Individual rehabilitation program
Passport data of the patient
Name: Awanish Kumar
Age: 58
Occupation: Student
Complaints: Weakening of the legs and stiffness; reduced range of motion of lower
limbs and loss of coordination; pain, spasms and reduced sensitivity of lower limbs;
lower back pain.
Anamnesis: An indian man, 58 years of age, presented to his general practitioner with
a 3 week history of acute-on-chronic lower thoracic back pain that radiated bilaterally
to his lower limbs. There was no history of preceding trauma. He had a left hip
arthroplasty performed 1 year before presentation, which had become infected 3
months earlier and was subsequently revised. He also suffered a dislocation of the
same hip 1 month ago, which was treated conservatively in hospital. The patient
smoked 20 cigarettes per day. He denied intravenous drug use.
Methods of examination:
X-Ray examination
MRI
CT Scan
CBC
Results of examination: Plain spinal X-rays revealed congenital fusion of T8–T9
vertebrae. Plain X-rays showed a burst fracture of T8 vertebral body.
Magnetic resonance imaging (MRI) revealed long standing structural changes, with
circumferential enhancement of the epidural tissue, discitis at T8 and T9, and a
pathological fracture of T9 with posterior retropulsion causing a high grade spinal cord
compression.
An abdominal-pelvic computed tomography (CT) scan was unremarkable.
His white blood cell count was 10.8 and C-reactive protein (CRP) was 220.
Clinical diagnosis:
Lower paraparesis
The task of rehabilitation means:
- Breathing exercise- can help improve endurance, making it easier to accomplish
daily activities, allows more air to move in and out of the lungs with less tiring of
the chest muscles. This exercise can also help you regulate your breathing if you
become short of breath during an activity.
- Stretching exercises: increases the flow of blood and oxygen to the muscles,
improves muscle elasticity, and helps the body to repair itself.
- Aerobic exercise: is a great way for people with lung cancer to improve their
fitness. It strengthens the heart and improves oxygen capacity.
Treatment:
№
Starting
position
Physical Rehabilitation
Exercise description
Score
Dosage
Notes
Sitting is a right Quiet not forced breathing
arm on a breast,
counterclockwise on a
stomach
4-6
On inhalation a
thorax and stomach
rise, on exhalation
go down
Sitting, leaning Clench and unlocking fingers
back on the back To heave up a right sock and
of
arm-chair, counter-clockwise heel I.P.
hands on thighs
8-10
A rate is slow
Sitting, hands on To heave up a countera belt
clockwise sock and right heel
8-10
A rate is slow.
Breathing is
arbitrary
Sitting
are Appeal in humeral joints
brushes to the ahead and back
shoulders
For 4
Breathing is
arbitrary
Recommendations for the patient:
Rehabilitation program date: _20/01/22_
Ismael__
(
date )
__Abdul Naser Mohammad
Full name (signature)