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Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report

INTRODUCTION: Patients with spinal cord injury (SCI) and concomitant lower limb fractures are a challenge to rehabilitate. Conventionally, postural orientation is an important milestone in the rehabilitative process. We propose an alternative strategy in achieving goals in individuals with an SCI wi...

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Autores principales: Jagadevan, Mohanakrishnan, Mohanakrishnan, Bhanumathy, Murugesan, Salaja, Sharma, Deep, Agarwal, Navin Kumar, Fletcher, Jebaraj, Balasubramanian, Vengatesan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461996/
https://www.ncbi.nlm.nih.gov/pubmed/31240121
http://dx.doi.org/10.1038/s41394-019-0171-2
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author Jagadevan, Mohanakrishnan
Mohanakrishnan, Bhanumathy
Murugesan, Salaja
Sharma, Deep
Agarwal, Navin Kumar
Fletcher, Jebaraj
Balasubramanian, Vengatesan
author_facet Jagadevan, Mohanakrishnan
Mohanakrishnan, Bhanumathy
Murugesan, Salaja
Sharma, Deep
Agarwal, Navin Kumar
Fletcher, Jebaraj
Balasubramanian, Vengatesan
author_sort Jagadevan, Mohanakrishnan
collection PubMed
description INTRODUCTION: Patients with spinal cord injury (SCI) and concomitant lower limb fractures are a challenge to rehabilitate. Conventionally, postural orientation is an important milestone in the rehabilitative process. We propose an alternative strategy in achieving goals in individuals with an SCI with concomitant injuries that preclude weight bearing below the knee. CASE PRESENTATION: A 16-year-old girl sustained a burst fracture of L1 in conjunction with bilateral ankle fractures. During rehabilitation, the calcaneal fracture on the left and tibial plafond fracture on the right prevented her progression in conventional rehabilitation. An alternative strategy “K-ing” (Kneel Standing/Kneel Walking) was adopted to facilitate truncal activation without loading the ankle joints. This was found to be helpful in obtaining upright posture stability without hampering her recovery of associated ankle injuries. DISCUSSION: “K-ing” strategy can be useful and presents a simple alternative in the presence of associated ankle injuries. It also avoids complications associated with bedrest when there is delay in initiation of ambulation.
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spelling pubmed-64619962020-02-28 Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report Jagadevan, Mohanakrishnan Mohanakrishnan, Bhanumathy Murugesan, Salaja Sharma, Deep Agarwal, Navin Kumar Fletcher, Jebaraj Balasubramanian, Vengatesan Spinal Cord Ser Cases Case Report INTRODUCTION: Patients with spinal cord injury (SCI) and concomitant lower limb fractures are a challenge to rehabilitate. Conventionally, postural orientation is an important milestone in the rehabilitative process. We propose an alternative strategy in achieving goals in individuals with an SCI with concomitant injuries that preclude weight bearing below the knee. CASE PRESENTATION: A 16-year-old girl sustained a burst fracture of L1 in conjunction with bilateral ankle fractures. During rehabilitation, the calcaneal fracture on the left and tibial plafond fracture on the right prevented her progression in conventional rehabilitation. An alternative strategy “K-ing” (Kneel Standing/Kneel Walking) was adopted to facilitate truncal activation without loading the ankle joints. This was found to be helpful in obtaining upright posture stability without hampering her recovery of associated ankle injuries. DISCUSSION: “K-ing” strategy can be useful and presents a simple alternative in the presence of associated ankle injuries. It also avoids complications associated with bedrest when there is delay in initiation of ambulation. Nature Publishing Group UK 2019-02-28 /pmc/articles/PMC6461996/ /pubmed/31240121 http://dx.doi.org/10.1038/s41394-019-0171-2 Text en © International Spinal Cord Society 2019
spellingShingle Case Report
Jagadevan, Mohanakrishnan
Mohanakrishnan, Bhanumathy
Murugesan, Salaja
Sharma, Deep
Agarwal, Navin Kumar
Fletcher, Jebaraj
Balasubramanian, Vengatesan
Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title_full Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title_fullStr Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title_full_unstemmed Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title_short Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
title_sort progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461996/
https://www.ncbi.nlm.nih.gov/pubmed/31240121
http://dx.doi.org/10.1038/s41394-019-0171-2
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