Prosthetic restoration in patient with incomplete spinal cord injury
Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2015.31 · Published: January 7, 2016
Simple Explanation
This case report describes the successful prosthetic rehabilitation of a 55-year-old man with both an incomplete spinal cord injury and a transtibial amputation. The patient, who was previously an active community ambulator, received a prosthesis and gait retraining to help him regain his mobility. The key to successful rehabilitation was identifying the patient's prognosticating factors for ambulation and prescribing the right prosthetic components.
Key Findings
- 1A patient with both spinal cord injury and amputation can achieve successful prosthetic rehabilitation with appropriate assessment and prescription.
- 2Positive prognostic factors for ambulation in SCI and amputees include younger age, adequate muscle strength, good stump length, and motivation.
- 3Specific prosthetic components, such as energy-storing feet and silicone liners, can help address gait abnormalities and reduce energy consumption.
Research Summary
Practical Implications
Individualized Prosthetic Prescription
Emphasizes the importance of tailoring prosthetic prescriptions to the specific needs and abilities of patients with dual disabilities.
Importance of Early Rehabilitation
Highlights the need for timely referral and intervention to optimize outcomes in patients with SCI and amputation.
Consideration of Prognostic Factors
Reinforces the significance of identifying and considering prognostic factors for ambulation when planning rehabilitation strategies.
Study Limitations
- 1Single case report limits generalizability.
- 2Lack of pre-amputation ISNCSCI documentation.
- 3The study does not provide long-term follow-up data.