Traksiyona Bağlı Paraplejide Rehabilitasyon Programının Etkinliği: Olgu Sunumu


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Ergün B., Kizilay E., Turan G. G.

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, cilt.14, sa.4, ss.1670-1677, 2025 (TRDizin)

Özet

Spinal cord injuries reduce the quality of life of individuals by negatively affecting motor, sensory and daily living functions. In this study, we evaluated the case of a 41-year-old male police officer who developed paraplegia at the L3-L4-L5 level after trauma and was included in a 8-week physiotherapy and rehabilitation program for 45 minutes per session, five days a week. Before the rehabilitation program, muscle strength was assessed by manual muscle testing, spasticity by Modified Ashworth Scale, motor and sensory capacities by ASIA, ability to complete activities of daily living by Barthel Index and quality of life by SF-36 Quality of Life Scale. The rehabilitation program consisted of range of motion exercises, neuromuscular electrical stimulation, sitting and balance training, tilt table, parallel bar exercises and robotic rehabilitation. After 8 weeks, improvements in muscle strength, ASIA motor and sensory scores, Barthel Index and quality of life parameters were observed. These findings suggest that early physiotherapy interventions may increase functional gains and improve quality of life in paraplegic patients without spinal cord injury.