کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6149872 | 1595690 | 2014 | 19 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Conservative Treatment of Neuromuscular Scoliosis in Adult Tetraplegia: A Case Report
ترجمه فارسی عنوان
درمان محافظه کارانه اسکولیوز عصبی عضلانی در بزرگسالان تتراپلژی: گزارش مورد
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کلمات کلیدی
MVCASISBTILLPSSpinal cord injuries - آسیب طناب نخاعیSpinal cord injury - آسیب نخاعیMotor vehicle collision - برخورد موتورسیکلتBotulinum Toxin Injection - تزریق سم بوتولینومRehabilitation - توانبخشیanterior superior iliac spine - ستون فقرات بالایی قدامی قدامیbotulinum toxins - سموم بوتولینومWheelchairs - صندلی چرخدارsci - علمیScoliosis - کَژپُشتی یا اسکولیوز
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی
We report successful correction of new onset neuromuscular scoliosis without spinal surgery in a man who is 30-years post-American Spinal Injury Association Impairment Scale grade A C6 injury with new onset of left neuromuscular scoliosis (Cobb angle 45°) after a motor vehicle collision. Interventions included nightly low-load prolonged stretching (LLPS) (4h left side lying over bolster), a series of 6 botulinum toxin injections (BTIs) at 3-month intervals, and progressive seating adjustments to counteract the spinal curvature. Monthly seating adjustments included rear quadrant wedging, lateral supports, and hip blocking to promote erect and symmetrical posture. A normative Cobb angle (5°) was achieved after 8 months of treatment. Improvements in alignment were demonstrated in physical examination outcome measures at the final session and follow-up. LLPS, seating adjustments, and paraspinal BTI are nonsurgical options for treating neuromuscular scoliosis in adults with tetraplegia. Further studies are necessary to determine optimum protocols and examine generalizability of these treatment methods.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 95, Issue 12, December 2014, Pages 2491-2495
Journal: Archives of Physical Medicine and Rehabilitation - Volume 95, Issue 12, December 2014, Pages 2491-2495
نویسندگان
Jennifer D. PT, PhD, NCS, Julie BS, Linsey BS, Christine BS, Cedar BS,