一名截瘫男性股骨远端骨折前后的功能性电刺激骑行
Cycling with Functional Electrical Stimulation Before and After a Distal Femur Fracture in a Man with Paraplegia.
作者信息
Johnston Therese E, Marino Ralph J, Oleson Christina V, Schmidt-Read Mary, Modlesky Christopher M
机构信息
Department of Physical Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania.
Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
出版信息
Top Spinal Cord Inj Rehabil. 2015 Fall;21(4):275-81. doi: 10.1310/sci2104-275. Epub 2015 Nov 16.
CASE PRESENTATION
A man with chronic paraplegia sustained a distal femur fracture following an unrelated fall while enrolled in a study examining musculoskeletal changes after 6 months of cycling with functional electrical stimulation (FES). After healing, he restarted and completed the study.
MANAGEMENT AND OUTCOME
Study measures included areal bone mineral density, trabecular bone microarchitecture, cortical bone macroarchitecture, serum bone formation/resorption markers, and muscle volume. The patient made small gains in bone- and muscle-related measures. Bone markers had not returned to baseline prior to restarting cycling, which may have impacted results.
DISCUSSION
This case shows that cycling with FES may be safely resumed after distal femur fracture.
病例介绍
一名患有慢性截瘫的男子在参加一项研究期间，在一次与研究无关的跌倒后发生了股骨远端骨折。该研究旨在考察在进行6个月功能性电刺激（FES）骑行后肌肉骨骼的变化。骨折愈合后，他重新开始并完成了该研究。
治疗与结果
研究测量指标包括骨矿物质密度、小梁骨微结构、皮质骨宏观结构、血清骨形成/吸收标志物以及肌肉体积。该患者在与骨骼和肌肉相关的测量指标上有小幅改善。在重新开始骑行前，骨标志物尚未恢复到基线水平，这可能影响了结果。
讨论
该病例表明，股骨远端骨折后可安全地重新进行FES骑行。
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