Orthotic experience in spinal cord injury (case report)
Relevance Traumatic spinal cord injury is a complex, urgent and multidisciplinary problem with a high percentage of disability and subsequent social exclusion. Treatment of neuroorthopedic pathologies is often associated with the need to use technical means of rehabilitation. The objective was to...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2022-06-01
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| Series: | Гений oртопедии |
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| _version_ | 1818253393888542720 |
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| author | Denis L. Safronov Alexander A. Kolyabin Alexander A. Grischuk Anatoly K. Poverinov Marina A. Shongina Anna V. Mazaeva Vitaly R. Ramazanov |
| author_facet | Denis L. Safronov Alexander A. Kolyabin Alexander A. Grischuk Anatoly K. Poverinov Marina A. Shongina Anna V. Mazaeva Vitaly R. Ramazanov |
| author_sort | Denis L. Safronov |
| collection | DOAJ |
| description | Relevance Traumatic spinal cord injury is a complex, urgent and multidisciplinary problem with a high percentage of disability and subsequent
social exclusion. Treatment of neuroorthopedic pathologies is often associated with the need to use technical means of rehabilitation. The
objective was to develop a successful orthosis for a patient with severe spinal cord injury. Material and methods The article describes a clinical
case of a 16-year-old female patient with the outcome of a severe concomitant injury: lower paraplegia, sensory disturbances in the lower
extremities and pelvic organ function. MRI of the spinal cord revealed cystic-glial changes and atrophy of the spinal cord at the Th10-12 level.
Results and discussion With clinical signs of paraplegia and a complete spinal cord injury according to the instrumentation findings, the patient
had poor prognosis for the recovery of motor functions in the lower limbs. One of the main tasks of medical rehabilitation of patients with
spinal cord injury is the activation of movements and restoration of locomotion. The Hip-Knee-Ankle-Foot Orthosis (HKAFO) manufactured at
the Center was intended for unloading, replacement and fixation. The device was light and strong due to greater use of carbon layers, equipped
with functional hinges to prevent development of contractures, had a high corset for external stabilization of the body and double knee splint
for safe standing. Conclusion For the paraplegic patient, the opportunity to stand and walk with the support using successful orthosis was
important from both physical and psychosocial perspectives and allowed correction of contractures in the catamnesis. |
| first_indexed | 2024-12-12T16:39:22Z |
| format | Article |
| id | doaj.art-b139938fba5b4b7b87202de1ae627524 |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-12-12T16:39:22Z |
| publishDate | 2022-06-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-b139938fba5b4b7b87202de1ae6275242022-12-22T00:18:35ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2022-06-0128342543010.18019/1028-4427-2022-28-3-425-430Orthotic experience in spinal cord injury (case report)Denis L. Safronov0Alexander A. Kolyabin1Alexander A. Grischuk2Anatoly K. Poverinov3Marina A. Shongina4Anna V. Mazaeva5Vitaly R. Ramazanov6Children's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaChildren's Prosthetic Center "I want to walk", Moscow region, RuzaRelevance Traumatic spinal cord injury is a complex, urgent and multidisciplinary problem with a high percentage of disability and subsequent social exclusion. Treatment of neuroorthopedic pathologies is often associated with the need to use technical means of rehabilitation. The objective was to develop a successful orthosis for a patient with severe spinal cord injury. Material and methods The article describes a clinical case of a 16-year-old female patient with the outcome of a severe concomitant injury: lower paraplegia, sensory disturbances in the lower extremities and pelvic organ function. MRI of the spinal cord revealed cystic-glial changes and atrophy of the spinal cord at the Th10-12 level. Results and discussion With clinical signs of paraplegia and a complete spinal cord injury according to the instrumentation findings, the patient had poor prognosis for the recovery of motor functions in the lower limbs. One of the main tasks of medical rehabilitation of patients with spinal cord injury is the activation of movements and restoration of locomotion. The Hip-Knee-Ankle-Foot Orthosis (HKAFO) manufactured at the Center was intended for unloading, replacement and fixation. The device was light and strong due to greater use of carbon layers, equipped with functional hinges to prevent development of contractures, had a high corset for external stabilization of the body and double knee splint for safe standing. Conclusion For the paraplegic patient, the opportunity to stand and walk with the support using successful orthosis was important from both physical and psychosocial perspectives and allowed correction of contractures in the catamnesis.spinal cord injuryparaparesiscontracturesgoniometryrehabilitationorthosesorthoticsapparatus for body and limb |
| spellingShingle | Denis L. Safronov Alexander A. Kolyabin Alexander A. Grischuk Anatoly K. Poverinov Marina A. Shongina Anna V. Mazaeva Vitaly R. Ramazanov Orthotic experience in spinal cord injury (case report) Гений oртопедии spinal cord injury paraparesis contractures goniometry rehabilitation orthoses orthotics apparatus for body and limb |
| title | Orthotic experience in spinal cord injury (case report) |
| title_full | Orthotic experience in spinal cord injury (case report) |
| title_fullStr | Orthotic experience in spinal cord injury (case report) |
| title_full_unstemmed | Orthotic experience in spinal cord injury (case report) |
| title_short | Orthotic experience in spinal cord injury (case report) |
| title_sort | orthotic experience in spinal cord injury case report |
| topic | spinal cord injury paraparesis contractures goniometry rehabilitation orthoses orthotics apparatus for body and limb |
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