Rehabilitation School of MedicineSakarya University Department of Physical Medicine and Rehabilitation School of MedicineDicle University Department of Phsyical Treatment and Rehabilitation Erzincan University Mengucek Gazi Training and Research Hospital Orthes and Prothes Center Dicle University Istanbul Physical Medicine and Rehabilitation Research and Training Hospital Physical Therapy and Rehabilitation Clinic

Spinal cord injury(SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina whichoccurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. Neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients' family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary.

关键词： Spinal cord Injury Tetraplegia Paraplegia Rehabilitation

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Rehabilitation in spinal infection diseases

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World Journal of Orthopedics 2015年第1期6卷 1-7页

作者： kemal nas Mehmet Karako? Abdulkadir Ayd?n Kadriye ?ne? Department of Physical Medicine and Rehabilitation School of MedicineSakarya University Department of Physical Medicine and Rehabilitation School of MedicineDicle University Orthotics and Prosthetics Center Dicle University Istanbul Physical Medicine and Rehabilitation Research and Training Hospital Physical Therapy and Rehabilitation Clinic

Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservativelytreated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients' sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability.

关键词： Spinal infections Rehabilitation Exercises

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