Prospective and Retrospective Analysis of Orthopaedic & Domiciliary Rehabilitation Outcome of Spine Injury patients treated with Conservative and Operative methods

Pramod Kumar Mohan, (2017) Prospective and Retrospective Analysis of Orthopaedic & Domiciliary Rehabilitation Outcome of Spine Injury patients treated with Conservative and Operative methods. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTRODUCTION: Traumatic Spinal cord injury (SCI) the most devastating orthopaedic injury resulting in serious disability among patients, his family and society. At present, concept is shifted to comprehensive rehabilitation of the spinal cord injured patient and the ultimate goal is to reintegrate them into the society as functionally useful, productive person. AIM OF THE STUDY: To analyse the functional outcome of rehabilitation in spinal cord injury patients in hospital and community setup and study was conducted in our Institute of Orthopaedics and Traumatology and Government Institute of Rehabilitation medicine, KK Nagar, Madras Medical College and Rajiv Gandhi Government General Hospital between the period of April 2016 and September 2016. MATERIALS AND METHODS: INCLUSION CRITERIA: I) New onset traumatic spinal cord lesion. II) Spinal cord injury patients with neurological deficit ( ASIA scale A-D). III) Any level of spine injury. IV) Traumatic cauda equina syndrome. V) Patients with follow up period of minimum three months. EXCLUSION CRITERIA: I) Brain related paraplegia. II) Neurological impairment due to isolated peripheral nervous lesions. III) Neurological impairment due to disease (vascular, inflammatory, tumour etc) or surgery for non traumatic pathology. IV) Patients without neurological deficit and follow up period of less than 3 months were excluded. Age, sex, nationality, mode of injury, existing pathologies and injuries related to the spinal cord lesions are not criteria for exclusion. Patients functional outcome were assessed with functional independent measure [FIM] score which included 18 items organized into six categories, patients were assessed by 7 point ranging from complete independence value 7, to complete dependence value-1 (self care, sphincter control, transfer, locomotion, communication, social cognition) at the time of admission, discharge and follow-up. RESULTS: Irrespective of the age of the patient, all patients have shown significant functional independence when comparing FIM scores of admission, discharge and follow-up in our study. CONCLUSION: Comprehensive and efficient rehabilitation improved the functional independence of the spinal cord injury patients and these patients can be reintegrated into the society as productive member. Complications in these patients are minimized with effective rehabilitation.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Rehabilitation, Functional independence measure, Spinal cord injury, Paraplegia.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 11:55
Last Modified: 19 Mar 2020 11:55
URI: http://repository-tnmgrmu.ac.in/id/eprint/12355

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