EARLY MEDICAL REHABILITATION OF THE PATIENTS WITH SPINAL CORD INJURY

  • Aleš Demšar Služba za medicinsko rehabiliatacijo Splošna bolnišnica Celje Oblakova ulica 5 3000 Celje
  • Lidija Plaskan Služba za medicinsko rehabiliatacijo Splošna bolnišnica Celje Oblakova ulica 5 3000 Celje
Keywords: spinal cord injury, complications, early medical rehabilitation, early verticalisation

Abstract

Background. Early medical rehabilitation (EMR) of the patients with spinal cord injury is discussed in this article.

For successful rehabilitation adequate surgical treatment, which enables early verticalisation, is compulsory.

Predictable respiratory, vascular, intestinal and urologic complications, contractures and bed sores are described and algorhytms of EMR in the period of spinal shock and after, until transferring the patient to the IRSR, are presented.

Respiratory therapy, thromboprophylaxis, kinesiotherapy and functional electrical stimulation as well as the methods of early bladder and bowel control, contractures and bed sores prevention, as procedures of EMR are fully presented.

With special importance early verticalisation from the 5th post operative day with help of the tilt table is presented as the key point of EMR.

Conclusions. With aggressive EMR the paraplegic patient is able to gain erect posture from the 5th post operative day, sits in a wheel chair from 10th to 14th day and stands in the paralel bar from 15th day on.

Downloads

Download data is not yet available.

References

Turk R. Rehabilitacija paraplegikov. Zbornik predavanj XVII. podiplomskega tečaja iz kirurgije za zdravnike splošne prakse. Ljubljana: Katedra za kirurgijo MF, 1981: 157–61.

Turk R. Spinalna enota – organizacijski in interdisciplinarni problemi. Zbornik radova 5. kongresa lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije. Bled: Udruženje lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije, 1987: 6–8.

Young JA, Croocker D. Principle and practice of respiratory therapy. 2nd ed. Chicago: Year Book Medical, 1976: 343–450.

Hillegass EA, Sadowsky HS. Essentials of cardiopulmonary physical therapy. Philadelphia: Saunders: 1994: 677–97.

Yarkony GM, Chen D. Rehabilitation of patients with spinal cord injuries. In: Braddom RL et al eds. Physical medicine and rehabilitation. Philadelphia: Saunders Co., 1996: 1149–80.

Burke CD, Murray DD. Handbook of spinal cord medicine. London: Macmillan Press Ltd., 1975: 36–69.

Homan G. Urološke komplikacije pri paraplegikih in zdravljenje. Zbornik predavanj XVII. podiplomskega tečaja iz kirurgije za zdravnike splošne prakse. Ljubljana: Katedra za kirurgijo MF, 1981: 170–7.

Lehmann JF, Lateur de BJ. Cold therapy. In: Kottke FJ, Stillwell GK, Lehmann JF eds. Krusen’s handbook of physical medicine and rehabilitation. Philadelphia: Saunders, 1982: 328–42.

Košorok V, Benko H, Vodovnik L. Zdravljenje preležanin s pomočjo električne stimulacije. Zbornik radova 5. kongresa lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije. Bled: : Udruženje lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije, 1987: 35–8.

Brčić A. Kirurško zdravljenje dekubitalnih ulkusov pri paraplegikih. Zbornik predavanj XVII. podiplomskega tečaja iz kirurgije za zdravnike splošne prakse. Ljubljana: Katedra za kirurgijo MF, 1981: 162–9.

Turk R, Valentinčič V, Primožič A, Benko H. Metoda funkcionalne električne stimulacije kot dopolnilo v rehabilitaciji paraplegičnih bolnikov. Zbornik Iliđa: 1979: 608–13.

Turk R, Kralj A, Benko H. Funkcionalna električna stimulacija v rehabilitaciji spinalno poškodovanih bolnikov. Zbornik radova 5. kongresa lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije. Bled: : Udruženje lekara za fizikalnu medicinu i rehabilitaciju Jugoslavije, 1987: 33–5. 1

Demšar A. Rehabilitacijska nega akutnega spinalnega bolnika. In: Poškodbe glave in vratu. Zbornik referatov. Ljubljana: SAZU, 1990: 433–8.

How to Cite
1.
Demšar A, Plaskan L. EARLY MEDICAL REHABILITATION OF THE PATIENTS WITH SPINAL CORD INJURY. ZdravVestn [Internet]. 1 [cited 22Sep.2019];72. Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1947
Section
Professional Article