Rehabilitation Center, Eishinkai Kishiwada Rehabilitation Hospital, Kishiwada, Osaka, Japan
Rehabilitation Center, Eishinkai Kishiwada Rehabilitation Hospital, Kishiwada, Osaka, Japan.
BMJ Case Rep. 2022 Mar 9;15(3):e244091. doi: 10.1136/bcr-2021-244091.
A 41-year-old woman presented with spinal cord infarction and paraplegia after acute thoracoabdominal aortic dissection. Clinical evaluation revealed the American Spinal Injury Association (ASIA) lower limb exercise score of 0 points and the Functional Assessment for Control of Trunk (FACT) score of 0 points. Conventional physical therapy for 60 days did not significantly improve the paraplegia or FACT score; therefore, belt electrode skeletal muscle electrical stimulation (B-SES) and virtual reality (VR)-guided sitting balance training were introduced for 30 days. She developed independence for all basic movements and her gait was restored using short leg braces and Lofstrand crutches. At discharge, her ASIA lower limb exercise score was 24 and FACT score was 7, with a functional impedance measure motor item of 57, and she could continuously walk for a distance of 150 m. The combination of B-SES and VR-guided balance training may be a feasible therapeutic option after spinal cord infarction.
一位 41 岁女性因急性胸腹部主动脉夹层出现脊髓梗死和截瘫。临床评估显示美国脊髓损伤协会（ASIA）下肢运动评分 0 分，躯干功能评估（FACT）评分 0 分。常规物理治疗 60 天并未明显改善截瘫或 FACT 评分；因此，引入带电极骨骼肌电刺激（B-SES）和虚拟现实（VR）引导的坐立平衡训练 30 天。她通过短腿支具和洛夫斯特朗拐杖恢复了所有基本运动的独立性，步态也得到了恢复。出院时，她的 ASIA 下肢运动评分 24 分，FACT 评分 7 分，功能阻抗测量运动项目 57 分，能够连续行走 150 米。B-SES 和 VR 引导平衡训练的结合可能是脊髓梗死后的一种可行治疗选择。
