Background: Physiotherapists often deal with spinal pathology in their caseloads, so they should have a thorough understanding of Cauda Equina Syndrome (CES). While CES treatment with physical therapy and rehabilitation is a rare presentation, A careful review only revealed four case reports. This case presented an unusual traumatic CES treatment with physical therapy and rehabilitation with a good functional outcome. Case presentation: Here is a case of a 56 years old Chinese male who visited the hospital with the lumbar spine showed that the L1 vertebral body was compressed fracture and the corresponding plane spinal cord was compressed following a fall injury. A description is provided of his subjective and physical examinations as well as the results of his lumbar magnetic resonance imaging (MRI). The patient was diagnosed with cauda equina syndrome. He was further referred to the physiotherapy department for management of the same. The patient was treated with surgical laminectomy and decompression at L1-L2. Anticoagulation, anti-infection, and pain relief therapies were part of the intervention. A comprehensive rehabilitation program included paraplegia physical therapy, intelligent lower limb training, acupuncture and massage, and hyperbaric oxygen therapy. Conclusion: The comprehensive physical rehabilitation program and medical treatment work best to heal the lesion and its resulting function in traumatic CES.
Background Spinal cord injury (SCI) SCI is a severe affliction that can have a profound impact on a person's ability to move and feel, affecting a significant number of individuals. However, Rehabilitation after SCI treatment remains a critical method to improve motor-sensory functions, which improves the patient's quality of life. Objective This study aims to describe the epidemiological profile of SCI in a period of pandemic COVID-19 and without COVID-19 in China, Hubei province, Wuhan city. Design A retrospective hospital-based study. Setting Rehabilitation department of Wuhan’s Tongji Hospital. Participants People who had been diagnosed with a SCI and admitted to the Rehabilitation department of Wuhan Tongji Hospital between January 2019 and May 2023 were examined retrospectively. Interventions Not applicable. Outcome measures: Epidemiological features such as gender, age, marital status, Mechanism of spinal cord injury, work, neurological level of injury, and the American Spinal Injury Association Impairment Scale on admission, hospitalization, and COVID-19, non-COVID-19 SCI patientswere collected. Results The medical histories of 93 patients who were diagnosed with SCI. Forty patients with SCI from the non-COVID-19 period while 53 patients from the COVID-19 period with a mean age of 38.80±17.71 and 44.53±13.27 years, respectively, were identified. In both SCI periods male/female ratio was 2:1. The most mechanism of injury (MOI) was fall (50%) in non-COVID-19, and 37.74% in the COVID-19 period. The most common initial ASIA grade was B in non-COVID-19 and grade C in COVID-19. As well as final ASIA after treatment was grade C in non-COVID-19 and grade D in COVID-19. conclusion SCI is more prevalent in males, and the leading causes of this condition are falls and road traffic accidents. This research suggests that workers are the group most susceptible to SCI, and preventive measures should be tailored to the specific characteristics of SCI patients and this study emphasizes the significance of SCI rehabilitation.
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