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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44756

EFFECT OF EARLY FUNCTIONAL MOBILITY ON FUNCTIONAL INDEPENDENCE IN INCOMPLETE PARAPLEGIC INDIVIDUALS.

Mr. Pratik Patil, Dr. Suraj Kanase

Abstract

Background: To study and find the efficacy of early functional mobility training on functional independence in incomplete paraplegic individuals. Methods: Ethical clearance was taken from the Institutional Ethical Committee.This study was conducted in Krishna Hospital, Karad with a sample size of 40. Those who were willing to participate in the study were included in the study by using convinient sampling method for incomplete paraplegic subjects.Distal muscle strength was assessed by MMT and functional mobility was assessed by FIMS and SCIM before and after the study.Proximal muscle strengthening exercises were given that included exercises with assistance followed by active exercises and then with progressively with resistance. The intervention had been given for 12 weeks and treatment will be given 5 times a week. Result: Manual muscle testing shows extremely significant improvement in lower limb muscle strength with p value of 0.0001. Pre interventional value of mean and standard deviation for hip flexors was (2.52±0.51)(right), (2.65±0.48)(left) and post interventional value of mean and standard deviation was (3.44±0.50)(right), (3.08±1.62)(left) and also shows extremely significant improvement in hip flexor strength that is p value of <0.0001. Pre interventional value of mean and standard deviation for knee extensors was (2.38±0.60)(right), (2.52±0.51)(left) and post interventional value of mean and standard deviation was(3.54±0.50)(right), (3.75±0.55)(left) and also shows extremely significant improvement in hip flexor strength that is p value of <0.0001. Pre interventional value of mean and standard deviation for ankle dorsiflexor was (2.52±0.51)(right), (2.65±0.48)(left) and post interventional value of mean and standard deviation was(3.44±0.50)(right), (2.79±2.14)(left) and also shows extremely significant improvement in hip flexor strength that is p value of <0.0001. Pre interventional value of mean and standard deviation for long toe extensor was (2.40±0.59)(right), (2.65±0.48)(left)and post interventional value of mean and standard deviation was(3.44±0.50)(right), (3.08±1.62)(left) and also shows extremely significant improvement in hip flexor strength that is p value of <0.0001. Functional independence measure scale shows extremely significant improvement with p value of 0.0001. Pre interventional value of mean and standard deviation was (74.26±8.05) and post interventional value of mean and standard deviation was (96.92±8.04). Spinal Cord Independence Measure scale shows extremely significant improvement with p value of 0.0001. Pre interventional value of mean and standard deviation was (37.34±5.08)and post interventional value of mean and standard deviation was (67.65±6.84). Conclusion: This study concludes that functional mobility exercise 5 times a week is beneficial to improve the functional independence in incomplete paraplegic individuals. It also prevents secondary complications in the rehabilitation period and helps improve the quality of life.

Keywords

To study and find the efficacy of early functional mobility training

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