Yarkony G M, Jones R, Hedman G, O'Donnell A
Arch Phys Med Rehabil. 1986 Jan;67(1):54-5.
A 20-year-old man with C7 quadriplegia was admitted to a tertiary care rehabilitation facility 1.5 months after discharge from an acute care community hospital. The patient's goals were to improve his skills in activities of daily living to a level of maximum independence, and to walk. Although his high level of spinal cord injury made ambulation unlikely, an occupational therapist and a rehabilitation engineer, working together, devised a method to help the patient meet his ambulation goal. They modified an ordinary walker by fabricating polyvinyl chloride-acrylic alloy guards lined with foam to reduce palmar pressure. The patient was then able to use wrist and finger extension during walker advancement and was able to ambulate 300m with Craig-Scott orthosis. The case illustrates the importance of a skilled interdisciplinary team in a specialized center for management of spinal cord injured patients.
一名20岁的C7级四肢瘫痪男性在从一家急症社区医院出院1.5个月后，入住了一家三级护理康复机构。患者的目标是将其日常生活活动技能提高到最大程度的独立水平，并学会行走。尽管他的高位脊髓损伤使行走不太可能实现，但一名职业治疗师和一名康复工程师共同设计了一种方法来帮助患者实现行走目标。他们通过制作内衬泡沫的聚氯乙烯 - 丙烯酸合金护板对普通助行器进行了改良，以减轻手掌压力。然后，患者在推进助行器时能够使用手腕和手指伸展，并能够戴着克雷格 - 斯科特矫形器行走300米。该病例说明了在脊髓损伤患者管理的专业中心，一支技术娴熟的跨学科团队的重要性。
