Spinal cord injury T8 spastic paraplegic walking skills

Diagnosis: T6 SPASTIC PARAPLEGIA (ASIA-A) ZONE OF PARTIAL PRESERVATION: T7-8.

History: He had fall from height on 29.08.2019 got fracture D8 with paraplegia, underwent pedicle screw fixation D6/7 & D9/10 and D7/8 laminectomy, decompression on 31.10.2019 at medical college hospital. Got sacral pressure sore. Learnt Basic bed exercises and Wheelchair transfers need 1 person support, walks in parallel bar using knee orthosis and AFO on both legs. He is on indwelling catheter. Admitted here for rehabilitation.
Treatment and Prognosis:
Consulted plastic surgeon for non healing sacral sore advised surgical closure, they are willing to continue conservative management. Right great toe nail removed on 20.01.2021, left malleolar sore got healed.
Walking with walker and KAFO needs contact assistance 100m/hour. Upper limb with 5 kg dumbbells, trunk strengthening, lower limb passive and sitting exercises. Home program advised.
He is on antispastic medications reflex spasms decreased. Consider advance spasticity intervention in future and to try self intermittent catheterisation later.
more videos:
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spinal cord injury paraplegic KAFO measurement
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Видео Spinal cord injury T8 spastic paraplegic walking skills канала Health is Wealth