Journal of Addiction Research & Therapy
Open Access

Road traffic accidents are increasing day by day which will result in Spinal cord Injury to the victims. In Spinal cord Injury nervous system is affected which is not re-gene ratable so whatever damage occur its permanent for rest of life. Thoracic spinal cord injury patient have spared Upper extremities & some trunk muscle with use of those & some assistive devices patient can achieve the independence in his life. Ability can overcome the disability[1].

Inclusive criteria

• Age: 18- 45 Yrs

• Traumatic Vertebral Fracture D10-11-12

• Patients having Spinal Cord Injury ASIA-A

Exclusive criteria

• Age : <18 & >45 Yrs

• Non Traumatic Spinal Cord Injury

• Any Degenerative or Infective cause of Spinal Cord Injury

• ASIA- B, C , D, E

• Traumatic Spinal Cord Injury with Amputation is excluded

Cohert Study

• 31patients having complete spinal cord injury at D10-D11-D12, admitted bat jaya rehab have been selected as a sample.

• All 31 patients have been assessed with,Spinal Cord Injury Measures(SCIM) and Walking Index Spinal Cord Injury (WISCI II).

• All 31 patients underwent for rehabilitation training in the form of Upper Extremity Strengthening exercises, Lower Extremity Stretching as well as Selective Strengthening, Core activations, Core strengthening, Trunk facilitations, Trunk Balancing, Pre- Functional Training, Functional training, Pre Gait Training, Gait Training, Bilateral KAFO with locked knee joint which have been progressed to Bilateral KAFO with free knee joint or high level AFO, Activities of Daily Living Training, Transfer Training ,Vocational Training, Public Utility Services Training, Psychological Counselling and Motivation, Sports and Recreation.

• All 31 patients have been reassessed after 3 months with Spinal Cord Injury Measures (SCIM) and Walking Index Spinal Cord Injury ( WISCI II).

• Statistical Analysis of Data – the pre and post Spinal Cord Injury Measures (SCIM) and Walking Index Spinal Cord Injury (WISCI II), differences have been analyzed with Paired T test[2,3].

• 31 patients having complete spinal cord injury at D10-D11-D12 have shown significant improvement in, Spinal Cord Injury Measures (SCIM) and Walking Index Spinal Cord Injury (WISCI II) after Institutional Rehabilitation[4].

• Statistical analysis of pre and post, Spinal Cord Injury Measures (SCIM) and Walking Index Spinal Cord Injury (WISCI II) has shown p value < 0.05 (Figure 1).

Figure 1: Spinal cord Independence Measure of Spinal cord Injury patient.

Compensatory Rehabilitation to the Complete Thoracic Spinal cord Injury patient in the form of Use of spared muscle groups & other assistive devices can give the more independence to the patients in their Activities of Daily Living as well other areas of life (Table 1 and Figure 2).

Table 1: SCIM & WISCI of patients.

Figure 2: Walking Index of Spinal Cord Injury patient.

Compensatory Rehabilitation is the main tool for the Complete Thoracic Spinal cord Injury patient to gain the independence in their life again[5].

1. Catz A, Itzkovich M, Agranov E, Ring H, Tamir A (1997) SCIM--spinal cord independence measure: a new disability scale for patients with spinal cord lesions. Spinal Cord 35(12): 850-856.

Indexed at, Google Scholar, Crossref

2. Catz A, Itzkovich M, Agranov E, Ring H, Tamir A (2001) Spinal cord Independence Measure (SCIM): sensitivity to functional changes in subgroups of spinal cord lesion patients. Spinal cord 39(2): 97-100.

Indexed at, Google Scholar, Crossref

3. Dittuno PL, Dittuno JFJr (2001) The walking index for spinal cord injury (WISCI II) version II scale revision. Spinal Cord 39:654-656.

Indexed at, Google Scholar, Crossref

4. Yarkony GM, Roth EJ, Heinemann AW, Wu YC, Katz RT, et al. (1987) Benefits of Rehabilitation for Traumatic Spinal Cord Injury: Multivariate Analysis in 711 Patients.  Arch Neurol 44(1): 93-96.

Indexed at, Google Scholar, Crossref

5. Heinemann AW, Yarkony GM, Roth EJ, Lovell L, Hamilton B, et al. (1989) Functional Outcome Following Spinal Cord Injury: A Comparison of Specialized Spinal Cord Injury Center vs General Hospital Short-term Care.  Arch Neurol 46(10): 1098-1102.

Indexed at, Google Scholar, Crossref