Deng Ai-wen, Wei Dong, Zhang Jian-hong, Ran Chun-feng, Wang Min
Department of Rehabilitation, Longgang Central Hospital, Shenzhen 518116, China.
Di Yi Jun Yi Da Xue Xue Bao. 2004 Jun;24(6):706-7, 710.
To investigate the effects of rehabilitation therapy in early stage following spinal cord injury on the patients' activities of daily living (ADL) and functional independence measure (FIM).
Ninety-two patients with spinal cord injuries were divided into early rehabilitation group (n=48) and control group (n=44) according to the timing of the rehabilitation therapy. Rehabilitation assessment of the patients with Barthel index and FIM was carried out before and 6 months after the rehabilitation therapy respectively for comparison. Different rehabilitation regimens were adopted for specific clinic stage of the patients, lasting for a total of 6 months.
Barthel index and FIM score were all improved after the rehabilitation therapy in both of the two groups, but the improvements were more significant in early rehabilitation group (P<0.01).
Early rehabilitation treatment is crucial for patients with spinal cord injuries in that it improves the patients' motor function, ADL and functional independence after the injury.
探讨脊髓损伤早期康复治疗对患者日常生活活动能力（ADL）及功能独立性测量（FIM）的影响。
将92例脊髓损伤患者根据康复治疗时机分为早期康复组（n = 48）和对照组（n = 44）。分别在康复治疗前及治疗6个月后采用Barthel指数和FIM对患者进行康复评定并比较。针对患者具体临床阶段采用不同康复方案，共持续6个月。
两组患者康复治疗后Barthel指数及FIM评分均有提高，但早期康复组提高更显著（P < 0.01）。
早期康复治疗对脊髓损伤患者至关重要，因为它能改善患者损伤后的运动功能、ADL及功能独立性。
