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体外冲击波治疗脊髓损伤后神经源性异位骨化:病例报告。

Extracorporeal shock wave therapy to treat neurogenic heterotopic ossification in a patient with spinal cord injury: A case report.

机构信息

Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul, Korea.

Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University School of Medicine, Seoul, Korea.

出版信息

J Spinal Cord Med. 2021 Jul;44(4):627-630. doi: 10.1080/10790268.2019.1632597. Epub 2019 Jun 26.

DOI:10.1080/10790268.2019.1632597
PMID:31242091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8288140/
Abstract

To evaluate the efficacy and safety of treatment for neurogenic heterotopic ossification (NHO) using extracorporeal shock wave therapy (ESWT) in persons with spinal cord injury (SCI). Single case report. Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center. A 55-year-old male with cervical SCI, who developed painful NHO around the right hip joint. Ultrasound-guided ESWT that used 4,000 shocks at the rate of 3 Hz and the energy flux density between 0.056 and 0.068 mJ/mm was applied to the NHO region a total of 7 times, weekly. We assessed the treatment outcomes using a visual analog scale (VAS) score, wheelchair sitting time and size of NHO.: After 7 weeks of ESWT treatment, his pain reduced from a VAS score of 7-8 to 3 and his wheelchair sitting time increased. However, there was no significant change of size of NHO. The application of ESWT could be a possible alternative to other treatments for NHO in persons with SCI.: 2019-03-003.

摘要

评估体外冲击波疗法(ESWT)治疗脊髓损伤(SCI)患者神经性异位骨化(NHO)的疗效和安全性。 病例报告。 物理医学与康复科,退伍军人健康服务医疗中心。 一名 55 岁男性,颈椎 SCI,右髋关节周围出现疼痛性 NHO。 对 NHO 区域总共进行了 7 次超声引导 ESWT,频率为 3Hz,能量通量密度为 0.056 至 0.068mJ/mm,共 4000 次冲击。 使用视觉模拟评分(VAS)评分、轮椅坐时间和 NHO 大小评估治疗结果。:ESWT 治疗 7 周后,他的疼痛从 VAS 评分 7-8 分降至 3 分,轮椅坐时间增加。 然而,NHO 的大小没有明显变化。 ESWT 的应用可能是 SCI 患者 NHO 其他治疗方法的一种替代选择。:2019-03-003。

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Heterotopic Ossification: Basic-Science Principles and Clinical Correlates.异位骨化:基础科学原理与临床关联
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Extracorporeal shock wave therapy for painful chronic neurogenic heterotopic ossification after traumatic brain injury: a case report.体外冲击波治疗创伤性脑损伤后疼痛性慢性神经源性异位骨化:一例报告
Ann Rehabil Med. 2015 Apr;39(2):318-22. doi: 10.5535/arm.2015.39.2.318. Epub 2015 Apr 24.
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Extracorporeal Shock Wave Therapy (ESWT) as a treatment for recurrent Neurogenic Heterotopic Ossification (NHO).体外冲击波疗法(ESWT)作为复发性神经源性异位骨化(NHO)的一种治疗方法。
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