PROGRAM FISIOTERAPI PADA AKUT SPINAL CORD INJURY ASIA C INCOMPLETE: SEBUAH STUDI KASUS
Abstract
A spinal cord injury or spinal cord injury is nerve damage to the nerves along the spine or in the spinal cord. With the highest cause of trauma due to traffic accidents 38%, in Indonesia the percentage of deaths due to spinal trauma is 24% and permanent disability is 45%. When spinal cord damage, it will cause complete or incomplete paralysis which can affect a person's functional activities. When this dysfunction occurs if not treated immediately with surgery it will cause secondary problems, therefore physiotherapy treatment in the acute phase has the main goal to prevent secondary problems that occur such as contractures, muscle atrophy, deep vein thrombosis, cardiopulmonary complications. The acute phase physiotherapy program are positioning as the importance of early movement and mobilization to prevent pressure decubitus, passive and active exercises to treat contractures, breathing exercises to prevent pulmonary complications due to bed periods, and the main porpose is to educate patients and families about exercises before surgery is performed.
Keyword: Spinal cord injury, acute, contracture, potitioning, mobilization
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References
Blake WE, Stillman BC, Eizenberg N, Briggs C, McMeeken JM. The position of the spine in the recovery position--an experimental comparison between the lateral recovery position and the modified HAINES position. Resuscitation. 2002 Jun;53(3):289-97. doi: 10.1016/s0300-9572(02)00037-0. PMID: 12062845.
Busch, V., Magerl, W., Kern, U., Haas, J., Hajak, G., & Eichhammer, P. (2012). The Effect of Deep and Slow Breathing on Pain Perception, Autonomic Activity, and Mood Processing-An Experimental Study. Pain Medicine, 13(2), 215–228. https://doi.org/10.1111/j.1526-4637.2011.01243.x
Dezarnaulds A. & Ilchef, R. (2014). Psychological Adjustment after Spinal Cord Injury : agency for clinical innovation
Ditunno JF, Little JW, Tessler A, Burns AS. Spinal shock revisited: a four-phase model. Spinal Cord 42:383-395, 2004
Dvorak, M. F., Noonan, V. K., Fallah, N., Fisher, C. G., Rivers, C. S., Ahn, H., ... & Kwon, B. K. (2014). Minimizing errors in acute traumatic spinal cord injury trials by acknowledging the heterogeneity of spinal cord anatomy and injury severity: an observational Canadian cohort analysis. Journal of neurotrauma, 31(18), 1540-1547.
Harvey LA, Glinsky JA, Katalinic OM, Ben M. Contracture management for people with spinal cord injuries. NeuroRehabilitation. 2011;28(1):17-20. doi: 10.3233/NRE-2011-0627. PMID: 21335673.
Harvey, Lisa. (2008). Management of spinal cord injuries : a guide for physiotherapists. Edinburgh ; New York : Butterworth-Heinemann.
Hu, C., Ye, M., & Huang, Q. (2013). Effects of manual therapy on bowel function of patients with spinal cord injury. Journal of Physical Therapy Science, 25(6), 687-688.
Ko, H. Y. (2018). Revisit spinal shock: pattern of reflex evolution during spinal shock. Korean journal of neurotrauma, 14(2), 47-54.
Lapointe R, Lajoie Y, Serresse O et al: Functional community ambulation requirements in incomplete spinal cord injured patients. Spinal Cord 2001; 39:327–335.
Lim SW, Shiue YL, Ho CH, Yu SC, Kao PH, Wang JJ, Kuo JR. Anxiety and Depression in Patients with Traumatic Spinal Cord Injury: A Nationwide Population-Based Cohort Study. PLoS One. 2017 Jan 12;12(1):e0169623. doi: 10.1371/journal.pone.0169623. PMID: 28081205; PMCID: PMC5231351.
Nas K, Yazmalar L, Şah V, Aydın A, Öneş K. Rehabilitation of spinal cord injuries. World J Orthop. 2015 Jan 18;6(1):8-16. doi: 10.5312/wjo.v6.i1.8. PMID: 25621206; PMCID: PMC4303793.
Sánchez, J. A. S., Sharif, S., Costa, F., Rangel, J. A. I. R., Anania, C. D., & Zileli, M. (2020). Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations. Neurospine, 17(4), 759.
Schmitz TJ: Traumatic spinal cord injury. In O’Sullivan SB, Schmitz TJ (eds): Physical Rehabilitation: Assessment and Treatment. Philadelphia, FA Davis, 2000.
Shin JC, Yoo JH, Jung TH, Goo HR. Comparison of lower extremity motor score parameters for patients with motor incomplete spinal cord injury using gait parameters. Spinal Cord. 2011 Apr;49(4):529-33. doi: 10.1038/sc.2010.158. Epub 2010 Nov 23. PMID: 21102574.
Spinal Cord Injury (SCI) 2016 Facts and Figures at a Glance. J Spinal Cord Med. 2016 Jul;39(4):493-4. doi: 10.1080/10790268.2016.1210925. PMID: 27471859; PMCID: PMC5102286.
WHO (2013) a. International Perspective on Spinal Cord Injury. , pp.15-17.
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