Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures
Introduction: Polytrauma which include spinal cord injuries but are associated with other traumatic events such as limb fractures, generate through their complexity the necessity of a thorough neuro-muscular rehabilitation programme with a long-term aim of reflecting the improvement of the patient...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Romanian Association of Balneology, Editura Balneara
2018-09-01
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| Series: | Balneo Research Journal |
| Subjects: | |
| Online Access: | http://bioclima.ro/Balneo192.pdf |
| Summary: | Introduction: Polytrauma which include spinal cord injuries but are associated with other traumatic events such as limb fractures,
generate through their complexity the necessity of a thorough neuro-muscular rehabilitation programme with a long-term aim of
reflecting the improvement of the patient’s quality of life.
Materials and Methods: This paper presents the case of a 43-year- old patient (having the The Teaching Emergency Hospital
“Bagdasar-Arseni”,TEHBA, Bioethics Committee approval no 9181/11.04.2018), who is hospitalized in our Neuro-muscular Clinic
presenting incomplete AIS / Frankel C tetraplegia with C4 neurological level and neurogenic bladder and bowel. Also she associated
multiple fractures such as: left scapular fractures, right humerus fracture (surgically stabilized), pelvic fractures, right fibular head
fracture without displacement. This polytrauma was caused by a car accident (pedestrian 9.11.2017). At admission the patient had
severe motor and functional impairment and was assessed functionally using the following scales: AIS / Frankel, modified
Ashworth,Functional Independence Measure (FIM), Life Quality Assessment (QOL), FAC International Scale, Independence
Assessment Scale in Daily Activities (ADL / IADL), Walking Scale for Spinal Cord Injury (WISCI).
Results: The patient benefited from a complex neuro-muscular rehabilitation programme, having a favourable evolution, therefore
the patient reaches incomplete AIS / Frankel D tetraplegia with an increase in the evaluated scales scores and thus, with a final
performance of walking for short distances with a supporting frame, as well as a sphincter re-education with the neurogenic bladder
remission.
Conclusions: Based on the collaboration with orthopedic and surgeon fellows the PRM physician developed a complex
rehabilitation programme leading to the re-expression of locomotion function, sphincterian control recovery, selfcare ability, all of
the mentioned factors improving the patient’s quality of life |
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| ISSN: | 2069-7597 2069-7619 |