A 30 years old male presented with incomplete Spinal Cord Injury to our Centre with chief complaint of bilateral lower limb weakness with no urinary & bladder control and facing difficulty in performing activities of daily living. History of left and central prolapsed inter vertebral disc D10- D12, right D12-L1 and had laminectomy & discectomy.
On examination: Babinski sign no response, DTR Biceps 2++, Triceps 2 ++, ankle jerk 1+, knee jerk 1+
Outcome majors– VAS 8/10 at surgical site, ASIA grade B, U/L Motor 49/50, L/L motor 14/50, light touch 112, pin prick 112, FIM FAM 120.
After regular Physiotherapy for over one month, there is significant improvement in his ADL status. He is able to walk independently, lower limb motor activities have been regained, bladder & bowel sensations have been restored. Treatment includes lower limb active assisted ROM followed by active resisted ROM exercises where perform in functional positions. Surgical wounds were regularly examined. Robotics therapy was used for lower limb functional activities. Gait training was initially performed with the help of harness in hydraulic gait walker followed by parallel bar then on treadmill. Balance and coordination activities were taught, For pelvic -floor muscle, stimulation and Kegel exercises were performed. Regular psychological counselling was also carried out to him motivated.
Outcome majors– VAS 1/10 at surgical site, ASIA grade D, U/L Motor 50/50, L/L motor 46/50, light touch 112, pin prick 112, FIM FAM 204.
RESULTS:
The rehabilitation program aimed to improve the patient’s mobility and independence. Over the course of several sessions, he gained active ROM of his lower limbs, good bowel and bladder control. As a result, the patient was able to climb stairs independently, balance without support, perform functional activities, and regain control over bladder movements, no pain at surgery site.
