頁籤選單縮合
題名 | 脊髓損傷之神經檢查與功能評估 |
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作者 | 王顏和; 林光華; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 19:1 1994.03[民83.03] |
頁次 | 頁78-87 |
分類號 | 415.945 |
關鍵詞 | 脊髓損傷; 機能損傷; 功能障礙; 分類; Spinal cord injury; Impairment; Disability; Classification; |
語文 | 中文(Chinese) |
中文摘要 | 為分類與量化脊髓損傷患者之神經損傷與功能障礙,促成評估量表不斷 發展改進。新的「脊髓損傷之神經與功能分類標準」,已於1992年底由美國脊傷 協會發表。在新版手冊中,除對相關名詞予以明確定義外,在神經學檢查方面, 則包括感覺與運動機能兩部分。感覺機能檢查,係有系統地檢查身體左右兩側各 28皮節感覺機能,每一支節之關鍵檢查點必須施行針剌與輕觸兩種檢查;運動機 能檢查係評估身體左右兩側各十對關鍵肌之肌力。根據計分,可以決定感覺,運 動與神經機能部位。新的「ASIA機能損傷等級法」仍分五級.但損傷之完全性, 則以薦髓機能保留之有無來判定。至於以「功能自主量表」來評估患者之功能障 礙,則是新版添加的項目。這新的分類標準,能客觀、完整地記錄脊髓損傷患者 機能損傷與功能障礙的程度,實為目前最佳的脊髓損傷評估量表。(中華物療誌 1994;19(1):78-87) |
英文摘要 | Attempts to categorize and quantify theneurological impairment and functional disability of spinal cord injury (SCI) have led to thedevelopment and use of scales of neurologicaland functional capacity. Revised "Standards forNeurological and Functional Classification ofSpinal Cord Injury" have been published in1992. The neurological level of injury in SCIpatients is defined as the most caudal segmentthat both sensory and motor function are normal. Dermatomes are examined, by pin prickand light touch, on the basis of the 28 key serisory points, and myotomes are examined by the10 key muscles. The sensory or motor score is a numeric scoring system used to documentchanges in sensory or motor function. TheASIA Impairment Scale, modified from FrankelClassification, is used to grading degree ofneurologica] impairment. This new scale emphasizes the preservation of sacral sparing as theindication of incomplete injuries. In the newedition. Functional Independence Measure isadopted to qualify functional disability on SCI.Generally, the revised ASIA standards, assessing and classifying SCI neurologically and functionally, will achieve widespread use and isgaining acceptance internationally. (JPTAROC 1994;(1):78-87) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。