UMURTQA POG‘ONASI MENINGIOMALARINI JARROHLIK DAVOLASHDAN SO‘NG MAXSUS NEYROREABILITATSIYANING KLINIK-FUNKSIONAL XUSUSIYATLARI VA SAMARADORLIGI
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umurtqa pog‘onasi meningiomasi; neyroreabilitatsiya; paraplegiya; Barthel indeksi; SCIM III; ASIA shkalasi; funksional natijalar; orqa miya##article.abstract##
Kirish. Umurtqa pog‘onasi meningiomalari orqa miya kanalining eng ko‘p uchraydigan yaxshi sifatli o‘smalaridan biri bo‘lib, orqa miya siqilishi natijasida nevrologik buzilishlar bilan kechadi. Jarrohlik davolash yuqori samaradorlikka ega bo‘lsa-da, ayrim bemorlarda funksional cheklanishlar saqlanib qoladi va maxsus neyroreabilitatsiya talab etiladi.
Tadqiqot maqsadi. Umurtqa pog‘onasi meningiomalari jarrohlik davolashidan so‘ng bemorlarning klinik-funksional xususiyatlarini baholash hamda standart funksional baholash shkalalari yordamida neyroreabilitatsiya samaradorligini tahlil qilish.
Materiallar va usullar. Spinal meningiomalarni jarrohlik yo‘li bilan olib tashlashdan so‘ng neyroreabilitatsiya olgan bemorlar bo‘yicha retrospektiv tahlil o‘tkazildi. Funksional holat Barthel indeksi, SCIM III shkalasi va ASIA Impairment Scale yordamida baholandi.
Natijalar. Ko‘pchilik bemorlarda to‘liq bo‘lmagan paraplegiya, harakatlanish va tos a’zolari funksiyasining buzilishi aniqlangan. Reabilitatsiyadan so‘ng funksional mustaqillik, harakatchanlik va kundalik faoliyat ko‘rsatkichlarining sezilarli yaxshilanishi qayd etildi. ASIA shkalasi bo‘yicha ayrim bemorlarda nevrologik tiklanish belgilari kuzatildi.
Xulosa. Maxsus neyroreabilitatsiya umurtqa pog‘onasi meningiomalari bo‘lgan bemorlarni kompleks davolashning muhim komponenti bo‘lib, funksional tiklanish va hayot sifatini yaxshilashga xizmat qiladi. Kelgusida optimal reabilitatsiya protokollarini aniqlash uchun ko‘p markazli tadqiqotlar zarur.
Библиографические ссылки
American Spinal Injury Association. (2019). International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). ASIA.
Côté, M. P., Murray, M., & Lemay, M. A. (2017). Rehabilitation strategies after spinal cord injury: Inquiry into the mechanisms of success and failure. Journal of Neurotrauma, 34(10), 1841–1857. [2]
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Taylor & Francis. [3]
Czigléczki, G., Németh, F., Berényi, G., & Banczerowski, P. (2019). Prognostic factors of surgically treated spinal meningiomas and long-term surgical outcomes. Ideggyogy Sz, 72(3–4), 93–97. [4]
DiGiorgio, A. M., Virk, M. S., & Mummaneni, P. V. (2020). Spinal meningiomas. In Handbook of Clinical Neurology (Vol. 170, pp. 251–266). Elsevier. [5]
Duan, R., Qu, M., Yuan, Y., Lin, M., Liu, T., Huang, W., et al. (2021). Clinical benefit of rehabilitation training in spinal cord injury: A systematic review and meta-analysis. Spine, 46(6), E398–E410. [6]
Itzkovich, M., Biering-Sørensen, I. G., Weeks, C., Laramee, M. T., Craven, B. C., Tonack, M., et al. (2007). The Spinal Cord Independence Measure (SCIM) version III: Reliability and validity in a multi-center international study. Disability and Rehabilitation, 29(24), 1926–1933. [7]
Catz, A., Itzkovich, M., Rozenblum, R., Elkayam, K., Kfir, A., Tesio, L., et al. (2024). A multi-center international study on the spinal cord independence measure, version IV: Rasch psychometric validation. Journal of Spinal Cord Medicine, 47(5), 681–691. [8]
Lu, X., Battistuzzo, C. R., Zoghi, M., & Galea, M. P. (2015). Effects of training on upper limb function after cervical spinal cord injury: A systematic review. Clinical Rehabilitation, 29(1), 3–13. [9]
Anderson, K., Aito, S., Atkins, M., Biering-Sørensen, F., Charlifue, S., Curt, A., et al. (2008). Functional recovery outcome measures for spinal cord injury: An evidence-based review for clinical practice and research. Journal of Spinal Cord Medicine, 31(2), 133–144. [10]
Roberts, T. T., Leonard, G. R., & Cepela, D. J. (2017). Classifications in brief: American Spinal Injury Association (ASIA) Impairment Scale. Clinical Orthopaedics and Related Research, 475(5), 1499–1504. [11]
Post, M. W., Dallmeijer, A. J., Angenot, E. L., van Asbeck, F. W., & van der Woude, L. H. (2005). Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands. Journal of Rehabilitation Research and Development, 42(3 Suppl 1), 75–85. [12]
Helseth, A., & Mørk, S. J. (1989). Primary intraspinal neoplasms in Norway, 1955 to 1986. Journal of Neurosurgery, 71(6), 842–845. [13]
Gdynia, H.-J., Schneiderat, P., Gratzer, A., Wiedhopf, K., Gdynia, N., & Haase, I. (2024). Clinical features and rehabilitation outcome after surgical treatment of spinal meningioma. Spinal Cord Series and Cases, 10, 75.
Gezen, F., Kahraman, S., Canakci, Z., & Bedük, A. (2000). Review of 36 cases of spinal cord meningioma. Spine, 25(6), 727–731. [15]
Gottfried, O. N., Gluf, W., Quinones-Hinojosa, A., Kan, P., & Schmidt, M. H. (2003). Spinal meningiomas: Surgical management and outcome. Neurosurgical Focus, 14(6), e2. [16]
Lübke, N., Meinck, M., & von Renteln-Kruse, W. (2004). The Barthel Index in geriatrics. Zeitschrift für Gerontologie und Geriatrie, 37(4), 316–326. [17]
Nakamura, M., Tsuji, O., Fujiyoshi, K., Hosogane, N., Watanabe, K., Tsuji, T., et al. (2014). Long-term surgical outcomes of spinal meningiomas. Spine, 37(10), E617–E623. [18]
Noh, S. H., Kim, K. H., Shin, D. A., Park, J. Y., Yi, S., Kuh, S. U., et al. (2019). Treatment outcomes of atypical spinal meningioma. Spine, 44(4), 276–284. [19]
King, A. T., Sharr, M. M., Gullan, R. W., & Bartlett, J. R. (1998). Spinal meningiomas: A 20-year review. British Journal of Neurosurgery, 12(6), 521–526. [20]
Klekamp, J., & Samii, M. (1999). Surgical results for spinal meningiomas. Surgical Neurology, 52(6), 552–562. [21]
Riad, H., Knafo, S., Segnarbieux, F., & Lonjon, N. (2013). Spinal meningiomas: Surgical outcome and literature review. Neurochirurgie, 59(1), 30–34. [22]
Tsuda, K., Akutsu, H., Yamamoto, T., Nakai, K., Ishikawa, E., & Matsumura, A. (2014). Is Simpson grade I removal necessary in all cases of spinal meningioma? Neurologia Medico-Chirurgica, 54(11), 907–913. [23]
Schick, U., Marquardt, G., & Lorenz, R. (2001). Recurrence of benign spinal neoplasms. Neurosurgical Review, 24(1), 20–25. [24]
Wu, L., Yang, T., Deng, X., Yang, C., Zhao, L., Yao, N., et al. (2014). Spinal extradural en plaque meningiomas: Clinical features and long-term outcomes. Journal of Neurosurgery: Spine, 21(6), 892–898. [25]
Rizaev Zh. A., Khaidarov N. K. Clinical , epidemiological and etiopathogenetic study of ischemic stroke // Journal of Neurology and Neurosurgical Research. – 2020. – T. 1. – No. 1.
Abdullayev Afzal, Kubayev Aziz, Rizayev Jasur . Excitability threshold in neuritis of the lower alveolar nerve. Journal of Biomedicine and Practice. 2022, vol. 7, issue 4, pp.238-245
Rizaev , Zh., Raimova , M., Boboev , K., & Abdullaeva, M. (2019). Parkinson's: classification, clinical picture and basics of treatment. Stomatologiya , 1(1(74), 64–67
Jawad, M., Uthirapathy, S., Altalbawy, F., Oghenemaro, E. F., Rizaev, J., Lal, M., ... & Al-Hamairy, A. K. (2024). Examining the role of antioxidant supplementation in mitigating oxidative stress markers in Alzheimer’s disease: a comprehensive review. Inflammopharmacology, 1-20.
