Widrin Colette
Oregon College of Oriental Medicine, Portland, OR, USA.
J Acupunct Meridian Stud. 2018 Apr;11(2):74-76. doi: 10.1016/j.jams.2018.01.002. Epub 2018 Jan 31.
An acute spinal cord injury is the result of a traumatic injury to the spinal cord caused by a contusion, compression, or severing of the spinal cord. There are approximately 17,000 new cases each year, of which, males account for 80%. Approximately 65% of these injuries cause incomplete or partial damage to the spinal cord. Comprehensive treatment is essential to restore maximum function. Surgical procedures, stem cell therapy, pharmaceutical agents, and physical therapy are employed to minimize and repair damage done to the nervous system. The majority of motor and sensory recovery occurs during the first 12 to 15 weeks after the injury. Acupuncture has shown promising results in mediating neural plasticity and could be a useful treatment modality in hospital and rehabilitation settings. This case presents the treatment of an acute spinal cord injury, level T5, incomplete, with scalp acupuncture both within and beyond the optimal recovery window. The treatments given within the optimal window seemed to facilitate better restoration of nervous system communication when performing specific action.
急性脊髓损伤是由脊髓挫伤、压迫或切断导致的脊髓创伤性损伤的结果。每年约有17000例新病例,其中男性占80%。这些损伤中约65%会导致脊髓不完全或部分损伤。综合治疗对于恢复最大功能至关重要。采用外科手术、干细胞疗法、药物制剂和物理疗法来尽量减少并修复对神经系统造成的损伤。大多数运动和感觉功能的恢复发生在受伤后的头12至15周内。针刺在介导神经可塑性方面已显示出有前景的结果,并且在医院和康复环境中可能是一种有用的治疗方式。本病例介绍了对一名T5水平的急性不完全性脊髓损伤患者,在最佳恢复窗口内及以外进行头皮针刺的治疗情况。在最佳窗口内进行的治疗在执行特定动作时似乎有助于更好地恢复神经系统的通信。