TITLE : Functional Rehabilitation of Cervical Spinal Cord Injury
I have a single case study on a C6 C7 cervical spinal cord injury patient and shown some functional improvement.
INTRODUCTION:
The Spinal cord is part of the central nervous system (CNS). it is situated inside the vertebral canal of the vertebral column (1) spinal cord is divided into segments : cervical, thoracic, lumbar, sacral and coccygeal . the cervical spine has 7 stacked bones called vertebrae , labeled C1 through C7 .The locations of C6 – C7 vertebrae are both in the lowest levels of the cervical spine , near the base of the neck . the types of spinal cord injury corresponding to these regions of the spine have the potential to impact everything below the top of the ribcage – resulting in quadriplegia or paraplegia .(2) C6-C7 spinal cord level is a group of muscles involved in straightening the elbow , lifting the wrist , elongating the fingers to an outstretched hand and the triceps muscle in the upper arm. Outcome of C7 is ability to be physically independent with personal care and ADLs , independent with bed mobility , can transfer independently with potential to use lift transfer , Greater function use to hands including stronger grasp and increased dexterity therefore less reliant on splints , able to use a manual wheelchair , able to drive with vehicle modifications , potential to live independently with support and require assistive equipment. As is the case with any spinal cord injury, the damage is characterized as complete or incomplete depending on the severity.
KEY WORDS : SCI Patient , SCIM , WISCI , Multidisciplinary Approach , Public Utility Services Training , Vocational Training , Sports Training and Institutional Rehabilitation .
PATIENT HISTORY:
Patient suffered an injury to cervical spine while diving into swimming pool on 12/05/2022 at night. He underwent surgery in afternoon at Surat on next day and here he was admitted for 3 days. After that he was at home rest 1 and half months then he took treatment for 2 months in hospital at Surat. Now he started treatment here Jaya rehabilitation center of Bidada from 10/11/2022. (3)
AIM:
To find the effectiveness of multidisciplinary approach for C6-C7 spinal cord injury patient activities of functional independent.
Also, he is eager to give JEE exam, to increase his handwriting speed with hand adaptive device support on a vocational training.
REVIEW OF LITERATURE:
Functional Outcome Following Spinal Cord Injury: A Comparison of Specialized Spinal Cord Injury Center vs General Hospital Short-term Care; Allen W. Heinemann, PhD; Gary M. Yarkony, MD; Elliot J. Roth, MD; Linda Lovell; Byron Hamilton, MD, PhD; Karen Ginsburg, MA; J. Thomas Brown, MD; Paul R. Meyer Jr, MD;Arch Neurol. 1989;46(10):1098-1102. doi:10.1001/archneur.1989.00520460084017.
MATERIAL & METHODOLOGY:
Figure:1 Shows C5 and C6 vertebra fracture