Zebracki Kathy, Melicosta Michelle, Unser Cody, Vogel Lawrence C
Shriners Hospitals for Children, Chicago, Illinois.
Kennedy Krieger Institute, Baltimore, Maryland.
Top Spinal Cord Inj Rehabil. 2020 Spring;26(2):91-99. doi: 10.46292/sci2602-91.
Spinal cord injury (SCI) in youth presents with unique manifestations and complications as compared to adult-onset SCI. The primary care clinician must consider the physical, physiological, cognitive, and psychological changes transpiring during childhood and adolescence. Physical changes include increasing size, weight, and bladder volume. Physiologic considerations include decreasing heart rate and increasing blood pressure with age. Cognitive issues include communication, executive functioning, and self-management skills. Lastly, psychological processes involve emotional functioning and establishment of self-identify and autonomy in the context of life with SCI.
与成人期脊髓损伤相比，青少年脊髓损伤（SCI）有独特的表现和并发症。初级保健临床医生必须考虑儿童期和青少年期发生的身体、生理、认知和心理变化。身体变化包括体型、体重增加以及膀胱容量增大。生理方面的考虑包括随着年龄增长心率降低和血压升高。认知问题包括沟通、执行功能和自我管理技能。最后，心理过程涉及情绪功能以及在脊髓损伤生活背景下自我认同和自主性的建立。
