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马尾综合征伴尿失禁的临床表现及物理治疗康复:一例报告

Clinical Presentation and Physiotherapy Rehabilitation of Cauda Equina Syndrome with Urinary Incontinence: A Case Report.

作者信息

Aherrao Samruddhi, Tikhile Priya, Phansopkar Pratik, Ambade Ratnakar

机构信息

Department of Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 26;16(9):e70236. doi: 10.7759/cureus.70236. eCollection 2024 Sep.

Abstract

Compression of the lumbar spine's nerve roots results in the uncommon but dangerous illness known as cauda equina syndrome (CES), which impairs motor, sensory, and autonomic functions. To relieve pressure on the cauda equina, immediate surgical decompression is essential. However, long-term rehabilitation is frequently necessary for recovery, with physiotherapy playing a crucial role. Human vertebrae are a powerful, complex anatomical structure. Spinal injuries may be the cause of restrictions in daily activities. In the back and sacral regions, the nerve roots continue as the cauda equina. The lower limbs and pelvic organs communicate with each other through these nerves, which transmit and receive messages. CES is an uncommon but potentially fatal disease that results from the cauda equina being displaced in the spinal canal. The malfunctioning of many lumbar and sacral nerve roots of the cauda equina is the cause of CES. This is a case study of a male 8-year-old who complained of low back pain, bilateral lower limb weakness, and urine incontinence when he visited the hospital. History of the patient revealed that he had a history of falling to the ground two years ago from a height of around four feet. In this case report, the role of physiotherapy is to improve the posture and back muscle strength in cauda equina patients.

摘要

腰椎神经根受压会导致一种罕见但危险的疾病,即马尾综合征(CES),它会损害运动、感觉和自主神经功能。为减轻马尾神经的压力,立即进行手术减压至关重要。然而,恢复通常需要长期康复,物理治疗起着关键作用。人体脊椎是一个强大而复杂的解剖结构。脊柱损伤可能是日常活动受限的原因。在背部和骶骨区域,神经根延续为马尾神经。下肢和盆腔器官通过这些传递和接收信息的神经相互连通。CES是一种罕见但可能致命的疾病,由马尾神经在椎管内移位引起。马尾神经许多腰段和骶段神经根功能失常是CES的病因。这是一例8岁男性的病例研究,他到医院就诊时主诉腰痛、双侧下肢无力和尿失禁。患者病史显示,他两年前曾从约四英尺高的地方摔倒在地。在本病例报告中,物理治疗的作用是改善马尾综合征患者的姿势和背部肌肉力量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba2b/11512668/e5233493e4d1/cureus-0016-00000070236-i01.jpg

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