Abstract

The purpose of this case report and evidence-based analysis is to present information and discuss interventions that were performed with a 7-month-old baby girl, Baby A, who sustained an incomplete spinal cord injury due to non-accidental trauma. An infant with a spinal cord injury sustained after suspected non-accidental trauma. Baby A was referred for inpatient rehabilitation at Carrie Tingley Childrens Hospital. Her Medical Diagnosis included non-accidental trauma (NAT), transverse myelitis, incomplete SCI. The Physical Therapy Diagnosis is impaired motor function, peripheral nerve integrity, and sensory integrity associated with non-progressive disorders of the spinal cord Pattern 5H Several search engines were used including PubMed, CINAHL, PEDro and Cochrane. Keywords: 'FES and Spinal Cord', 'FES and Pediatric Spinal Cord', 'FES Cycling and Pediatric Spinal Cord'. I used eight articles for review, analysis and comparison to my PICO question. PICO Question: In children with SCI, does the implementation of FES cycling prevent secondary complications such as muscle atrophy, weakness and contractures compared to traditional SCI therapy not utilizing electrical stimulation? Spinal cord injuries frequently result in at least some incurable impairment even with the best possible treatment. When she is old enough incorporating the use of FES cycling into her outpatient therapy sessions is anticipated. With continued and enhanced interventions including FES cycling in the future, the young child may not improve her functional status, but continue to maintain her status and prevent future secondary complications. Prior to this, I had never come into contact with a patient that was so young with a SCI. There is a high probability of prolonged issues including but not limited to GI, bowel/bladder, weakness, decreased ROM, pathological fractures, skin integrity, heterotrophic ossificans, spasticity, scoliosis, etc.

Provenance

Submitted by Katelyn Amber Crow (kacrow@salud.unm.edu) on 2014-06-25T19:26:35Z No. of bitstreams: 1 FINAL - FES and Pediatric SCI.pdf: 685266 bytes, checksum: ec4db92a414bcd639bf839cf1118eb5a (MD5), Made available in DSpace on 2014-06-25T19:26:35Z (GMT). No. of bitstreams: 1 FINAL - FES and Pediatric SCI.pdf: 685266 bytes, checksum: ec4db92a414bcd639bf839cf1118eb5a (MD5)

Document Type

Capstone

Keywords

Pediatric, Spinal Cord Injury, Functional Electrical Stimulation, Cycling, FES

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