Rehabilitation of Patients with Paraplegia from Spinal Cord Injury: A Review

Hasan, Suzon Al; Alam, Zahangir; Hakim, Maliha; Shakoor, Abdus; Salek, Akm; Khan, Moniruzzaman; Ahmed, Syed Mozaffar; Rashid, Abdur; Islam, M.M.; Uddin, Taslim; Rahman, Saidur; Rahman, Habibur; Khan, Aminuddin A

doi:10.3329/jcmcta.v20i1.4937

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“…[25][26][27] Dryden et al observed that 28.9% of the patients with SCI required treatment for depression, 28 which is quite high. Patients with complete lesions tend to be more depressed than those with incomplete lesions, 29 which is in accordance with our study. This may be due to the hope that the person with an incomplete lesion will walk again.…”

Section: Discussionsupporting

confidence: 92%

Long-Term Outcomes of Paraplegics in a Resource-Limited Society: Are We Doing Enough?

Tanki

Nayil

Khan

et al. 2015

IJNT

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Cases of paraplegia form a considerable proportion of patient population visiting neurosurgical and neurologic units. Paraplegia not only alters the physical condition of the patient but also his/her mental, psychological, and social well-being. We collected data of 30 patients with paraplegia admitted during a period of 4 years who were followed then for a minimum period of 1 year. Those patients were evaluated for their neurologic improvement and complications usually associated with paraplegia. We found that patients with preserved sensations have better outcome and should be aggressively treated by surgery; whereas in patients who have no motor and sensory function at the time of injury, the decision regarding surgery should be guarded. We also derived that most common complications on follow-up include pressure sores, bladder dysfunction, and deep venous thrombosis, and evaluating them for depression and anxiety is mostly overlooked. We stress that the need of the hour in a resource-limited society such as ours is an intensely committed psychological rehabilitation in this group of patients.

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Section: Discussionsupporting

confidence: 92%