Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Report of Body weight Supported Overground Training in Acute Traumatic Central Cord Syndrome


Affiliations
1 Alva's College of Physiotherapy, Moodabidri, India
2 Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India
3 Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India
4 Parkinson's Disease & Movement Disorder Society, Mumbai, India
     

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Study design: A case report of a patient with Traumatic Central Cord Syndrome (TCCS)

Objective: To analyse the benefits of BWSOT in early ambulation and gait performance.

Setting: Tertiary care, University teaching hospital.

Methods: A 25-year old man with TCCS at the C4 level, grade B on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) participated in BWSOT. Following the immobilization phase, he underwent two BWSOT sessions per day (20 minutes each), six days a week, for three weeks. AIS motor score, 10-m walk test, Walking Index for Spinal cord Injury-version II (WISCI-II), Spinal cord Independence Measure-version III (SCIM-III) and Functional Independence Measure (FIM) were recorded at the time of initiating of BWSOT and at the end of three weeks. He received regular physiotherapy and occupational therapy during the entire hospital stay.

Results: Three weeks of BWSOT resulted in an increase in all the outcome measures. At the time of initiating BWSOT, AIS motor score, 10-m walk test, WISCI-II, SCIM-III and FIM were 45/100, 3 min 14 sec, 3/20, 30/100 and 60/126 and by the end of three weeks, they were 68/100, 1 min 41 sec, 17/20, 50/100 and 72/126 respectively.

Conclusion: BWSOT may allow therapists to initiate gait training programs at an earlier stage among those with stable TCCS with promising outcomes.


Keywords

Spinal Cord Injury, Central Cord Syndrome, Overground Training, Gait Training, Rehabilitation, Locomotor Training
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  • McKinley W, Santos K, Meade M, Brooke K: Incidence and outcomes of spinal cord injury clinical syndromes. J Spinal Cord Med 2007, 30: 215-224.

  • Uribe J, Green B, Vanni S, Moza K, Guest J, Levi A. Acute traumatic central cord syndromeexperience using surgical decompression with open-door expansile cervical laminoplasty. Surg Neurol. 2005; 63:505–510.

  • Sekhon HS, Fehlings M G. Epidemiology, Demographics, and Pathophysiology of Acute Spinal Cord Injury. Spine 2001; 26: S2-S12.


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  • A Report of Body weight Supported Overground Training in Acute Traumatic Central Cord Syndrome

Abstract Views: 561  |  PDF Views: 0

Authors

Asir John Samuel
Alva's College of Physiotherapy, Moodabidri, India
John Solomon
Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India
P. Senthilkumaran
Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India
Nicole D'souza
Parkinson's Disease & Movement Disorder Society, Mumbai, India

Abstract


Study design: A case report of a patient with Traumatic Central Cord Syndrome (TCCS)

Objective: To analyse the benefits of BWSOT in early ambulation and gait performance.

Setting: Tertiary care, University teaching hospital.

Methods: A 25-year old man with TCCS at the C4 level, grade B on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) participated in BWSOT. Following the immobilization phase, he underwent two BWSOT sessions per day (20 minutes each), six days a week, for three weeks. AIS motor score, 10-m walk test, Walking Index for Spinal cord Injury-version II (WISCI-II), Spinal cord Independence Measure-version III (SCIM-III) and Functional Independence Measure (FIM) were recorded at the time of initiating of BWSOT and at the end of three weeks. He received regular physiotherapy and occupational therapy during the entire hospital stay.

Results: Three weeks of BWSOT resulted in an increase in all the outcome measures. At the time of initiating BWSOT, AIS motor score, 10-m walk test, WISCI-II, SCIM-III and FIM were 45/100, 3 min 14 sec, 3/20, 30/100 and 60/126 and by the end of three weeks, they were 68/100, 1 min 41 sec, 17/20, 50/100 and 72/126 respectively.

Conclusion: BWSOT may allow therapists to initiate gait training programs at an earlier stage among those with stable TCCS with promising outcomes.


Keywords


Spinal Cord Injury, Central Cord Syndrome, Overground Training, Gait Training, Rehabilitation, Locomotor Training

References