Cervical spinal cord injury
Conditions
Interventions
Control group:
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The control group received routine rehabilitation training, ultrasound th
Observation group:The observation group received ultrasound-guided water needle and needle knife treatment on the basis of the control group. Water needle therapy: Under ultrasound guidance, the affec
Sponsors
Ningbo Rehabilitation Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.According to the diagnostic criteria in the Expert Consensus on Rehabilitation Treatment of Spinal Cord Injury (2020 Edition) [5] and the Clinical Evidence-based Guidelines for the Diagnosis and Treatment of Hyperextensor Cervical Spinal Cord Injury [6], the diagnosis of cervical spinal cord injury was confirmed, and the course of the disease was 1-3 months; 2. Upper limb dysfunction accompanied by pain in the shoulder area, and when the shoulder joint is bent forward, abducted or externally rotated, the muscle tone of the corresponding muscle groups is evaluated according to the modified Ashworth grading criteria, and the result reaches >=1; 3. The patient's vital signs are stable, the consciousness is clear, the score of the Mini-Mental State Examination Scale is = 20 points, and the patient can actively cooperate with the follow-up diagnosis and treatment. According to the diagnostic criteria in the "Expert Consensus on Rehabilitation Treatment of Spinal Cord Injury (2020 Edition)" [5] and the "Evidence based Clinical Guidelines for the Diagnosis and Treatment of Stretching Cervical Spinal Cord Injury" [6], it is diagnosed as cervical spinal cord injury with a course of 1-3 months; 2. When there is functional impairment in the upper limbs accompanied by shoulder pain symptoms, and when the shoulder joint performs forward flexion, abduction, or external rotation movements, the muscle tension of the corresponding muscle group is evaluated according to the modified Ashworth grading standard, and the result is = 1+level; 3. The patient's vital signs are stable, consciousness is clear, and the score on the simple mental state examination scale is = 20 points. They are able to actively cooperate with subsequent diagnosis and treatment work.
Exclusion criteria
Exclusion criteria: 1. Previous history of shoulder joint diseases or shoulder joint surgeries; 2. After being treated with other methods since the onset of the illness; 3. The patient has a history of consciousness disorders, severe mental illness, or malignant tumors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ConstantMurley Shoulder Score;Upper limb swelling score; | — |
Countries
China
Contacts
Public ContactZhu Chunming
Ningbo Rehabilitation Hospital
Outcome results
None listed