Problems of adaptation to wheelchair in early stage rehabilitation after spinal cord trauma Piotr Tederko , Halina Limanowska , Marek Krasuski , Jerzy Kiwerski Ortop Traumatol Rehabil 2006; 8(6):672-679 ICID: 471271
Article type: Original article
IC™ Value: 6.71
Abstract provided by Publisher
Spinal cord trauma (SCT) results local and generalized complications involving cardio-respiratory system, musculo-skeletal system, digestive and urogenital tracts. Early beginning of vertical position training improves functioning and reduces risk of these complications. Wheelchair position is an important achievement in early rehabilitation of (SCT) patients. Sitting allows locomotion, enhances upper limb function and contributes to obivate complications of chronic decubity and immobilisation.
OBJECTIVE: To determine main obstacles delaying adaptation to sitting during initial phase of rehabilitation after SCT.
SUBJECTS: 100 patients admitted with SCT (21 women, 79 men)aged between 15 and 74 years (mean age 33,5 years) observed during first hospital stay after SCT. There were 68 patients with a complete neural deficite and 32 persons with incomplete deficite. Lesion localization: C1-C7 – 63 cases; D1-D11 – 23 cases; D12-L1 – 11 cases; below L1 – 3 cases.
METHODS: Measurement of time relapsing between trauma and wheelchair adaptation. An analysis of reasons adaptation delay was performed.
RESULTS AND DICUSSION: Time of adaptation ranged from 7 to 187 (mean 40,6) days. There were no significant differences in adaption time between groups of cervical, thoracic and lumbar spine injury (Kruskall-Wallis test). Patients with incomplete neural deficite adapted to wheelchair earlier (mean time 26,9 days) than ones with plegia (mean time 45,8 days) (p
ICID 471271 PMID 17581519 - click here to show this article in PubMed