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酒精运动阻滞：病例系列及叙述性综述。

Alcohol Motor Blocks: Case Series and a Narrative Review.

作者信息

Koh Moses, Leng Tan Y

机构信息

Rehabilitation Medicine/General Medicine, Sengkang General Hospital, Singapore, SGP.

Rehabilitation Medicine, Singapore General Hospital, Singapore, SGP.

出版信息

Cureus. 2022 Jan 24;14(1):e21575. doi: 10.7759/cureus.21575. eCollection 2022 Jan.

DOI:10.7759/cureus.21575
PMID:35228934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8867019/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/ebf1658e4c9c/cureus-0014-00000021575-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/1f5d440de821/cureus-0014-00000021575-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/911dddd8c079/cureus-0014-00000021575-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/2c7edac7cb66/cureus-0014-00000021575-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/ebf1658e4c9c/cureus-0014-00000021575-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/1f5d440de821/cureus-0014-00000021575-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/911dddd8c079/cureus-0014-00000021575-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/2c7edac7cb66/cureus-0014-00000021575-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/8867019/ebf1658e4c9c/cureus-0014-00000021575-i04.jpg

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Multidisciplinary rehabilitation following botulinum toxin and other focal intramuscular treatment for post-stroke spasticity.肉毒杆菌毒素及其他局部肌肉注射治疗中风后痉挛后的多学科康复治疗
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引用本文的文献

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Editorial: Emerging concepts and evidence in novel approaches for spasticity management.社论：痉挛管理新方法中的新兴概念与证据
Front Rehabil Sci. 2023 Nov 23;4:1327346. doi: 10.3389/fresc.2023.1327346. eCollection 2023.

本文引用的文献

1
Chemodenervation for treatment of limb spasticity following spinal cord injury: a systematic review.化学去神经支配治疗脊髓损伤后肢体痉挛：一项系统综述。
Spinal Cord. 2015 Apr;53(4):252-64. doi: 10.1038/sc.2014.241. Epub 2015 Jan 13.
2
Obturator neurolysis using 65% alcohol for adductor muscle spasticity.使用65%酒精进行闭孔神经松解术治疗内收肌痉挛。
Saudi J Anaesth. 2012 Jul;6(3):282-4. doi: 10.4103/1658-354X.101223.
3
Chemodenervation and nerve blocks in the diagnosis and management of spasticity and muscle overactivity.化学去神经支配和神经阻滞在痉挛和肌肉过度活动的诊断与管理中的应用
PM R. 2009 Sep;1(9):842-51. doi: 10.1016/j.pmrj.2009.08.001.
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Subscapularis motor point block for spastic shoulders in patients with cervical cord injury.
Spinal Cord. 2009 Mar;47(3):249-51. doi: 10.1038/sc.2008.122. Epub 2008 Sep 30.
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[Peripheral neurolytic blocks and spasticity].[周围神经溶解阻滞与痉挛]
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Phenol reduces hypertonia and enhances strength: a longitudinal case study.苯酚可减轻张力亢进并增强肌力：一项纵向病例研究。
Neurorehabil Neural Repair. 2004 Jun;18(2):112-6. doi: 10.1177/08884390042265662.
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Intramuscular neurolysis with alcohol to treat post-stroke finger flexor spasticity.酒精肌肉内神经松解术治疗中风后手指屈肌痉挛。
Clin Rehabil. 2002 Jun;16(4):378-81. doi: 10.1191/0269215502cr508oa.
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Phenol and alcohol blocks for the treatment of spasticity.
Phys Med Rehabil Clin N Am. 2001 Nov;12(4):817-32, vii.
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Time course of muscle atrophy and recovery following a phenol-induced nerve block.苯酚诱导的神经阻滞术后肌肉萎缩及恢复的时间进程
Muscle Nerve. 1996 Apr;19(4):497-504. doi: 10.1002/mus.880190404.
10
A new technique of intramuscular phenol neurolysis.
Arch Phys Med Rehabil. 1972 Apr;53(4):179-81 passim.