Comprehensive Approach to Spinal Cord Injury Rehabilitation

University:
Trinity College Dublin
Course:
TR053 | Physiotherapy
Academic year:

2024
Views:

376

Pages:

2
Author:

josee

What is meant by Spinal Cord Injury Physiotherapy in SCI conditions? (CSI)? any training program Spinal Cord Injury (SCI) is a spinal cord injury from the foramen magnum to the cauda equines that occur as a result of compulsions, and injuries. As a cause of injury, its function carried out by a compromised spinal cord at a level distal to the injury. SCI can cause serious disability. Injuries are usually caused by flexion mechanisms, compression, hyperextension or flexion rotation. This is called “primary damage” that occursmas a result of this mechanism. The body's response to overcome primary damage such as bleeding, inflammation and release of various chemicals are described as "secondary damage". Spinal cord injuries are classified by America Spinal Injury Association (ASIA) by considering motor and sensory functions. Individuals with SCI often require initial treatment in an intensive care unit with the rehabilitation process usually starting in an acute care setting, followed with follow-up care in a specialized Spinal Cord Injury Unit. Care management Inpatient stays can last from 8 – 24 weeks, with outpatient rehabilitation follow-up from 3 - 12 months, generally followed by annual medical and functional reviews. SCI management can be divided into 3 phases, namely: Acute, Sub-acute, and chronic. • Acute phase: Goals in the acute phase include: - To maintain full range of motion of all joints within specified limits determined by fracture stability - To monitor and manage neurological status - To implement good respiratory management and avoid complications anything as a result of SCI - To maintain and strengthen all nerve muscle groups innervated - To facilitate functional patterns of activity Acute phase interventions: Breathing exercise: Maintain air seconds, for 10-15 minute ventilation.2-4x a day, hold 2-4 Stretching:2x per week, 6-8 reps, 5-8 counts, hold relax ROM exercises: (eg hip) counts,passive exercise 2x per week, 6-8 repetitions, 5-8 • Chronic phase: - To overcome physical motor functional activities with interventions and Early management to avoid further complications - To build patient-focused and interdisciplinary processes coordinated - To achieve functional independence - To achieve and maintain successful inward reintegration public. Chronic phase interventions: Tilting table (prone lying) Tilting table (supine lying) Strengthening: (eg hip flexors) 2x per week, 5-8 repetitions, resistance 5-8 seconds. Partial weight bearing exercises: 2x per week, 6-8 repetitions. Practice walking on walking bars with Physiotherapy assistance. Practice walking using a walker with Physiotherapy assistance.