1.Characteristics of Sports-related Spinal Cord Injury: 38 Cases Report
Chinese Journal of Rehabilitation Theory and Practice 2010;16(1):66-67
ObjectiveTo investigate the cause and characteristics of sports-related spinal cord injury. MethodsAll 38 sports-related spinal cord injury patients admitted in China Rehabilitation Research Center were analyzed retrospectively. Results84.2% (32/38) were male, mean of age was 23.4 (5~58). Diving was the most cause to sports-related spinal cord injury (27/38). Except 2 patients with no fracture and 1 with lumbar fracture, other patients were all with the cervical fractures, in which 57.9% were burst fractures, 18.4% were fracture and dislocations. 47.2% were complete spinal cord injury, 58.2% were incomplete. As for their professions, 10.5% were athletes, 31.6% were students. ConclusionSports-related spinal cord injury can happen in athletes and others, most of them are younger, disability of different degree remains. It is important to prevent sports-related spinal cord injury.
2.Relationship between Corticospinal Cord Tract and Upper Limb Function in Stroke Patient: A Diffusion Tensor Imaging Study
Lihua ZHANG ; Longjun GUO ; Shuyan QIE ; Lixin MI ; Luyi WANG ; Qiaoxia ZHEN
Chinese Journal of Rehabilitation Theory and Practice 2016;22(1):103-105
Objective To observe the relationship between injury of corticospinal cord tract (CST) in basal ganglia and upper limb func-tion after stroke using diffusion tensor imaging (DTI). Methods 18 stroke inpatients hospitalized from January, 2013 to July, 2015 accepted DTI, and their upper limb function was evaluated with simple Fugl-Meyer Assessment and Japan Upper Limb Function Test. The fractional anisotropy (FA) of CST in basal ganglia of affected and unaffected sides were compared, and the correlation between FA of affected CST and upper limb motor function were analyzed. Results The FA was significantly less in the affected CST than in the unaffected CST (t=-21.09, P<0.001). The FA of the affected CST correlated with the scores of simple Fugl-Meyer Assessment (r=0.570, P<0.05) and Japan Upper Limb Function Test (r=0.509, P<0.05). Conclusion CST is injured after stroke, which may related to the upper limbs motor function impairment.
3.Effect of Repetitive Transcranial Magnetic Stimulation on Motor and Ambulation Function for Incomplete Spinal Cord Injury
Yu PAN ; Shuyan QIE ; Chang LIU ; Qiaoxia ZHEN ; Xiaolei LIU ; Yonghong DING ; Deng YANG ; Zhihong TAI
Chinese Journal of Rehabilitation Theory and Practice 2013;19(7):662-665
Objective To assess the effect of repetitive transcranial magnetic stimulation (rTMS) on motor and ambulatory function in incomplete spinal cord injury (SCI) patients. Methods 18 incomplete SCI patients (AIS D) were randomized to treatment group (n=10) and control group (n=8). The treatment group received rTMS while the control group received sham stimulation for 2 weeks. All the patients received routine rehabilitation. They were assessed with Lower Extremity Motor Score (LEMS), 10 m Walking Test for Walking Speed, modified Ashworth scale (MAS), Walking Index for SCI Scale II(WISCI II), and Spinal Cord Independence Measure (SCIM) before and after treatment, and followed up for 2 weeks after treatment. Results The treatment group significantly improved in LEMS, walking speed, and SCIM after treatment and during follow up (P<0.05), while the control group improved only in SCIM (P<0.05). There was more significant improvement in LEMS in the treatment group than in the control group (P<0.05) after treantment and during follow up. There was no difference between two groups in MAS, walking speed, WISCI II and SCIM. Conclusion rTMS can further improve the motor of lowere limbs for incomplete SCI patients.