Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report
Abstract Background Rehabilitation of patients with high cervical spinal cord injury (CSCI) to improve activities of daily living (ADL) is challenging due to severe paralysis. In addition, pediatric patients with CSCI are rare, and literature describing ADL changes as the patient grows are limited....
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-08-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-022-03573-y |
| _version_ | 1811285869949091840 |
|---|---|
| author | Yoshinori Yasuoka Yukihide Nishimura Tokio Kinoshita Yumi Koike Yasunori Umemoto Fumihiro Tajima |
| author_facet | Yoshinori Yasuoka Yukihide Nishimura Tokio Kinoshita Yumi Koike Yasunori Umemoto Fumihiro Tajima |
| author_sort | Yoshinori Yasuoka |
| collection | DOAJ |
| description | Abstract Background Rehabilitation of patients with high cervical spinal cord injury (CSCI) to improve activities of daily living (ADL) is challenging due to severe paralysis. In addition, pediatric patients with CSCI are rare, and literature describing ADL changes as the patient grows are limited. In this case report, we present the long-term change in ADL over time in a girl with severe high CSCI from an injury during infancy. Case presentation A 2 years and 6 months old girl, who was injured in a traffic accident, was diagnosed with C3 CSCI, resulting in complete quadriplegia and respiratory paralysis below C3. Thus, she was managed with a ventilator. Rehabilitation for quadriplegia, respiratory dysfunction, and autonomic neuropathy was started on the fifth day after the injury while she was in the intensive care unit. Six months after the injury, the patient was transferred to a hospital. Thereafter, she was discharged with nursing and care guidance provided to her family and environmental changes at home. Afterwards, she continued to acquire skills through writing training using a mouse stick, computer operation training, and electric wheelchair operation training, which enabled her to improve her ADL despite her severe disability. In terms of education, she was able to go through a regular elementary school, a regular junior high school, and then to a senior high school of a support school. Conclusions We believe that training that utilizes current technology and changes in the environment that are appropriate for daily life are important for improving the ADL of children with severe CSCI. |
| first_indexed | 2024-04-13T02:50:29Z |
| format | Article |
| id | doaj.art-6e29fd57574e497fa70525f01d0f07a9 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-13T02:50:29Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-6e29fd57574e497fa70525f01d0f07a92022-12-22T03:05:51ZengBMCBMC Pediatrics1471-24312022-08-012211910.1186/s12887-022-03573-yFourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case reportYoshinori Yasuoka0Yukihide Nishimura1Tokio Kinoshita2Yumi Koike3Yasunori Umemoto4Fumihiro Tajima5Division of Rehabilitation, Wakayama Medical University HospitalDepartment of Rehabilitation Medicine, Iwate Medical UniversityDivision of Rehabilitation, Wakayama Medical University HospitalDivision of Rehabilitation, Wakayama Medical University HospitalDivision of Rehabilitation, Wakayama Medical University HospitalDivision of Rehabilitation, Wakayama Medical University HospitalAbstract Background Rehabilitation of patients with high cervical spinal cord injury (CSCI) to improve activities of daily living (ADL) is challenging due to severe paralysis. In addition, pediatric patients with CSCI are rare, and literature describing ADL changes as the patient grows are limited. In this case report, we present the long-term change in ADL over time in a girl with severe high CSCI from an injury during infancy. Case presentation A 2 years and 6 months old girl, who was injured in a traffic accident, was diagnosed with C3 CSCI, resulting in complete quadriplegia and respiratory paralysis below C3. Thus, she was managed with a ventilator. Rehabilitation for quadriplegia, respiratory dysfunction, and autonomic neuropathy was started on the fifth day after the injury while she was in the intensive care unit. Six months after the injury, the patient was transferred to a hospital. Thereafter, she was discharged with nursing and care guidance provided to her family and environmental changes at home. Afterwards, she continued to acquire skills through writing training using a mouse stick, computer operation training, and electric wheelchair operation training, which enabled her to improve her ADL despite her severe disability. In terms of education, she was able to go through a regular elementary school, a regular junior high school, and then to a senior high school of a support school. Conclusions We believe that training that utilizes current technology and changes in the environment that are appropriate for daily life are important for improving the ADL of children with severe CSCI.https://doi.org/10.1186/s12887-022-03573-yADLDisabilityChildQuality of LifeFunctional Independence MeasureElectric Wheelchair |
| spellingShingle | Yoshinori Yasuoka Yukihide Nishimura Tokio Kinoshita Yumi Koike Yasunori Umemoto Fumihiro Tajima Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report BMC Pediatrics ADL Disability Child Quality of Life Functional Independence Measure Electric Wheelchair |
| title | Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report |
| title_full | Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report |
| title_fullStr | Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report |
| title_full_unstemmed | Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report |
| title_short | Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report |
| title_sort | fourteen year change in activities of daily living of a quadriplegic ventilator managed patient injured by high cervical spinal cord injury during infancy a case report |
| topic | ADL Disability Child Quality of Life Functional Independence Measure Electric Wheelchair |
| url | https://doi.org/10.1186/s12887-022-03573-y |
| work_keys_str_mv | AT yoshinoriyasuoka fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport AT yukihidenishimura fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport AT tokiokinoshita fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport AT yumikoike fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport AT yasunoriumemoto fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport AT fumihirotajima fourteenyearchangeinactivitiesofdailylivingofaquadriplegicventilatormanagedpatientinjuredbyhighcervicalspinalcordinjuryduringinfancyacasereport |