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关于截瘫患者严重痉挛的缓解(作者译)

[About the relief of severe spasticity in paraplegics (author's transl)].

作者信息

Zrubecky G

出版信息

Arch Orthop Unfallchir. 1976 Jun 18;85(1):51-9. doi: 10.1007/BF00416332.

Abstract

The treatment of spasticity following spinal cord injuries demands a well coordinated team of neurologists, neuro-surgeons, surgeons and orthopedic surgeons. The causes of the beginnings of spasms, circumstances, by which the intensity of existing spasticity is supplementary advanced, will be described. The intensity of spasms in joints of the paralysed limbs can be improved by controlled "Passive Body Exercises" for a short time. But we have never seen relievings of spasticity by drugs. In certain cases a systematic rehabilitation takes only effect, if intractable spasticity--especially concerning the knee and hip joints--is either completely removed or at least recovered. By means of a posterior rhizotomy by Förster (posterior nerve rotts section) spasms following traumatic spinal cord lesions can be eliminated completely or at least changed for the better just depending largely upon the level of the injury to the cord.

摘要

脊髓损伤后痉挛的治疗需要神经科医生、神经外科医生、外科医生和骨科医生组成的协调良好的团队。将描述痉挛开始的原因以及现有痉挛强度进一步加重的情况。通过控制性的“被动身体锻炼”,可在短时间内改善瘫痪肢体关节的痉挛强度。但我们从未见过药物缓解痉挛的情况。在某些情况下,只有当顽固性痉挛——尤其是涉及膝关节和髋关节的痉挛——完全消除或至少得到缓解时,系统的康复治疗才会有效。通过福斯特后根切断术(后神经根切断),创伤性脊髓损伤后的痉挛可完全消除,或至少得到改善,这在很大程度上取决于脊髓损伤的水平。

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