HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?


Case study:

      Mr. Shah had D12 compression fracture & fracture upper end humerus of left side in a Road traffic accident in first week of July 2011. He was operated for decompression followed by fixation of spine and stabilization humeral fracture with internal fixation of She was presenting with neurological level D10, Type B spinal cord injury with complication upper end humeral fracture.

One month we worked on the bed mobility and hip flexors strengthening. We could get improvement in hip flexors 1+. Post one month we wanted to start with standing and walking with walker but humerus fracture was not healed well so we have to avoid using upper limb for holding walker and not to weight bear through upper limb.

Because of all the complication it was becoming impossible to do walking training. So I got an idea I made him stand with assistance and allowed him to hold the walker with Right upper limb. And left upper limb was allowed to hold close to the chest and not allowed to weight bear through it. Then I stood behind him and stabilized his trunk with one hand other hand I used for assisted walking. This way we could start early walking with walker.

One response to “HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?

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