The Journal of Spinal Cord Medicine, 2013 · DOI: 10.1179/2045772312Y.0000000026 · Published: January 1, 2013
This study looks at how intense physical therapy affects recovery for people with spinal cord injuries. Rehabilitation programs traditionally strengthen innervated muscles above the injury. The study also compares patients who had a special surgery called olfactory mucosa autograft (OMA) with those who didn't, to see if the surgery helps with recovery when combined with physical therapy. The findings suggest that intense physical therapy can indeed help improve motor skills in people with SCI. However, the OMA surgery didn't seem to provide any extra benefit in terms of motor or sensory recovery compared to intense physical therapy alone.
Intense, activity-based PT can lead to motor recovery in individuals with SCI, suggesting it should be a key component of rehabilitation programs.
Interventions specifically targeting sensory recovery should be explored as intense PT alone was not effective in improving sensory scores.
Therapy should be tailored based on the type and severity of SCI, as individuals with incomplete injuries or paraplegia showed greater motor recovery.