讲习班(临床/最佳实践实施) ID 1983439

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1983439s
K. Ethans, Colleen M. O’Connell
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引用次数: 0

摘要

参加本次研修班的学员将能够识别和推荐多模式治疗方案,以应对脊髓损伤(SCI)下肢痉挛治疗的挑战性病例。 痉挛治疗的复杂性将通过病例展示来确定,包括以患者为导向的目标为指导的评估和治疗。针对这些病例的互动式讨论将吸引与会者提出意见、辩论和批评。还将讨论神经溶解的手术技巧。 SCI 痉挛治疗的目标通常包括下肢近端和远端问题。治疗方法包括口服药物、使用肉毒杆菌毒素进行神经肌肉接头阻滞的化学神经支配或使用苯酚进行神经溶解、鞘内巴氯芬、支具和手术。许多患者在痉挛治疗过程中需要多种治疗方案。 作为临床医生工具箱的一部分,多模式疗法在张力管理中至关重要。以患者为导向的目标是痉挛治疗的重要指导方针。SCI 是一种终生疾病,患者的目标和健康状况往往会随着时间的推移而发生变化,因此需要不同的工具来满足这种纵向需求。
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Workshop (Clinical/Best Practice Implementation) ID 1983439
Participants of this workshop will be able to identify and recommend multimodal treatment options in managing challenging cases in spasticity management of lower limbs in spinal cord injury (SCI). The complexities of spasticity management will be identified through case-based presentations, including assessment and treatment directed by patient-oriented goals. Facilitated interactive discussion on these cases will engage participants for input, debate and critique. Procedural techniques for neurolysis will be discussed. Goals of spasticity management in SCI often include both proximal and distal lower limb problems. Therapies include oral medications, chemodenervation with neuromuscular junction blockade with botulinum toxin or neurolysis with phenol, intrathecal baclofen, bracing, and surgery. Many patients require multiple of these therapeutic options during their course of spasticity management. Multimodal therapy as part of the clinician toolbox is essential in tone management. Patient-oriented goals are important guideposts in spasticity management. SCI is a lifespan condition, and often patient goals and health conditions change over the years, requiring different tools to address such longitudinal needs.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
期刊最新文献
Cerebrovascular Reactivity Following Spinal Cord Injury. Functional Sitting Balance and Anthropometric Measures Are Related to Inspiratory Muscle Performance in People with Spinal Cord Injury. Predicting Complete versus Incomplete Long-Term Functional Independence after Acute AIS Grade D Spinal Cord Injury: A Prospective Cohort Study. Management of Sleep-Disordered Breathing in a Spinal Cord Injury Rehabilitation Center: Model of Care Adaptation and Implementation Comparison of One-Year Postinjury Mobility Outcomes Between Locomotor Training and Usual Care After Motor Incomplete Spinal Cord Injury
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