Abstract
OBJECTIVE: To determine the outcomes of gross mobility after physical
therapy interventions undertaken at the Paraplegic Center Peshawar, Khyber
Pakhtunkhwa, Pakistan for functional recovery of patients with spinal cord
injuries (SCI).
METHODS: This sequential intervention trial was conducted from June 2016
to July 2017, at Paraplegic Center Peshawar, Khyber Pakhtunkhwa, Pakistan.
Using consecutive sampling technique, a total of 76 persons with paraplegia
were included. Persons with tetraplegia were excluded. Motor relearning
program (MRP) was applied three hours per day in a standardized intervention,
3 days per week. The post intervention evaluation was done by using spinal cord
independence measure (SCIM) scale. Data was analyzed in SPSS version 20.0,
where the mean score of post intervention (for each six visits) was compared to
see the improvement. ANOVA was used and a p value of <0.05 was considered
signicant.
RESULTS: Out of 76 patients with spinal cord injuries, 19 (25%) were females
and 57 (75%) were males. There was a gradual increase in the improvement of
gross mobility of persons with SCI as a result of physical therapy interventions
based on MRP. Mean scores for mobility in bed and action to prevent pressure
sores, bed-wheelchair transfers: wheelchair-toilet-tub, indoors and outdoors
mobility, mobility for moderate distances (10-100 meters), outdoors mobility
(>100 meters), wheelchair-car transfer & ground-wheelchair transfers showed
signicant improvement (p<0.01) during six visits. However, no signicant
improvement was observed in stair management (p=0.13).
CONCLUSION: Physical therapy based on a MRP is an effective tool for
improvement of gross mobility in persons with SCI.
Amir Zeb, Aatik Arsh, Sher Bahadur, Inayat Shah, Syed Muhammad Ilyas. (2019) FUNCTIONAL RECOVERY IN PATIENTS WITH POST-TRAUMATIC SPINAL CORD INJURIES: AN OUTCOME OF GROSS MOBILITY AT PARAPLEGIC CENTER PESHAWAR, PAKISTAN, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 11, Issue 1.
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