脊髓损伤后居家康复的研究进展

居家康复可以有效减少脊髓损伤患者的临床并发症，加快患者的神经功能恢复，减轻医疗保健系统的负担。居家康复在多个研究中表现出有效性，应用神经反馈可使40%脊髓损伤居家患者的神经病理性疼痛得到缓解；应用可穿戴技术可监测手功能恢复情况并促进手运动功能的恢复；家用便携式刺激器和表面电极可抑制不必要的膀胱活动，改善尿失禁；在家进行加强伸展训练可以减轻慢性脊髓损伤患者的肩部疼痛；家中使用功能性电刺激可以改善脊髓损伤患者因失去神经营养而萎缩的肌肉功能。居家康复还存在一定局限性，如设备操作复杂、费用昂贵、不易携带，还有待进一步发展。

Advance in Home-based Rehabilitation after Spinal Cord Injury (review)

Home-based rehabilitation can effectively reduce the clinical complications of patients with spinal cord injury and accelerate the recovery of neurological function, as well as reduce the heavy economic burden on healthcare system. Home-based rehabilitation has shown effectiveness in multiple studies. Neurofeedback could relieve the neuropathic pain of 40% home patients with spinal cord injury. Wearable technology could monitor and promote the recovery of hand motor function. Household portable stimulators and surface electrodes could inhibit unnecessary bladder activity and improve urinary incontinence. Strengthening stretching training at home could reduce shoulder pain in patients with chronic spinal cord injury. Using functional electrical stimulation at home could improve the muscle function of patients with spinal cord injury due to loss of neurotrophic muscle atrophy. There are still some disadvantages of home-based rehabilitation, such as complicated operation, expensiveness and not convenient to carry for training equipment, which need to be further developed.