Led by the China Rehabilitation Research Center and funded by the National Key Research and Development Program of China and the Capital Health Research and Development of Special Funds, this guideline was developed by experts from multiple renowned domestic institutions, drawing on international experience and combining it with clinical practice in China.
Rehabilitation Guidelines and Specifications for Traumatic Spinal Cord Injury (2025 Edition) clarifies the terminology and definitions of TSCI and specifies standards for the entire process, including pre-hospital first aid, emergency management, clinical diagnosis, acute phase clinical treatment, rehabilitation assessment, and rehabilitation therapy. It details rehabilitation protocols such as physical therapy (motor therapy), occupational therapy, vocational rehabilitation, social rehabilitation, and psychological rehabilitation. Furthermore, it provides specific rehabilitation management strategies for common complications involving the respiratory system, bowel, bladder, cardiovascular system, as well as pain, spasticity, and pressure injuries.
This guideline is applicable to medical and health institutions at all levels involved in the diagnosis and treatment of TSCI. Early, accurate, and standardized rehabilitation treatment can effectively reduce disability rates, restore limb function, and improve patients' quality of life. The formulation of this guideline provides a significant basis for the standardized treatment and rehabilitation of TSCI patients in China.
针对目前国内创伤性脊髓损伤(traumatic spinal cord injury,TSCI)康复领域缺乏统一团体标准、康复服务流程不规范及康复资源浪费等问题,在2017版专家共识基础上,结合最新循证医学证据及“国际功能、残疾和健康分类(ICF)”框架,制定创伤性脊髓损伤康复指南与规范。.
由中国康复研究中心牵头,联合国内多家知名机构及专家,在国家重点研发计划及首都卫生发展科研专项项目资助下,借鉴国际经验并结合中国临床实践共同制定指南与规范。.
《创伤性脊髓损伤康复指南与规范(2025年版)》明确了TSCI的术语和定义,规定了从院前急救、急诊管理、临床诊断、急性期临床治疗、康复评估到康复治疗的全流程标准,详细阐述了运动疗法、作业疗法、职业康复、社会康复及心理康复等治疗规范,并针对呼吸系统、肠道、膀胱、心血管系统、疼痛、痉挛及压力性损伤等常见并发症提出了具体的康复管理策略。.
《创伤性脊髓损伤康复指南与规范(2025年版)》适用于诊治TSCI的各级医疗卫生机构。早期准确、规范的康复治疗可有效降低致残率、恢复肢体功能并改善患者生存质量,本指南与规范的制定为我国TSCI患者规范化治疗与康复提供了重要依据。.