https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2018.106

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 6; Issue 2 (March 2018)

Page No.: 2648-2653

DOI: https://dx.doi.org/10.16965/ijpr.2018.106

NEUROLOGICAL RECOVERY AND FUNCTIONAL OUTCOME OF COMPLETE TRAUMATIC SPINAL CORD INJURY PATIENTS: AN OBSERVATION FROM BANGLADESH

Kamrunnaher 1, Sayeed Uddin Helal 2, Palash Chandra Saha 3, Farzana Taoheed 4, S.M. Yasir Arafat 5, Md. Akhlasur Rahman 6, Md. Shahoriar Ahmed *7.

1,3 BOT, Centre for the rehabilitation of the Paralysed, Bangladesh.

2 Consultant Neurosurgeon & Head of Medical Services Wing, Centre for the rehabilitation of the Paralysed (CRP).

5 MBBS, MBA, MPH, MD Resident, Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Bangladesh.

4,6 BPT, Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh.

*7 MPH, Executive Officer, Bangladesh Physiotherapy Association (BPA).

Address for Correspondence: Dr. Md. Shahoriar Ahmed, MPH, Executive Officer, Bangladesh Physiotherapy Association (BPA). Cell No: +8801794859401 E-Mail: physio.shahoriar@gmail.com

ABSTRACT

Background: Neurological recovery and functional outcome is the burning issue for the spinal cord injury patients where neurological recovery depends on the improvement of motor score and ASIA impairment scale.

Objective:  It was aimed to explore the neurological recovery and functional outcome of complete traumatic spinal cord injury patients in a rehabilitation center of Bangladesh. Materials and Methods: Data were collected retrospectively from the record of 437 SCI patients from June 2014 to June 2017.. We collect initial neurologic deficit, ASIA, SCIM and demographic data at admission and neurological deficit ASIA and SCIM after three months to compare of their neurological extent as well as functional outcome.

Results: Majority of the participants had traumatic paraplegia (63.6%) and the principle cause was fall from height (51.3%). 26 (5.9%) of the patients were shifted into B from AIS A, 38 (8.7%) were shifted into C, 28 (6.4%) were shifted into D. Among 437 participants three hundred and thirty-eight (77.3%) were wheelchair-dependent and forty-nine (11.2%) were walking at the time of discharge.

Conclusion: Though neurological and functional recovery is rare for the complete SCI, but the study has shown us a hopeful aspiration. Further research on a larger scale studies is necessary to generalize the result.

Key words: Neurological recovery, Functional outcome, Complete SCI, CRP, Bangladesh.

REFERENCES

  1. Quadir MM, Sen K, Sultana MR, Ahmed MS, Taoheed F, Andalib A, et al. Demography, Diagnosis and Complications of Spinal Cord Injury Patients in a Rehabilitation Center of Bangladesh. Int J Neurorehabilitation. 2017;4(1):e244
  2. Rahman A, Ahmed S, Sultana R, Taoheed F, Andalib A, Arafat SY. Epidemiology of Spinal Cord Injury in Bangladesh: A Five Year Observation from a Rehabilitation Center. J Spine. 2017;6(2):1000367.
  3. Andalib A, Arafat SMY. Does It Really Matters: Bull Attack as a Cause of Spinal Cord Injury in Bangladesh? South East Asia J Med Sci. 2017;1(1):3.
  4. Razzak A, Helal SU, Nuri R. Life Expectancy of Persons with Spinal Cord Injury (SCI) Treated in a Rehabilitation Centre at Dhaka, Bangladesh. 2011:22(1):114-123.
  5. Scivoletto G, Morganti B, Molinari M. Neurologic recovery of spinal cord injury patients in Italy. Archives of Physical Medicine and Rehabilitation. 2004;85(3):485-489.
  6. Rossignol S, Schwab M, Schwartz M, Fehlings M. Spinal Cord Injury: Time to Move?. Journal of Neuroscience. 2007;27(44):11782-11792.
  7. Scivoletto G, Tamburella F, Laurenza L, Torre M, Molinari M. Who is going to walk? A review of the factors influencing walking recovery after spinal cord injury. Frontiers in Human Neuroscience. 2014;8.
  8. Catz A, Thaleisnik M,  Fishel  B,  et    Recovery of neurologic function after spinal cord injury in Israel. Spine 2002;27:1733-5.
  9. Marino R, Burns S, Graves D, Leiby B, Kirshblum S, Lammertse D. Upper- and Lower-Extremity Motor Recovery After Traumatic Cervical Spinal Cord Injury: An Update From the National Spinal Cord Injury Database. Archives of Physical Medicine and Rehabilitation. 2011;92(3):369-375.
  10. Marino RJ, Ditunno JF Jr, Donovan WH, Maynard F Jr. Neurologic recovery after traumatic spinal cord injury: data from the Model Spinal Cord Injury Systems. Arch Phys Med Rehabil 1999;80:1391-6.
  11. Kirshblum S, Botticello A, Lammertse D, Marino R, Chiodo A, Jha A. The Impact of Sacral Sensory Sparing in Motor Complete Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation. 2011;92(3):376-383.
  12. Brown PJ, Marino RJ, Herbison GJ, Ditunno JFJ. The 72-hour examination as a predictor of recovery in motor complete quadriplegia. Arch Phys Med Rehabil 1991;72:546-8.
  13. Maynard FM Jr,  Bracken  MB,  Creasey  G,  et    International Standards for Neurological and Functional Classification of Spinal Cord Injury.  American Spinal  Injury  Association.  Spinal Cord 1997;35:266-74.
  14. Catz A, Itzkovich M, Agranov E, Ring H, Tamir A. SCIM – spinal cord independence measure: a new disability scale for patients with spinal cord lesions. Spinal Cord. 1997;35(12):850-856.
  15. Centre for Rehabilitation of the Paralyzed (2014) Annual Report: 2013-2014, CRP Printing Press: Bangladesh.
  16. Hoque MF, Grangeon C, Reed K (1999) Spinal cord lesions in Bangladesh: An epidemiological study 1994–1995. Spinal Cord 37: 858-861.
  17. Hoque M, Hasan Z, Razzak A, Helal SU. Cervical spinal cord injury due to fall while carrying heavy load on head: a problem in Bangladesh. Spinal Cord. 2011;50(4):275-277.
  18. Waters R, Adkins R, Yakura J, Sie I. Motor and sensory recovery following complete tetraplegia. Archives of Physical Medicine and Rehabilitation. 1993;74:242-7.
  19. Waters R, Adkins R, Yakura J, Sie I. Motor and sensory recovery following incomplete tetraplegia. Archives of Physical Medicine and Rehabilitation. 1994;75(3):306-311.
  20. Fawcett J, Curt A, Steeves J, Coleman W, Tuszynski M, Lammertse D et al. Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials. Spinal Cord. 2006;45(3):190-205.

Cite this article: Kamrunnaher, Sayeed Uddin Helal, Palash Chandra Saha, Farzana Taoheed, S.M. Yasir Arafat, Md. Akhlasur Rahman, Md. Shahoriar Ahmed. NEUROLOGICAL RECOVERY AND FUNCTIONAL OUTCOME OF COMPLETE TRAUMATIC SPINAL CORD INJURY PATIENTS: AN OBSERVATION FROM BANGLADESH. Int J Physiother Res 2018;6(2):2648-2653. DOI: 10.16965/ijpr.2018.106
Post Views: 0