Complications and rehabilitation in a spinal cord injured female

Date of Completion

1997

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Spinal Cord Injuries, Female, Rehabilitation

Abstract

The potential of the person with spinal cord injury in the absence of medical and psychological complications but even in the presence of multiple physical impairment is immeasurable. Follow-up studies on the permanently disabled SCI patient especially on the aspect of adjustments brings about this case report. This report primary aims to provide information about the present and possible complications expected of an SCI patient through comparison (with the actual patient). Secondly, it also targets in improving the living arrangements fitted for the patient's conditions and lastly, it also aims to impart on the readers that despite of one's disability, one could still be productive. It is for these reasons that this case of a 21 year old, married female SCI patient is being presented. The researchers basically provided the patient with home programs which included the following: (a) Passive Range of motion ex. (PROME) on the both lower extremities (LE) on all planes 2x a day; (b) Manual Resistance ex. on both upper extremities (UE) x 10 reps. on all planes; (c) bed mobility ex. (rolling prone on elbows, long sitting), (d) education on the prevention of the pressure sores (weight shifting ex. during long sitting in bed and while on the wheelchair, push-up on sitting position, inspection for skin breakdown using long-handles mirror while in sidelying position, proper wound care); (e) transfers to and fro the wheelchair to bed using a sliding board. This resulted to alleviation of secondary complications such as tightness and contractures, further aggravation of pressure sores and retardation of further atrophy. Through this report, the researchers hope that the reader be able to gain additional knowledge about the case and be able to impart that despite of one's disability, one could still be productive. The researchers suggest that the succeeding researchers be able to monitor if the patient followed the home program given and be able to identify the progress or regress of the patient and make specific adjustments, management and modifications pertaining to the existing problems and complications; re-assess if the patient can now do transfers independently in ADL given were followed appropriately or needs to have some more changes or additional modifications.

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