Schalow Giselher
Coordination Dynamic Therapy Centre, Avenida del Parque, Edif. Benal Beach, Local 2, E-29630 Benalmadena-Costa, Malaga, Spain.
Electromyogr Clin Neurophysiol. 2002 Sep;42(6):367-76.
Coordination dynamic therapy was applied to 18 patients (average age 31 years) after a spinal cord injury between C4/5 and L4/5; the therapy was administered on average 5 years after the injury for a minimum of 3 months. All complete spinal cord lesions became incomplete, i.e. motor functions improved below the lesion level, including trunk stability and arm, hand and leg functions. The organization of the CNS, quantified by the coordination dynamics between arm and leg movements, improved by 42% for forward and by 49% for backward moving when exercising on a special coordination dynamic therapy device. The improvements of the coordination dynamics were 53%, 32% and 48% for lesions in the cervical, thoracic, and lumbar range, respectively. The plasticity for spinal cord lesions was thus higher when the intumescence was lesioned. Since the coordination dynamics did not change substantially prior to coordination dynamic therapy, did further improve with continued therapy, and worsened when the therapy was terminated, it is concluded that the improvement of CNS functioning above and below the spinal cord lesion level was due to the therapy. Since in stroke and traumatic brain lesion the CNS functioning further improved if the therapy was continued over longer time periods beyond 3 months, it is suggested that spinal cord lesions can partly be cured if coordination dynamic therapy is administered for 1 to 2 years.
对18例(平均年龄31岁)C4/5至L4/5脊髓损伤后的患者应用了协调动力学疗法;该疗法在损伤后平均5年开始实施,持续至少3个月。所有完全性脊髓损伤均转变为不完全性损伤,即损伤平面以下的运动功能得到改善,包括躯干稳定性以及手臂、手部和腿部功能。通过手臂和腿部运动之间的协调动力学进行量化的中枢神经系统组织,在特殊的协调动力学治疗设备上进行锻炼时,向前运动时改善了42%,向后运动时改善了49%。对于颈段、胸段和腰段损伤,协调动力学的改善分别为53%、32%和48%。因此,当脊髓膨大受损时,脊髓损伤的可塑性更高。由于在协调动力学疗法之前协调动力学没有实质性变化,在持续治疗时进一步改善,而在治疗终止时恶化,所以得出结论,脊髓损伤平面上下中枢神经系统功能的改善归因于该疗法。由于在中风和创伤性脑损伤中,如果治疗持续超过3个月的更长时间,中枢神经系统功能会进一步改善,所以建议如果实施1至2年的协调动力学疗法,脊髓损伤可以部分治愈。