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...
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doaj-effdcfc7664a4cc49cc9b62239faea8c2020-11-25T00:07:07ZengRomanian Association of Balneology, Editura BalnearaBalneo Research Journal2069-75972069-76192018-09-019326026310.12680/balneo.2018.192Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fracturesCristina Octaviana Daia0Sabina Solcan1Andra Cristina Mihai2Diana Elena Nita3Nicoleta Chiriloi4Gelu Onose51 The Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, Romania 2 The University of Medicine and Pharmacy ”Carol Davila” (UMPCD), Bucharest, RomaniaThe Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, RomaniaThe Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, RomaniaThe Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, RomaniaThe Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, Romania1 The Teaching Emergency Hospital “Bagdasar-Arseni” (TEHBA), Bucharest, Romania 2 The University of Medicine and Pharmacy ”Carol Davila” (UMPCD), Bucharest, RomaniaIntroduction: 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 lifehttp://bioclima.ro/Balneo192.pdfrehabilitationtraumatic brain injurybone fracturespolytrauma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cristina Octaviana Daia Sabina Solcan Andra Cristina Mihai Diana Elena Nita Nicoleta Chiriloi Gelu Onose |
spellingShingle |
Cristina Octaviana Daia Sabina Solcan Andra Cristina Mihai Diana Elena Nita Nicoleta Chiriloi Gelu Onose Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures Balneo Research Journal rehabilitation traumatic brain injury bone fractures polytrauma |
author_facet |
Cristina Octaviana Daia Sabina Solcan Andra Cristina Mihai Diana Elena Nita Nicoleta Chiriloi Gelu Onose |
author_sort |
Cristina Octaviana Daia |
title |
Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
title_short |
Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
title_full |
Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
title_fullStr |
Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
title_full_unstemmed |
Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
title_sort |
complex neuro-muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures |
publisher |
Romanian Association of Balneology, Editura Balneara |
series |
Balneo Research Journal |
issn |
2069-7597 2069-7619 |
publishDate |
2018-09-01 |
description |
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 |
topic |
rehabilitation traumatic brain injury bone fractures polytrauma |
url |
http://bioclima.ro/Balneo192.pdf |
work_keys_str_mv |
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