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頁籤選單縮合
題名 | 脊髓損傷病人上肢疼痛之探討--初步報告 |
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作者姓名(中文) | 曾愷平; 黃美涓; |
作者姓名(外文) | |
書刊名 | 復健醫學會雜誌 |
卷期 | 22:2 1994.12[民83.12] |
頁次 | 頁45-51 |
分類號 | 415.945 |
語文 | chi |
關鍵詞 | 上肢疼痛; 四肢癱瘓; 下肢癱瘓; Upper extremity pain; Quadriplegia; Paraplegia; |
中文摘要 | 本研究收集脊髓損傷病患59人,包括頸椎損傷33人,胸腰椎損傷26人。 結果發現50.8%(30/59)的脊髓損傷病人有上肢疼痛現象。疼痛部位以肩部最多,76.7%(23/30)的上肢疼痛病人僅有一或兩處疼痛部位。在肩部疼痛部位中以肱二頭肌為最多,男性的上肢疼痛比率較女性略高。頸椎損傷病人有上肢疼痛者佔72.7%(24/33),相關因素有受傷時間少於兩年,年齡大於30歲。可能原因是過度拉扯無力肢體。復健目標應擺在維持肢體正常活動範圍即可,且日常生活多採用機器代勞。胸腰椎損傷病人有上肢疼痛者佔23.1%(6/26),以沒有褥瘡者,受傷時間大於9個月,外傷性損傷,骨折脫位,日常生活較不活躍者,男性,其上肢疼痛較多。可能原因是過度使用與外傷引起,復健目標應強化兩上肢肌力,多用省力器材。上肢疼痛之出現率在頸椎及胸腰椎損傷之兩組病人有顯著差異。 |
英文摘要 | This study followed up 59 spinal cord injured (SCI) patients, including 33 quadriplegic and 26 paraplegic. There're 50.8% (30/59) of SCI patients reported upper extremity (UE) pain, most common at the shoulder. The prevalence of UE pain in male SCI is slightly higher than in female SCI patients. Separately speaking, there're 72.7% (24/33) quadriplegic with UE pain and risk factors including (1)injured period <2 years (2) age>30 years old. There're 23.1 % (6/26) paraplegic with UE pain and risk factors including (1) no pressure more (2) injured period>9 months (3)traumatic injured (4)fracture-dislocation injured (5)lower activity (6) male. The prevalence of UE pain in quadriplegic is significant larger than in paraplegic. |
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