Oke Kayode Israel, Kubeyinje Oluwaseun S, Agwubike Elias O
Department of Physiotherapy, University of Benin Teaching Hospital, Benin City, Nigeria.
Glob J Health Sci. 2012 Jul 5;4(5):30-9. doi: 10.5539/gjhs.v4n5p30.
Spinal cord injury is a life-transforming condition of sudden onset that can have devastating consequences. A multidisciplinary, functional goal-oriented programme is required to enable the tetraplegic patient live as fully and independently life as possible. Physiotherapy is a very important part of the multidisciplinary team required to prevent many of the immobilization complications that may result in serious functional limitations, reduce overall morbidity and achieve well patterned recovery. This study therefore highlights the neuromuscular adaptations of tetraplegic patients to physiotherapy over a period of six weeks. Fifteen patients participated in this study and the results showed that even though changes in the musculoskeletal parameters are inevitable in tetraplegics, the extent/degree of reduction of these parameters was grossly minimized in the studied subjects through the administration of physiotherapeutic measures. However, further research using a large sample size will be required to evaluate the physiologic adaptations of the neuromuscular system to the physiotherapy interventions among patients with spinal cord injury.
脊髓损伤是一种起病突然、改变人生的疾病，可能会带来毁灭性后果。需要一个多学科、以功能目标为导向的项目，以使四肢瘫痪患者尽可能充分且独立地生活。物理治疗是多学科团队的一个非常重要的组成部分，该团队旨在预防许多可能导致严重功能受限的固定并发症，降低总体发病率，并实现良好的功能恢复模式。因此，本研究重点关注了四肢瘫痪患者在六周时间内对物理治疗的神经肌肉适应性。15名患者参与了本研究，结果表明，尽管四肢瘫痪患者的肌肉骨骼参数变化不可避免，但通过实施物理治疗措施，在所研究的受试者中这些参数的降低程度被大幅最小化。然而，需要使用更大样本量进行进一步研究，以评估脊髓损伤患者神经肌肉系统对物理治疗干预的生理适应性。
