Prosthetic restoration in patient with incomplete spinal cord injury

Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2015.31 · Published: January 7, 2016

Spinal Cord Injury Assistive Technology Rehabilitation

Simple Explanation

This case report describes the successful prosthetic rehabilitation of a 55-year-old man with both an incomplete spinal cord injury and a transtibial amputation. The patient, who was previously an active community ambulator, received a prosthesis and gait retraining to help him regain his mobility. The key to successful rehabilitation was identifying the patient's prognosticating factors for ambulation and prescribing the right prosthetic components.

Study Duration

Not specified

Participants

One 55-year-old male with T11 AIS C spinal cord injury and transtibial amputation

Evidence Level

Level 4, Case Report

Key Findings

1
A patient with both spinal cord injury and amputation can achieve successful prosthetic rehabilitation with appropriate assessment and prescription.
2
Positive prognostic factors for ambulation in SCI and amputees include younger age, adequate muscle strength, good stump length, and motivation.
3
Specific prosthetic components, such as energy-storing feet and silicone liners, can help address gait abnormalities and reduce energy consumption.

Research Summary

This case report highlights the successful prosthetic rehabilitation of a 55-year-old man with incomplete spinal cord injury (SCI) and a transtibial amputation. The patient, a former community ambulator, was fitted with a patella tendon bearing socket, pin and lock suspension, silicone liner, and energy storing foot. The study concludes that careful identification of prognostic factors and appropriate prosthetic prescription are crucial for successful rehabilitation in patients with dual disabilities.

Practical Implications

Individualized Prosthetic Prescription

Emphasizes the importance of tailoring prosthetic prescriptions to the specific needs and abilities of patients with dual disabilities.

Importance of Early Rehabilitation

Highlights the need for timely referral and intervention to optimize outcomes in patients with SCI and amputation.

Consideration of Prognostic Factors

Reinforces the significance of identifying and considering prognostic factors for ambulation when planning rehabilitation strategies.

Prosthetic restoration in patient with incomplete spinal cord injury

Simple Explanation

Key Findings

Research Summary

Practical Implications

Individualized Prosthetic Prescription

Importance of Early Rehabilitation

Consideration of Prognostic Factors

Study Limitations

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Prosthetic restoration in patient with incomplete spinal cord injury

Simple Explanation

Key Findings

Research Summary

Practical Implications

Individualized Prosthetic Prescription

Importance of Early Rehabilitation

Consideration of Prognostic Factors

Study Limitations

Your Feedback

Was this summary helpful?