ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719408

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719409

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

AbstractThe purpose of our study was to use magnetic resonance imaging (MRI) to determine deep changes in soft tissues and bones underlying decubitus ulcers which occur in spinal cord injury (SCI) patients. By diagnosing these deep changes adjacent to decubitus ulcers, MRI can facilitate proper clinical management and prevent contraindicated surgery. MRI evaluation was performed on 37 male SCI patients for a total of 44 diagnostic studies. The studies were evaluated by the following criteria: 1) the presence of an adjacent fluid collection, 2) bone involvement raising the possibility of osteomyelitis and 3) heterotopic bone formation. Results demonstrated 11 patients (29.7 percent) with fluid collection in the deep soft tissues underlying the decubitus ulcer and eight patients (21.6 percent) with abnormal adjacent bone marrow signal. Four patients (10.8 percent) had heterotopic bone formation near the ulcer. We conclude that MRI is helpful in determining the depth and extent of soft tissue involvement underlying decubitus ulcers including underlying fluid collections, heterotopic bone formation and evidence of adjacent bone marrow edema. This is beneficial in planning proper therapy. (J Spinal Cord Med1996; 19:5–8.)

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719410

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

AbstractThe shoulder joint of the spinal cord injured patient is the primary joint used for transfer and wheelchair propulsion. In addition to ordinary use, the shoulder is subject to overuse injury with resultant functional impairment. Frequent overuse injuries of the shoulder include subdeltoid bursitis, bicipital tendonitis, rotator cuff tear and secondary degenerative arthritis. Neuroarthropathy of the shoulder, an overuse injury of an insensate shoulder girdle, has been rarely described in the literature. The case presented is that of an active 47 year old, right hand dominant, C7 complete quadriplegic male with a one week history of painless right shoulder girdle swelling. Radiologic evaluation documented right proximal humerus destruction. Magnetic Resonance Imaging (MRI) confirmed syringomyelia. The pathophysiology of neuroarthropathy is presented here and limited treatment options are discussed.(J Spinal Cord Med1996; 19:9–11.)

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719411

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

AbstractMorquio Syndrome (mucopolysaccharidosis type IV A) is a rare inherited connective tissue disorder characterized by skeletal dysplasia, restrictive pulmonary disease and normal intelligence. Tetraplegia secondary to subluxation of C1 over C2 because of odontoid dysplasia is a common occurrence in these patients but there are limited descriptions regarding their specific Physiatrie management. Two patients (aged 20 and 17 years) were admitted to a pediatric rehabilitation facility after cervical spine stabilization following recurrent tetraplegia (C4 ASIA C and C4 ASIA D). Following surgery, patients were ventilator dependent and aphonic. One patient was successfully weaned off the ventilator to nocturnal BiPAP, while the other was able to tolerate three hours of ventilator free time despite being ventilator dependent for ten years. At discharge, both patients showed significant improvement in mobility, self care skills and communication abilities. Functional independence was encouraged through use of various assistive devices for mobility, activities of daily living (ADL) and communication. Group counseling and peer support were extremely helpful in their adjustment to disability. Physiatrie intervention is essential and requires understanding of the unique impairments encountered by tetraplegics with Morquio Syndrome.(J Spinal Cord Med1996; 19:12–16.)

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719412

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

AbstractMany studies report significant functional improvements in tétraplégie patients during rehabilitation. The majority of these studies, obviously, are limited by the lack of control groups. Thus, it has always been difficult to differentiate between effects of a rehabilitation program and natural muscle recovery or independent learning. In this case report, a 25 year old man with right C7 motor, left C8 motor, C6 sensory complete tetraplegia was admitted to a tertiary care rehabilitation facility 16 months after discharge from an acute care hospital. Following a comprehensive inpatient rehabilitation program, this patient’s functional status improved from near complete dependence to virtual independence in most areas of self care and mobility as scored by the Functional Independence Measure (FIM), without any change in motor or sensory function. This case, in which the patient served as his own control, illustrates the effectiveness and importance of aggressive inpatient rehabilitation following spinal cord injury. (JSpinal Cord Med1996; 19:17–19.)

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719413

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

AbstractThis article reviews the innervation of the arterial system of the lower extremity, lumbar sympathectomy in vascular surgery, lumbar sympathectomy for digital gangrene and in the prevention of major amputation of the lower extremity and substance P’s role in neurogenic inflammatory modulation. Long-term results of lumbar sympathectomy and direct arterial bypass surgery have also been reviewed. In addition to the pilomotor, sudomotor and vasomotor actions of the sympathetic nervous system via its neurotransmitters, the molecular basis of the chronic neurogenic inflammatory reaction have been addressed with special attention to the discovery of substance P in the lumbar sympathetic chain and ganglia of human beings.(J Spinal Cord Med1996; 19:20–26.)

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719414

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719415

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

ISSN:1079-0268    

DOI:10.1080/10790268.1996.11719416

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor