Abstract：
BACKGROUND: Compartment syndrome following carbon monoxide (CO) poisoning and compression, can have a devastating impact on neuromuscular structures, depending on a time-based dosage.
OBJECTIVE: To investigate multidimensional physiotherapy\'s short-term and long-term outcomes in identical twin cases who developed compartment syndrome due to CO poisoning and prolonged compression.
METHODS: Case report.
METHODS: This study was conducted with two male cases, a 21-year-old identical twin. The loss of consciousness due to CO poisoning lasted for 15 hours. Case one had compartment syndrome that caused damage to the median and ulnar nerves in the right forearm, while Case two had compartment syndrome that caused damage to the radial nerve in the left forearm. No surgical intervention was performed (Fasciotomy etc).
RESULTS: The disability, dexterity, hand health status, sensory-motor function, and edema were evaluated. Initial evaluations showed severe sensory and motor dysfunction, disability, and edema. Treatment included Complex decongestive physiotherapy, electrical stimulation, therapeutic ultrasound, orthotics, and exercises. On the 144th day (discharge day), both cases still exhibited weakness in functional strength and sensory loss compared to the uninjured side. At the ninth month, all parameters except strength were similar to the uninjured side in both cases. By the 53rd month, strength also reached normal values.
CONCLUSIONS: Multidimensional physiotherapy effectively manages edema, improves sensory-motor function, and enhances hand function in the short and long term.
OBJECTIVE: To investigate multidimensional physiotherapy\'s short-term and long-term outcomes in identical twin cases who developed compartment syndrome due to CO poisoning and prolonged compression.
METHODS: Case report.
METHODS: This study was conducted with two male cases, a 21-year-old identical twin. The loss of consciousness due to CO poisoning lasted for 15 hours. Case one had compartment syndrome that caused damage to the median and ulnar nerves in the right forearm, while Case two had compartment syndrome that caused damage to the radial nerve in the left forearm. No surgical intervention was performed (Fasciotomy etc).
RESULTS: The disability, dexterity, hand health status, sensory-motor function, and edema were evaluated. Initial evaluations showed severe sensory and motor dysfunction, disability, and edema. Treatment included Complex decongestive physiotherapy, electrical stimulation, therapeutic ultrasound, orthotics, and exercises. On the 144th day (discharge day), both cases still exhibited weakness in functional strength and sensory loss compared to the uninjured side. At the ninth month, all parameters except strength were similar to the uninjured side in both cases. By the 53rd month, strength also reached normal values.
CONCLUSIONS: Multidimensional physiotherapy effectively manages edema, improves sensory-motor function, and enhances hand function in the short and long term.
摘要：
背景：一氧化碳（CO）中毒和压迫后的隔室综合症，会对神经肌肉结构产生毁灭性的影响，取决于基于时间的剂量。
目的：研究同卵双胎患者由于CO中毒和长时间压迫而出现骨筋膜室综合征的多维物理治疗的短期和长期结局。
方法：病例报告。
方法：本研究采用2例男性病例，一个21岁的同卵双胞胎.一氧化碳中毒导致的意识丧失持续了15个小时。病例1有室综合征，导致右前臂正中和尺神经受损，而病例2患有筋膜室综合征，导致左前臂radial神经受损。未进行手术干预（筋膜切开术等）。
结果：残疾，灵巧,手部健康状况,感觉运动功能，和水肿进行评估。初步评估显示严重的感觉和运动功能障碍，残疾,和水肿。治疗包括复杂的减充血理疗，电刺激,治疗性超声，矫形器,和练习。在第144天（出院日），与未受伤的一侧相比，这两种情况仍表现出功能强度和感觉丧失的能力。在第九个月，在两种情况下，除强度外，所有参数均与未受伤侧相似。到了第53个月,强度也达到正常值。
结论：多维物理治疗可有效治疗水肿，改善感觉运动功能，并在短期和长期内增强手功能。
目的：研究同卵双胎患者由于CO中毒和长时间压迫而出现骨筋膜室综合征的多维物理治疗的短期和长期结局。
方法：病例报告。
方法：本研究采用2例男性病例，一个21岁的同卵双胞胎.一氧化碳中毒导致的意识丧失持续了15个小时。病例1有室综合征，导致右前臂正中和尺神经受损，而病例2患有筋膜室综合征，导致左前臂radial神经受损。未进行手术干预（筋膜切开术等）。
结果：残疾，灵巧,手部健康状况,感觉运动功能，和水肿进行评估。初步评估显示严重的感觉和运动功能障碍，残疾,和水肿。治疗包括复杂的减充血理疗，电刺激,治疗性超声，矫形器,和练习。在第144天（出院日），与未受伤的一侧相比，这两种情况仍表现出功能强度和感觉丧失的能力。在第九个月，在两种情况下，除强度外，所有参数均与未受伤侧相似。到了第53个月,强度也达到正常值。
结论：多维物理治疗可有效治疗水肿，改善感觉运动功能，并在短期和长期内增强手功能。
