Rehabilitation for patients with paraplegia and lower extremity
amputation |
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Authors: | Fangyong Wang Yi Hong |
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Institution: | 1) Department of Spine and Spinal Cord Injury, Beijing Bo’ai Hospital, China Rehabilitation Research Center, China;2) School of Rehabilitation Medicine, Capital Medical University, China |
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Abstract: | Purpose] To study the characteristics and treatment strategy for patients with
paraplegia and lower extremity amputation. Subjects] Six cases were selected from among
the patients admitted to the China Rehabilitation Research Center from 1991 to 2014. The
criteria for the six cases were spinal cord injury with amputation immediately or in a
short time (1 week) after the trauma. Methods] General information, clinical diagnosis,
treatment, rehabilitation and other data were analyzed. Results] All the six cases were
injured by high energy or complex energy accidents: two cases by falls after high voltage
electric shock, one by an oil pipeline explosion, one by the impact of a falling tower
crane and received high energy traffic accident injuries (one was hit by a train, and the
other was hit by a truck at high speed). All the six cases had thoracic and lumbar
vertebral injuries and complete paraplegia. Amputation stump infection occurred in four
cases. After comprehensive rehabilitation treatment, patients’ functional independence
measure (FIM) scores improved significantly, but American Spinal Injury Association (ASIA)
scores and ASIA Impairment Scale (AIS) grades showed no significant improvement.
Conclusion] When formulating the clinical treatment and rehabilitation for spinal cord
injury with amputation patients, simultaneous consideration of the characteristics of the
spinal cord injury and amputation is needed to develop an individualized strategy. For
spinal cord injury with limb amputation patients, prostheses should allow the improvement
of patients’ self-care ability.Key words: Paraplegia, Amputation, Rehabilitation |
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