Koh Moses, Leng Tan Y
Rehabilitation Medicine/General Medicine, Sengkang General Hospital, Singapore, SGP.
Rehabilitation Medicine, Singapore General Hospital, Singapore, SGP.
Cureus. 2022 Jan 24;14(1):e21575. doi: 10.7759/cureus.21575. eCollection 2022 Jan.
Alcohol neurolysis and intramuscular blocks are interventions for spasticity management. Here, we illustrate two clinical cases with spasticity impeding ease of care and pain which required selective alcohol intramuscular blocks with alcohol neurolysis. Post-interventions, both cases demonstrated improvement in pain and joint range of motion which facilitated better positioning and reduced caregiver burden. Pertinent learning points from alcohol neurolysis with intramuscular blocks are discussed concerning therapeutic effectiveness and intervention safety.
酒精神经溶解术和肌肉内阻滞是用于管理痉挛的干预措施。在此,我们举例说明两例因痉挛导致护理不便和疼痛的临床病例,这需要采用酒精神经溶解术进行选择性肌肉内酒精阻滞。干预后,两例病例的疼痛和关节活动范围均有改善,这有助于更好地摆放体位并减轻护理负担。我们讨论了酒精神经溶解术联合肌肉内阻滞在治疗效果和干预安全性方面的相关学习要点。