Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2013
  • Volume: 7
  • Issue: 1

A Report of Body weight Supported Overground Training in Acute Traumatic Central Cord Syndrome

  • Author:
  • Asir John Samuel1,, John Solomon2, Senthilkumaran3, Nicole D'souza4
  • Total Page Count: 3
  • Page Number: 96 to 98

1Lecturer, Alva's College of Physiotherapy, Moodabidri, India

2Associate Professor, Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India

3Associate Professor, Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal, India

4Neurophysiotherapist, Parkinson's Disease & Movement Disorder Society, Mumbai, India

*Corresponding author: D.A. Asir John Samuel, Lecturer, Alva's college of Physiotherapy, Moodabidri - 574 227, South Canara District, Karnataka, India. Contact No. +91 9481939806. Email: asirjohnsamuel@gmail.com

Online published on 13 February, 2013.

Abstract

A case report of a patient with Traumatic Central Cord Syndrome (TCCS)

To analyse the benefits of BWSOT in early ambulation and gait performance.

Tertiary care, University teaching hospital.

A 25-year old man with TCCS at the C4 level, grade B on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) participated in BWSOT. Following the immobilization phase, he underwent two BWSOT sessions per day (20 minutes each), six days a week, for three weeks. AIS motor score, 10-m walk test, Walking Index for Spinal cord Injury-version II (WISCI-II), Spinal cord Independence Measure-version III (SCIM-III) and Functional Independence Measure (FIM) were recorded at the time of initiating of BWSOT and at the end of three weeks. He received regular physiotherapy and occupational therapy during the entire hospital stay.

Three weeks of BWSOT resulted in an increase in all the outcome measures. At the time of initiating BWSOT, AIS motor score, 10-m walk test, WISCI-II, SCIM-III and FIM were 45/100, 3 min 14 sec, 3/20, 30/100 and 60/126 and by the end of three weeks, they were 68/100, 1 min 41 sec, 17/20, 50/100 and 72/126 respectively.

BWSOT may allow therapists to initiate gait training programs at an earlier stage among those with stable TCCS with promising outcomes.

Keywords

Spinal Cord Injury, Central Cord Syndrome, Overground Training, Gait Training, Rehabilitation, Locomotor Training