Shapkova E Iu
Probl Tuberk Bolezn Legk. 2007(1):49-54.
An algorithm of stepwise neurorehabilitation has been developed for patients with vertebrogenic myelopathy. The algorithm is constructed as a hierarchy of parallel and series tasks to recovery movement capacities of a paralyzed patient. Their solution requires the use of original procedures, such as initiation of locomotor activity by dermal and epidural spinal cord electrostimulation, propriospinal stimulation, dynamic vertical posture training, as well as treadmill therapy, tetrapedal walk, and therapeutic exercises. Neurorehabilitative treatment by the proposed algorithm was performed in 41 patients with vertebrogenic myelopathy, including 41 patients with clinically complete plegia. In baseline complete plegias, recovery of varying degree or compensation of locomotor capacities was achieved in 71% of the patients, in incomplete plegias, improvement of motor function was observed in all the patients.
已为脊椎源性脊髓病患者开发了一种逐步神经康复算法。该算法构建为一系列并行和串行任务，以恢复瘫痪患者的运动能力。解决这些问题需要使用一些原始方法，如通过皮肤和硬膜外脊髓电刺激启动运动活动、脊髓固有刺激、动态垂直姿势训练，以及跑步机治疗、四足行走和治疗性锻炼。采用该算法对41例脊椎源性脊髓病患者进行了神经康复治疗，其中包括41例临床完全性瘫痪患者。在基线完全性瘫痪患者中，71%的患者实现了不同程度的运动能力恢复或代偿；在不完全性瘫痪患者中，所有患者的运动功能均有改善。
