颈髓损伤平面及运动功能恢复的观察

目的观察１０５例不同损伤平面的颈髓患者经过康复训练后所取得的运动功能改善。方法根据Ｉａｎｃｏｌｉ对四肢瘫患者的分级，对不同损伤平面患者的移动、移乘能力进行了测试。结果Ｃ６Ａ２中５０％、Ｃ６Ｂ１中６７％的患者可完成床上的移动；Ｃ６Ｂ２中７１％、Ｃ６Ｂ３中８１％的患者可完成轮椅床，Ｃ７Ａ中７５％可完成轮椅厕所转移。结论四肢瘫患者的不同损伤平面决定了他们应取得的运动功能，而且移动能力决定了他们独立生活能力的程度。

Cervical cord injuries and exercise rehabilitation

Objective Rehabilitation outcome of 105 tetraplegic patients with different spinal lesion levels were analyzed. Methods Locomotion and transfer capabilities according to Iancollis classification were mainly examined. Results 50% of the patients were classified as C6A1 67% of C6B1 accomplished bed transfer,and 71% of C6B2 and 81% of the patients classified as C6B3 accomplished wheelchair to bed transfer.The patients who could manage wheelchair-toilet was 75% in the group classified as C7A. Conclusion The tetraplegic patients with various spinal lesion levels can determine their movement abilities and will also determine their functional level to perform by self-care.