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KMID : 0381219730050040175
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Journal of RIMSK
1973 Volume.5 No. 4 p.175 ~ p.181
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REHABILITATION IN PARAPLEGIA
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Abstract
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Rehabilitation, together with antibiotics and surgery, has given the paraplegic an opportunity for a longer and better life. The most important therapeutic tool in rehabilitation is exercise; it has a role in preventing complications, maintaining health and improving function; it is maximally effective when done at the right time, in the proper form and in sufficient quantity.
Three stages of progression in improvement of function are recognized.
The first stage: in bed.
1) Exercise by the use of dumbbells
2) Exercise by weights through pulleys
3) Exercise with skate and powder board
4) Exercise by the use of tilting table
The second stage: in a wheelchair
1) Exercise on Mat
2) Ambulation on wheelchair
3) Exercise on parallel bars
The third stage: ambulatory-crutches gait
1) Alternate gait
a. Alternate four points gait
b. alternate two points gait
2) Shuffle-to gait (swing to gait)
3) Swing-through gait
This progression can be a smooth flow from total helplessness to as completely an independent state as is possible within the individual´s remaining reserve.
Rehabilitation, together with antibiotics and surgery, has given the paraplegic an opportunity for a longer and better life. The most important therapeutic tool in rehabilitation is exercise; it has a role in preventing complications, maintaining health and improving function; it is maximally effective when done at the right time, in the proper form and in sufficient quantity.
Three stages of progression in improvement of function are recognized.
The first stage: in bed.
1) Exercise by the use of dumbbells
2) Exercise by weights through pulleys
3) Exercise with skate and powder board
4) Exercise by the use of tilting table
The second stage: in a wheelchair
1) Exercise on Mat
2) Ambulation on wheelchair
3) Exercise on parallel bars
The third stage: ambulatory-crutches gait
1) Alternate gait
a. Alternate four points gait
b. alternate two points gait
2) Shuffle-to gait (swing to gait)
3) Swing-through gait
This progression can be a smooth flow from total helplessness to as completely an independent state as is possible within the individual´s remaining reserve.
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