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題 名 | 僵直性脊椎炎合併脊髓損傷病患復健預後之探討=Clinical Experience in Rehabilitation of Ankylosing Spondylitis Associated with Spinal Cord Injury |
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作 者 | 董莉貞; 何志香; 畢柳鶯; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 28:3 2000.09[民89.09] |
頁 次 | 頁145-151 |
分類號 | 416.61 |
關鍵詞 | 僵直性脊椎炎; 脊髓損傷; 巴特爾指數; Ankylosing spondylitis; Spinal cord injury; Barthel ADL index; |
語 文 | 中文(Chinese) |
中文摘要 | 僵直性脊椎炎乃發生在中軸骨的發炎性疾病。由於脊椎僵直無彈性且合併骨質疏鬆,導致脊椎的生物力學受到改變,即使小撞擊也可能造成脊椎骨折及脊髓神經損傷。本文為回溯性研究,收錄1991至1999年間因僵直性脊椎炎合併脊髓損傷住入本院接受復健之病人共11位,佔所有脊髓損傷住院病人的1.3%(11/858)。其中男性10位,女性1位,平均年齡46.3±14.3歲(32-73歲)。受傷原因為跌倒6位,車禍3位,被重物擊中1位,不明原因1位。十位病人有脊椎骨折,頸髓損傷有6位,胸髓損傷5位,完全損傷者5位,不完全損傷6位。有10位接受手術治療,1位接受保守治療包括戴頸圈及頸椎牽引。本研究以巴特爾指數(Barthel ADL index)評估病人之功能,其住院時平均指數21.4/100分,出院時平均指數達57.7/100分。每位病人出院前後的巴特爾指數以paired t test統計,其p<0.05,顯示復健成效具有統計意義。但所有病人出院當時日常生活自理能力或行走能力,與同樣神經損傷情況但有正常脊椎的病人做比較,其結果顯示僵直性脊椎炎合併脊髓損傷之病人,復健成效比較差。我們認為此類患者受限於其脊柱已僵硬,甚至合併其他多處關節活動度嚴重受限,因此增加復健的困難度,導致其預後較差,但若能注意小心,仍有一定的療效。 |
英文摘要 | Ankylosing spondylitis is an inflammatory disease of the axial skeleton. Spinal ankylosis reduces vertebral flexibility, exacerbates osteoporotic change, and leads to a loss of the biomechanical function of the spine. Thus, even small impacts might cause vertebral fracture or damage of the spinal cord in the patients with ankylosing spondylitis. This retrospective study included 11 patients with ankylosing spoindylitis who were admitted to a hospital between 1991 and 1999 for rehabilitative service after spinal cord injury. Of these patients, 10 were male, and one female. Average age was 46.3±14.3 year. Falls accounted for injuries in six patients, traffic accidents in three, impact by a heavy object in one case, and one case showed no obvious cause. Fractured vertebrae were defined in ten of the eleven patients. Six patients had damage to the cervical cord, and five to the thoracic cord; five belonged to incomplete injury, and six were of complete type. Ten patients underwent surgery, and the remaining patient received a conservative course of treatment including a cervical collar and cervical traction. The Barthel ADL index was used to assess patients' function. The average score was 21.4/100 on admission, and 57.7/100 before discharge. The Barthel ADL index scores showed significant improvement from admission to discharge with paired t tests analysis (p<0.05). However, all patients suffered somewhat limitations in their daily activities and mobility upon discharge, which was due to the pre-existing spinal stiffness and reduced ROM in other joints when compared to those with similar cord damage but normal vertebrae. Spinal cord injury in the context of ankylosing spondylitis yields less optimal results, increases the challenge and reduces the effectiveness of rehabilitation. In conclusion, the prognosis of rehabilitation for patients with ankylosing spondylitis and spinal cord injury is not solely determined by the extent of cord injury. Limited range of motion of other joints, stiffness of spine, and the presence of osteoporosis all influence its outcome. However, the intensive rehabilitation program still benefits the patient. |
本系統中英文摘要資訊取自各篇刊載內容。