Effects of multidisciplinary model of damage control on acute cervical spinal cord injury in winter Olympic sports

摘要

Purpose: To investigate the feasibility of multidisciplinary model of damage control (MMDC) in patients with acute cervical spinal cord injury (ACSCI) in winter Olympic sports. Methods: A total of 110 patients with ACSCI who participated in winter Olympic sports were selected as the study subjects, and were divided into the study group (SG, n=60, MMDC) and the control group (CG, n=50, conventional intervention) according to the intervention mode. The clinical effects of intervention, changes in neurological function and muscle tone before and after intervention, the changes in motor function and activity of daily living during intervention, and patient satisfaction towards intervention were compared between the two groups. Results: The effective rate of intervention in the SG was 98.33%, higher than 88.00% in the CG ( P 0.05), and the percentage of patients with Grade E injuries in the SG after intervention was 30.00%, significantly higher than 12.00% in the CG ( P 0.05). The scores of all dimensions of Ashworth scale in the SG were lower than those in the CG ( P 0.05). The patients in the SG exhibited higher FMA scale and modified Barthel index (MBI) scores than the CG from 1 to 6 months of intervention ( P 0.05). Conclusion: MMDC showed better efficacy, the patients’ neurological function, muscle tone and motor function could be better restored, and patients’ abilities of daily activities were improved after intervention.