Application of a newly developed upper limb single-joint hybrid assistive limb for postoperative C5 paralysis: An initial case report indicating its safety and feasibility
Application of a newly developed upper limb single-joint hybrid assistive limb for postoperative C5 paralysis: An initial case report indicating its safety and feasibility
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DOI：
10.1016/j.jocn.2018.01.038
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发表时间：
2018-04-01
影响因子：
2
通讯作者：
Yamazaki, Masashi
中科院分区：
文献类型：
--
作者：
Kubota, Shigeki;Abe, Tetsuya;Yamazaki, Masashi
颈椎术后C5瘫痪是颈椎手术的严重并发症，目前尚无有效的康复方法。一位67岁的男性，因后纵韧带骨化（OPLL）接受颈胸手术后出现双侧C5麻痹。从术后15天开始，每周进行2-3次左肘关节训练，共10次，使用上肢单关节混合辅助肢体（上肢HAL-SJ）。从术后38天开始，每周进行5次右肘关节训练，共10次，使用上肢HAL-SJ。在上肢HAL-SJ治疗期间未观察到严重不良事件。手动肌肉测试显示，在使用上肢HAL-SJ期间，两侧的三角肌和二头肌力量没有明显变化;然而，手持式测力计测试显示，随着时间的推移，两块肌肉都有所改善。术后12个月，患者能够抬起双臂。本病例表明了上肢HAL-SJ术后C5麻痹治疗的初步安全性和可行性。(C)2018爱思唯尔有限公司版权所有。
Postoperative C5 paralysis is a serious complication of cervical spine surgery, with no established method for effective rehabilitation. A 67-year-old man presented with postoperative bilateral C5 paralysis following cervicothoracic surgery for ossification of the posterior longitudinal ligament (OPLL). Starting 15 days after surgery, left elbow joint training was performed 2-3 times weekly, for a total of 10 sessions, using an upper limb single-joint hybrid assistive limb (upper limb HAL-SJ). Right elbow joint training was also performed 5 times weekly starting 38 days after surgery, for a total of 10 sessions, using the upper limb HAL-SJ. No serious adverse events were noted during treatment with the upper limb HAL-SJ. Manual muscle testing showed no apparent change in deltoid and biceps strength on either side during use of the upper limb HAL-SJ; however, hand-held dynamometer testing showed improvement over time in both muscles. At 12 months after surgery, the patient was able to elevate both arms. The present case indicates initial safety and feasibility of treatment for postoperative C5 paralysis with an upper limb HAL-SJ. (C) 2018 Elsevier Ltd. All rights reserved.