Spinal cord injury or SCI happens when a part of the spinal column is damaged which leads to
permanent or temporary changes to sensations, strength and body functions below the location
of the injury.
SCI has some long term socio-economic impact on individuals, and it’s estimated that between
250,000 to 500,000 people are dealing with this type of injury today, across the world.
In India, upto 15,000 new cases of spinal cord injury is reported every year.
Thankfully, due to advances in medical technologies, there are various options available under
physiotherapy to treat SCI, and bring down its impact which enables the patients to carry on
their day-to-day activities and heal faster.
Note here, that the treatments prescribed under spine physiotherapy will depend on the level of
injury, the damage done on the spinal cord, and the objectives and goals of the treatment.
For example, a cervical spinal cord injury is considered as more severe and complicated,
compared to a lumbar spinal cord injury.
Here are three spine physiotherapy treatments, recommended by experts for spinal cord
injuries.
- Conventional Physiotherapy
The primary goal of conventional physiotherapy is to help the patient manage pain arising from
SJI in a better way by improving blood circulation, and prevent/reduce further muscle atrophy,
and contractures via hands-on therapy.
This is done via extensive hands-on exercise therapy, and stretching maneuvers, depending on
the intensity of the injury, and the site of the injury.
Three main types of Conventional physiotherapy are muscle stretching, joint manipulation and
neurodynamic exercises. Other types of exercises under this can be massage therapy and
acupuncture.
- Activity-Based Therapy
Activity-based therapy, also known as activity-based restorative therapy (ABRT) is an emerging
therapeutic based treatment for spinal cord injuries, as well as neurological conditions and
disorders, including traumatic injuries.
The objective of activity-based therapy is to encourage and enable neuroplasticity via strength
training and gait training. Normally, this type of physiotherapy includes a lot of repetitive muscle
movements, as prescribed by the physiotherapist based on the level of injury, and the goals of
the treatment.
Unlike other forms of treatment, activity-based therapy allows the patient to be in a standing
position, rather than sitting in a wheelchair or lying down.
Activity-based therapy can help the patients of spinal cord injury to avoid health issues such as
Bowel function issues, Urinary tract infections, skin ulcers, muscle spasms, respiratory issues,
Osteoporosis, and more.
- Functional Electrical Stimulation Therapy
Functional Electrical Stimulation or FES is another emerging therapy under spine physiotherapy
for SCI patients.
In this, brief electrical pulses are applied va electrodes, to the paralyzed or weakened muscles.
This helps the patient to improve and restore the function of that muscle.
Via FES, patients have been observed to improve their lungs and heart function by a larger
degree, and also boost bladder and bowel functions by increasing the overall mobility and
strength of the muscles.
Often, physiotherapists create a combined treatment which includes Functional Electrical
Stimulation and physical exercises, which helps the patient to heal and recover faster.
For more information on Spinal Physiotherapy, consult with our expert Physiotherapists right
here.
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