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Yıl 2020, Cilt: 2 Sayı: 3, 104 - 107, 26.10.2020
https://doi.org/10.37990/medr.776687

Öz

Kaynakça

  • Referans1 Novy J, Carruzzo A, Maeder P, Bogousslavsky J. Spinal Cord Ischemia: Clinical and Imaging Patterns, Pathogenesis, and Outcomes in 27 Patients. Archives of Neurology 2006;63(8):1113-20.
  • Referans2 Busl KM, Greer DM. Hypoxic-ischemic brain injury: Pathophysiology, Neuropathology and Mechanisms. Neuro Rehabilitation 2010;26(1):5-13.
  • Referans3 Hadley MN, Walters BC, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, et al. Clinical assessment following acute cervical spinal cord injury. Neurosurgery 2013;72(2):40-53.
  • Referans4 Kucukdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil 2001;15:311-9.
  • Referans5 Quinn TJ, Langhorne P, Stott DJ. Barthel Index for Stroke Trials: Development, Properties, and Application. Stroke 2011;42(4):1146-51.
  • Referans6 Fess EE. Grip Strength, 2nd edition. Chicago: American Society of Hand Therapists, 1992.
  • Referans7 Biodex Operations/Applications Manual, Biodex Corporation, Shirley, NY, 1987.
  • Referans8 Kerkez FI, Kızılay F, Arslan C. Relationship Between Body Mass Index and Postural Dynamic Balance Among 35-45 Aged Women. Sport Sciences 2013;8:57-64.
  • Referans9 Iosa M, Morone G, Fusco A, et al. Effects of walking endurance reduction on walking stability in patients with stroke. Stroke Res Treat 2012;10:1155-2012.
  • Referans10 Silver JR, Buxton PH. Spinal stroke. Brain 1971;97:539-50.
  • Referans11 Duggal N, Lach B, et al. Selective Vulnerability of the Lumbosacral Spinal Cord After Cardiac Arrest and Hypotension. Stroke 2002;33:116-21.
  • Referans12 Heinz UE, Rollnik JD. Outcome and prognosis of hypoxic brain damage patients undergoing neurological early rehabilitation. BMC Research Notes 2015;8(1):243.
  • Referans13 Stone GW, Ohman EM, Miller MF, et al. Contemporary Utilization and Outcomes of Intra- aortic Balloon Counterpulsation in Acute Myocardial Infarction. The Benchmark Registry. J Am Cardiol 2003;4:1940-5.
  • Referans14 Shea JR, Shay BL, Leiter J, Cowley KC. Energy expenditure as a function of activity level after spinal cord injury: the need for tetraplegia-specific energy balance guidelines. Frontiers in Physiology 2018;9:1286.
  • Referans15 Kennedy P, Lude P, Elfström ML, Smithson EF. Psychological contributions to functional independence: a longitudinal investigation of spinal cord injury rehabilitation. Archives of Physical Medicine and Rehabilitation 2011;92(4):597-602.
  • Referans16 Tysseling VM, Sahni V, Pashuck ET, Birch D, Hebert A, Czeisler C, Kessler JA. Self‐assembling Peptide Amphiphile Promotes Plasticity of Serotonergic Fibers Following Spinal Cord Injury. Journal of Neuroscience Research 2010;88(14):3161-70.
  • Referans17 Ditunno JF, Ditunno PL, Graziani V, Scivoletto G, Bernardi M, Castellano V, Ko HY. Walking Index for Spinal Cord Injury (WISCI): An International Multicenter Validity and Reliability Study. Spinal Cord 2000;38(4):234.

Efficacy of early rehabilitation in a patient with spinal cord ischemia and hypoxic-ischemic encephalopathy: a case report

Yıl 2020, Cilt: 2 Sayı: 3, 104 - 107, 26.10.2020
https://doi.org/10.37990/medr.776687

Öz

26 yaşında erkek hasta hipoksik-iskemik ensefalopati ve omurilik iskemisine bağlı tetrapleji tanısı ile Fizik Tedavi ve Rehabilitasyon (PMR) kliniğine başvurdu. Her iki durumun bir arada bulunması nadir bir durumdur. Bu çalışma rehabilitasyon uygulana hastada erken tedavinin hastanın ağır durumuna nasıl yarar sağlayacağını incelemeyi amaçlamaktadır. Motor ve fonksiyonel değerlendirmeler 8 haftalık rehabilitasyon programından önce ve sonra yapıldı. Alt ekstremite kas kuvveti ve denge durumunu değerlendirmek için biodex izokinetik kuvvet ve denge testleri kullanıldı. Ayrıca, 6 dakikalık yürüme testi yapılmış ve kavrama gücü ölçülmüştür. Üst ekstremite fonksiyonlarını değerlendirmek için Kol, Omuz ve Ellerde Engellilik İndeksi (DASH), bağımsızlık seviyesini belirlemek için Fonksiyonel Bağımsız Önlemler (FIM) Anketi kullanılmıştır. Erken rehabilitasyon programının bir sonucu olarak, hastanın motor ve fonksiyonel durumu önemli ölçüde iyileşti.
Abstract
A 26-year-old male patient was admitted to Physical Medicine and Rehabilitation (PMR) inpatient clinic with a diagnosis of tetraplegia due to hypoxic-ischemic encephalopathy and spinal cord ischemia. The coexistence of both conditions is a rare condition. This study aims to examine how early treatment in terms of rehabilitation would benefit the patient's severe condition. Motor and functional evaluations were performed before and after the 8-weeks rehabilitation program. Biodex isokinetic strength and balance tests were used to evaluate lower extremity muscle strength and balance status. Also, the 6-minute walking test was performed, and the pinch and handgrip strength were measured. Disability of the Arm, Shoulder, and Hands Index (DASH) was used to evaluate the upper extremity functions, and the Functional Independent Measures (FIM) Questionnaire was used to determine the independence level. As a result of an early rehabilitation program, motor and functional status of the patient improved significantly.

Kaynakça

  • Referans1 Novy J, Carruzzo A, Maeder P, Bogousslavsky J. Spinal Cord Ischemia: Clinical and Imaging Patterns, Pathogenesis, and Outcomes in 27 Patients. Archives of Neurology 2006;63(8):1113-20.
  • Referans2 Busl KM, Greer DM. Hypoxic-ischemic brain injury: Pathophysiology, Neuropathology and Mechanisms. Neuro Rehabilitation 2010;26(1):5-13.
  • Referans3 Hadley MN, Walters BC, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, et al. Clinical assessment following acute cervical spinal cord injury. Neurosurgery 2013;72(2):40-53.
  • Referans4 Kucukdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil 2001;15:311-9.
  • Referans5 Quinn TJ, Langhorne P, Stott DJ. Barthel Index for Stroke Trials: Development, Properties, and Application. Stroke 2011;42(4):1146-51.
  • Referans6 Fess EE. Grip Strength, 2nd edition. Chicago: American Society of Hand Therapists, 1992.
  • Referans7 Biodex Operations/Applications Manual, Biodex Corporation, Shirley, NY, 1987.
  • Referans8 Kerkez FI, Kızılay F, Arslan C. Relationship Between Body Mass Index and Postural Dynamic Balance Among 35-45 Aged Women. Sport Sciences 2013;8:57-64.
  • Referans9 Iosa M, Morone G, Fusco A, et al. Effects of walking endurance reduction on walking stability in patients with stroke. Stroke Res Treat 2012;10:1155-2012.
  • Referans10 Silver JR, Buxton PH. Spinal stroke. Brain 1971;97:539-50.
  • Referans11 Duggal N, Lach B, et al. Selective Vulnerability of the Lumbosacral Spinal Cord After Cardiac Arrest and Hypotension. Stroke 2002;33:116-21.
  • Referans12 Heinz UE, Rollnik JD. Outcome and prognosis of hypoxic brain damage patients undergoing neurological early rehabilitation. BMC Research Notes 2015;8(1):243.
  • Referans13 Stone GW, Ohman EM, Miller MF, et al. Contemporary Utilization and Outcomes of Intra- aortic Balloon Counterpulsation in Acute Myocardial Infarction. The Benchmark Registry. J Am Cardiol 2003;4:1940-5.
  • Referans14 Shea JR, Shay BL, Leiter J, Cowley KC. Energy expenditure as a function of activity level after spinal cord injury: the need for tetraplegia-specific energy balance guidelines. Frontiers in Physiology 2018;9:1286.
  • Referans15 Kennedy P, Lude P, Elfström ML, Smithson EF. Psychological contributions to functional independence: a longitudinal investigation of spinal cord injury rehabilitation. Archives of Physical Medicine and Rehabilitation 2011;92(4):597-602.
  • Referans16 Tysseling VM, Sahni V, Pashuck ET, Birch D, Hebert A, Czeisler C, Kessler JA. Self‐assembling Peptide Amphiphile Promotes Plasticity of Serotonergic Fibers Following Spinal Cord Injury. Journal of Neuroscience Research 2010;88(14):3161-70.
  • Referans17 Ditunno JF, Ditunno PL, Graziani V, Scivoletto G, Bernardi M, Castellano V, Ko HY. Walking Index for Spinal Cord Injury (WISCI): An International Multicenter Validity and Reliability Study. Spinal Cord 2000;38(4):234.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Vaka Takdimi
Yazarlar

Rukiye Çiftçi 0000-0002-5894-5256

Fatma Kızılay 0000-0001-7216-7959

Davut Özbağ 0000-0001-7721-9471

Yüksel Ersoy 0000-0002-8035-4532

Yayımlanma Tarihi 26 Ekim 2020
Kabul Tarihi 16 Eylül 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 2 Sayı: 3

Kaynak Göster

AMA Çiftçi R, Kızılay F, Özbağ D, Ersoy Y. Efficacy of early rehabilitation in a patient with spinal cord ischemia and hypoxic-ischemic encephalopathy: a case report. Med Records. Ekim 2020;2(3):104-107. doi:10.37990/medr.776687

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

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