Effect of Early Pre-Ambulatory Training on Functional Mobility Skill and Quality of Life In Low Paraplegia: A Research Protocol
Keywords:Spinal cord injury, paraplegia, pre-ambulatory training, quality of life, rehabilitation
Background: Paraplegia defined as near total dysfunction of the entire or part of the trunk and both lower
limbs, caused by lesions of the thoracic or lumbar spinal cord or cauda equina. 43% of SCI results in
paraplegia for thoracic, lumbar, or sacral lesion. The purpose of physical therapy management is to make
the patient relaxed and to achieve pre-ambulatory preparations, pre-ambulatory activities and ambulation
Methods/Design: The study will be designed as experimental study. Total 60 participants will be selected
as per inclusion and exclusion criteria from AVBRH, Sawangi Meghe for the study. The duration of study
will 6 months with intervention. Physiotherapy intervention includes respiratory care, skin protection,
range of motions and early reinforcement, early mobility activity, bed mobility skills, transfer activities
and wheelchair skills. ASIA Impairment Scale, Functional Independent Measure, Wheelchair Skill Test,
WHOQOL-BREF will be major outcome measure for the patient.
Discussion: The study protocol details, in people with SCI the intervention strategy selected is largely based
on the amount of preserved motor function. Independence in functional skills in patients with complete
motor SCI (ASIA A and B) is largely achieved through compensatory mechanisms and interventions are
developed accordingly. Expected outcome from the study will be the effects of early pre-ambulatory training
on functional mobility skills and quality of life in low paraplegia.
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