Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 24 , ISSUE 2 ( June, 2013 ) > List of Articles

RESEARCH ARTICLE

Profile of Traumatic Spinal Cord Injury Patients Admitted in Physical Medicine and Rehabilitation Department of a Tertiary Care Hospital: A North East India Experience

A R Chanu, C Zonunsanga, Hmingthanmawii, M Pertin

Citation Information : Chanu AR, Zonunsanga C, H, Pertin M. Profile of Traumatic Spinal Cord Injury Patients Admitted in Physical Medicine and Rehabilitation Department of a Tertiary Care Hospital: A North East India Experience. Indian J Phy Med Rehab 2013; 24 (2):40-43.

DOI: 10.5005/ijopmr-24-2-40

Published Online: 00-06-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Study Design

Retrospective Descriptive Study.

Setting

Physical Medicine and Rehabilitation (PMR) Department, Regional Institute of Medical Sciences (RIMS), Imphal, a tertiary care teaching hospital in North East India

Study Duration

1st November 2011 to 31st October 2012.

Study Duration

1st November 2011 to 31st October 2012.

Objective

To study the profile of traumatic spinal cord injury (SCI) patients admitted in PMR Department, RIMS.

Materials and Methods

Neurological profile of traumatic SCI patients admitted in PMR Department, RIMS was recorded using a structured proforma and analysed. Demographic profile of the patients, time since injury, functional status and complications were also recorded.

Results

Among all 22 patients, 16(72.7%) were tetraplegics with C5 (59.09%) as the most common neurological level involved. Twelve (54.5%) were American Spinal Injury Association (ASIA) grade A. The mean motor and sensory scores were 45±24.97 and 157.50±69.53 respectively. The mean FIM score (at admission) was 71.50±23.40 and FIM (at discharge) was 82.35±20.72. Spasticity was present in 16 cases (72.7%) with gastrosoleus as most common site. There were 14 patients (63.6%) who had urinary tract infection (UTI). Only 5(22.7%) underwent urodynamic study and all had hyperactive detrussor. The most common mode of bladder management was clean intermittent catheterisation (CIC) which was done in 16 patients (72.7%). Pressure sore was seen in 14(63.6%) of patients with sacrum (78.57%) as the most common site.

Conclusion

Majority of traumatic SCI inpatients were of ASIA grade A and tetraplegics were commoner. Fall from height was the comonest cause of injury. Spasticity, UTI and pressure sores were common complications.


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  1. Management of spinal cord injury in a general hospital in rural India. Paraplegia 1986;24:330-5.
  2. A demographic profile of traumatic and non-traumatic spinal injury cases: a hospitalbased study from India. Spinal Cord 2007;45:597-602.
  3. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil 2004;85:1740-8.
  4. Predicting community reintegration after spinal cord injury from demographic and injury characteristics. Arch Phys Med Rehabil 1999;80:1485-91.
  5. Profile of patients with spinal cord injuries and occurrence of pressure ulcer at a university hospital. Rev Latino-am Enfermagem Maio-junho 2006;14:372-7.
  6. Demographic profile of traumatic spinal cord injuries admitted at Indian Spinal Injuries Centre with special emphasis on mode of injury: a retrospective study. Spinal Cord 2012;50:745-54.
  7. Recent demographic and injury trends in people served by the model spinal cord injury care systems. Arch Phys Med Rehabil 1999;80:1372-82.
  8. Demographic and clinical profile and functional outcomes after spinal cord injury rehabilitation in a Turkish setting [online]. 2012 [cited 2012 May 28]. http://www.epostersonline.com/esprm2012/?q=node/1882&page=1.
  9. Prevalence of medical complications vis-à-vis psycho-social complications in spinal cord injury patients. Indian J Phys Med Rehabil 2004; 15: 38-44.
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