【摘 要】
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Dystonia is a common complication after spinal cord injury.Approximately 65-78% of patients suffer from spasms within one year after spinal cord injury,and spasms are more common in patients with inco
【机 构】
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Rehabilitation Center, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Pro
【出 处】
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第三届国际神经再生高峰论坛暨第五届脊髓损伤治疗与临床试验国际交流会(INRS2013 & 5th ISCITT)
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Dystonia is a common complication after spinal cord injury.Approximately 65-78% of patients suffer from spasms within one year after spinal cord injury,and spasms are more common in patients with incomplete injuries than in those with complete injury.Spasm severity varies greatly in different patients.Severe spasms can cause pain,affect the daily lives of patients,and impede rehabilitation,which is a clinical problem to be solved.Clinical treatments for spasms currently include correct postural placement,exercise therapy with application of physical factors,drug therapy,nerve block,and surgical treatment.Drug therapy is the preferred choice,and is mainly applied in the treatment of patients with generalized hypertonia.Electromyography,electrical stimulation,and ultrasound-guided injection of botulinum toxin are better for patients with local hypertonia.Additionally,for patients with bladder dysfunction after spinal cord injury,cystoscope-guided botulinum toxin injection via the detrusor or ultrasound-guided botulinum toxin injection via the bladder sphincter is recommended to improve urinary function.This paper focuses on the therapeutic effects of botulinum toxin injection on local dystonia after spinal cord injury.
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