Assessment Of Patient’s Response On The Use Of Biomedical Equipment In The Rehabilitation Of Spinal Cord Injury In Port Harcourt (original) (raw)
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Spinal Cord, 2003
Study design: Description of 12-week programme of treatment. Objectives: In Enugu, Nigeria, not all spinal injured (SCI) can be treated in teaching and orthopaedic hospitals. The 12-week programme was developed with the aim of getting such patients back into society as useful and independent as possible, using the patients relations to complement the de®ciency in personnel. Setting: Enugu, Nigeria. Methods: Staged weekly programmes of assessment and treatment were mapped out to end at the twelfth week. Spinal injured patients of less than 2 weeks duration were entered into these programmes as they presented. Outcome was assessed at the end of the twelfth week. The study lasted for 6 years (January 1996 to December 2000). Results: Seventy-four patients were admitted into the study. Nine patients had incomplete cord injury of Frankel C while 65 had clinically complete injury of Frankel A on admission. Eight of the nine incomplete injuries improved to Frankel D and walked home within the 12week programme. In the clinically complete group, eight died. Out of the 57 remaining, six recovered to Frankel D and walked home, while the remaining 51 who did not recover, 49 were conversant with wheelchair use within the 12-week programme. Conclusion: It is concluded that adoption of this programme would allow the spinal cord injured to get expert treatment within a reasonable time in less ideal hospital settings where manpower and skilled members of the spinal cord injury treatment team are lacking.
The Internet Journal of Orthopedic Surgery, 2007
Background: Spinal Cord Injury (SCI) is still a major cause of morbidity and mortality in our environment. It posses a management challenge to the Orthopaedic surgeons in an environment of scarce manpower and specialized facilities. Aim: To establish the pattern of SCI in Calabar and contribute to the existing national data on this injury as well as highlighting the deficiencies in our peculiar environment with a view to improving them. Methods: A prospective research protocol by questionnaire was designed for all patients presenting with spinal cord injury at the University of Calabar Teaching between February 2005 and January 2006. The parameters of study included patients' demographics, mode and pattern of injuries, neurologic grade pre and post treatment, complications and clinical outcome. Results: Fourteen spinal cord injured patients were admitted during the study period. Mean age was 36years with a male/female ratio of 4:1. Motor vehicle accidents were the most common cause 12 (85.7%). Thirteen (93%) patients were transported to the hospital by bus/car while one patient was brought on a motor cycle. None of the victims of road traffic accident wore protective device nor had any proper pre-hospital care. The commonest site of injury was the lumbar region 6 (43%) while cervical and thoracic regions contributed 5 (35.7%) and 3(21.4%) respectively. Clinical presentation were; paraplegia 11 (78.6%), quadriplegia 2 (14.3%) and spinal shock 1 (7%). Treatment included cast/braces support, drugs and Physiotherapy. Associated injuries included limb factures-4, head injuries-1, rib fractures-1, Splenic-1, bowel injuries-1 and soft tissue lacerations in 2 patients. Mean interval between injury and presentation at hospital was 2 days (2hrs-30days) while the duration of stay in hospital ranged between 4 to 20 weeks. Mortality was 2 (14.3%) Conclusion: Public enlightenment on road safety measures and use of proper protective devices including seat belts and helmet could reduce the high morbidity associated with Spinal cord injuries. More spinal centres and training of more trauma/neurosurgeons are needed.
Rehabilitation of Spinal Cord Injury: WFNS Spine Committee Recommendations
Neurospine, 2020
Spinal cord injury (SCI) is accompanied by a significant number of complications associated with damage to the spinal cord, gross functional impairments leading to limited self-care and movement, leading to a high level of disability, social and psychological maladaptation of the patients. Besides, pain and spasticity negatively affect rehabilitation programs. This search was conducted in PubMed/MEDLINE database. All studies published in English language (n = 16,297) were considered for inclusion. Of all studies evaluating rehabilitation in SCI patients (n = 80) were included. Based on the literature review the faculty of the WFNS Spine Committee created statements covering different aspects of the contemporary rehabilitation process of the SCI patients. The prepared statements were subjected to discussions, followed by anonymous voting process by the members of the WFNS Spine Committee. As result of the diccussions and the voting process the statements were modified and published as recommendations of the WFNS Spine Committee. The care for the SCI has gone a long way from the times after the World War II when these patients were considered hopeless in terms of any functional recovery, to the contemporary comprehensive rehabilitation programs. The rehabilitation is important part of the modern comprehencive treatment of SCI patients nowadays. The current manuscript reflects different aspects of the contemporary rehabilitaton process and decision makings, which were discussed by the faculty of the WFNS Spine Committee resulting in issuing of the following recommendations.
Spinal Cord, 2012
Study Design: Observational Cohort Study Objectives: To evaluate ongoing health and community re-integration of patients with spinal cord injury (SCI) after discharge from inpatient rehabilitation in Nepal. Setting: Nepal Methods: This study follows a cohort of 37 patients with SCI in Nepal, 1-2 years after discharge from inpatient rehabilitation in 2007. Participants were visited at home and data was obtained through semi-structured interviews that evaluated health, independence in daily living (Modified Barthel Index), community participation (Participation Scale), and barriers due to socioeconomic issues, housing, accessibility and availability and use of mobility aids. Results: One-quarter of the cohort had died (35% of wheelchair users). Secondary health concerns such as pressure ulcers and urinary tract infections were common in the 24 patients interviewed, and eight had been re-hospitalized to treat them. Inappropriate wheelchairs, inadequate housing, and rugged terrain restricted accessibility. 80% of wheelchair users could not enter their homes independently and 74% of those using mobility aids could not access the community independently due to the physical terrain. Of all those interviewed, half had no accessible toilet, access to a water source, or road access to their home. Community participation was a challenge for most using mobility devices, and less than half earned any income. Conclusion: This study identifies important areas of focus for rehabilitation centres in less-resourced contexts like Nepal to help with re-integration after discharge: vocational training during or after rehabilitation; accessible housing; wheelchairs appropriate to the terrain; and the need for strong community based rehabilitation.
Priorities of Patients with Spinal Cord Injury in Different Aspects of Rehabilitation in Turkiye
Research Square (Research Square), 2024
This study aimed to understand the needs and expectations of individuals with disabilities caused by spinal cord injuries who require long-term rehabilitation from a rehabilitation hospital. The cross-sectional clinical study was conducted, which included individuals over the age of 18 with spinal cord injuries who had previously been hospitalized in a rehabilitation hospital. The 16-question survey, titled "What should a rehabilitation hospital be like according to patients with spinal cord injuries," was applied to individuals hospitalized in the inpatient service of Çam Sakura City Hospital. It was also given to spinal cord injured people reached through social media. The participants' demographic data was recorded, and the survey was completed by 120 participants, comprising 70 males and 50 females. The mean age was 37.47 ± 11.63 years, with 79 participants being married and 41 being single. Twentyve participants had graduated from at least one university. The time since the spinal cord injury was less than two years for 20 individuals and more than two years for 100 individuals. The results showed that robotic rehabilitation and psychological support were the most requested rehabilitation elements, while interest in sexual rehabilitation was less than other rehabilitation elements. Furthermore, in the correlation analysis, elderly participants indicated that there should be more specialized services and outpatient clinics. This study highlights the importance of considering the needs and wishes of patients when planning and operating a rehabilitation center. The study clari es that patients' needs for specialized services and robotic rehabilitation were striking. Additionally, the signi cance and necessity of sexual rehabilitation should be conveyed to patients.
Spinal Cord Series and Cases
Study design Retrospective medical record review. Objective To determine the prevalence and describe the profile of person with SCI (PWSCI) admitted in the public healthcare sector in Gauteng, South Africa. Setting Specialized public healthcare rehabilitation units in Gauteng, South Africa. Methods Medical records of PWSCI admitted to public healthcare rehabilitation units between 01 January 2018 and 31 December 2019 were perused. Data were collected anonymously and then summarised using descriptive and inferential statistics. Significance was set at p < 0.05. Results 386 of 998 participants (38.7%) were admitted following SCI and the mean age was 36.9 years. Most participants were male (69.9%), with females significantly more likely to sustain a NTSCI (p < 0.001), which was the least common cause of SCI (34.9%). Those sustaining a TSCI were found to be significantly younger than their NTSCI counterparts (p < 0.001). Assault was the leading cause of injury (35.2%), and a po...
Iranian Journal of Neurology
Background: Spinal cord injury (SCI) is impairment of the spinal cord resulting in numerous health problems that considerably affect the quality of life (QOL) of the patients. Moreover, a number of sociodemographic and clinical characteristics may influence the persons’ health-related quality of life (HRQOL). However, there is limited information on the HRQOL and related characteristics among affected persons living in Nigeria. This study explores the HRQOL and related characteristics of persons with SCI in Kano, Northwestern Nigeria. Methods: A prospective cross-sectional survey of 41 subjects with SCI and 40 age and gender matched healthy subjects was conducted from January to December 2016. Subjects' sociodemographic and clinical characteristics and HRQOL (using the SF-36 questionnaire) were collected and analyzed. Results: The majority of the subjects were men in both the SCI (85.4%) and healthy (82.5%) groups. The mean injury duration was 28.4 ± 20.2 months. Road traffic ac...
Introduction Spinal cord injury, is certainly a debilitating and devastating condition in terms of its effect on a person`s physical, mental, familial as well as social life [1]. Due to its profound impact on a person`s overall quality of life and increasingly high incidence, injury to spinal cord due to any pathology is now considered as a morbid condition as well as a threat to both personal and national economy [2,3]. Spinal cord injury itself is a crippling condition, at the same time may lead to a variety of complications which can affect the life of the patient as it increases the treatment cost significantly and accelerate the disease process which link to early mortality [1,3,4]. The incidence of Spinal cord injury is increasing throughout the world with an annual incidence rate of 15 to 40 per million with a male predominance, more prevalence in low socioeconomic society and the causes ranges from traumatic in most of the case like motor vehicle accident to gunshot injury and physical violence, however non traumatic causes like Tuberculosis (TB) of the spine is also responsible for this [3-6]. A great variety of complications usually follow injury to spinal cord such as pressure sore, urinary complications, most of which are preventable nonetheless these associated complications are the most common cause of re-hospitalization following spinal cord injury and eventually lead to a great deal of disability, morbidity, degree of dependence and mortality [1-4]. Spinal cord injury is a severe condition of the musculoskeletal system, more often leading to permanent disability and on the top of that brings about drastic changes the functioning ability of the patient and eventually encompassing each and every aspect of life [5-8]. Complications may associate virtually all systems of the body namely cardio-respiratory system, genitourinary system, local disorders like pressure sore or full blown biochemical disorders. Such domino effect following the injury to spinal cord significantly decreases the quality of life of the individual and happens on the early or acute stage when initial rehabilitation process are being initiated [6]. Spinal cord injury whether traumatic or form other cause and Abstract Background: Spinal cord injury and its health related complications pose a major impact on the overall morbidity and mortality as well as cause economic constrains. It was aimed at looking into the demographic distribution, diagnosis, as well as complications in patients with spinal cord injury.
South African journal of physiotherapy, 2012
In patients with spinal cord injuries increased length of hospital stay is often as a result of secondary complications such as pressure sores, urinary tract infection and respiratory infection. An increased length of hospital stay was observed at Kanombe military hospital in rwanda. The aim of this study was to determine specific factors affecting length of hospital stay for individuals with spinal cord injuries at Kanombe military hospital in rwanda. The records of 124 individuals with spinal cord injuries who were discharged from the hospital between 1 st January1996 and 31 st december 2007 were reviewed to collect data. Information collected and captured on a data gathering sheet included demographic data, information relating to the injury, occurrence of medical complications and length of hospital stay. linear regression analysis was computed in sPss to determine factors affecting the length of stay. The necessary ethical considerations were adhered to during the implementation of the study. Current employment status and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 and p=0.000 respectively). A strong relationship was noted between pressure sores and length of stay (r= 0.703). There is a need for all members of the rehabilitation team to devise and implement effective measures to prevent the development of pressure sores, in patients with spinal cord injuries in the study setting.