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- Title
Efficacy of early rehabilitation in a patient with spinal cord ischemia and hypoxic ischemic encephalopathy: case report.
- Authors
R., Çiftçi; F., Kızılay; D., Özbağ; Y., Ersoy; A., Çetin
- Abstract
Objective: The aim of this study was to investigate the effect of early rehabilitation on motor and functional recovery in a patient who developed both spinal cord ischemia and hypoxic ischemic encephalopathy. Methods: A 26-year-old male patient was admitted to the physical medicine and rehabilitation (FTR) service with the diagnosis of tetraplegia due to hypoxic ischemic encephelopathy and spinal cord ischemia after one month of intensive care. The patient underwent an 8-week early aurobic and resistant exercise program. Biodex System-3 (Biodex Medical Systems, Shirley, 2000, New York) was used to measure isokinetic knee and ankle muscle strength before and after. Biodex Balance System (Shirley, 2000, New York) was used to measure the patient's balance. 6 min. walking test was performed. Thumb strength was measured with a pinch meter. Disabilities of the Arm, Shoulder and Hands (DASH) were used to evaluate upper limb function, and Functional Independence Measures (FIM) scale was used to determine independence level. Results: After treatment, balance, isokinetic muscle strength and pinch strength developed. DASH and VAS measurement values decreased after treatment and FIM values increased. The patient could not perform the 6-minute walk test in the pre test and walked 420 m in the post test. Conclusion: It was concluded that early phase physical therapy and rehabilitation program was effective in both functional and motor recovery in patients with spinal cord ischemia and hypoxic ischemic encephalopathy.
- Subjects
SPINAL cord; THUMB; FUNCTIONAL independence measure; ISCHEMIA; MEDICAL rehabilitation; KNEE muscles
- Publication
Anatomy: International Journal of Experimental & Clinical Anatomy, 2019, Vol 13, Issue Supplement2, pS102
- ISSN
1307-8798
- Publication type
Article