All patients showing Type A lesion on initial ASIA scale assessment are not complete cord injury


Most of the cases of spinal cord injury on initial assessment will show no motor or sensory control and no sacral sparing and we classify them under Type A lesion: complete cord injury. As we consider it as TYPE A complete cord injury our rehabilitation approach changes drastically. We start assuming that this is complete cord injury and there will be no improvement below the level of lesion, so we concentrate only on the compensatory type of rehabilitation.
But I insist on consider all type of injury as incomplete lesion till six month in mild injury and 1 year in severe injury and do the extensive rehabilitation on improving strength of lower limb and start standing and walking as soon as possible. Initially we may require making him walk maximum assistance and we to keep stepping the legs forward passively. But in long they show gradual improvement and they do learn walking.

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