Treinamento da marcha em lesão medular T1 ASIA C: um estudo de caso sob a perspectiva da CIF

Reaching the gait is usually a goal in patients with spinal cor d injury (SCI). There is controversy regarding the gait of patients with thoracic SCI. The aim of this study was to describe and evaluate the gains related to orthostatic and gait of a patient with a lesion T1 C, from the perspective of the International Classification of Functioni ng Disability and Health (ICF). This is a case report of a chronic patient in the rehabi litation process that had no gear. Classification Functional Gait Changed (CFMM), Gait Index f or Spinal Cord Injury (WISCI II), American Spinal Cord Injury Association (ASIA), function indepe nd nce mesure (FIM) and SF -36 and the ICF: to review the following instruments were use d. The CIF was coded for all items of the proposed scales. The treatment consisted of functional training with an emphasis on speed. A descriptive analysis of the data associated with the enc oding of CIF was performed. According to CFMM the patient was initially reporte d as zero and at the end of treatment went to a d450.4 to d450.3 the WISCI II had zero initial s core went to final grade five, d450.4 to d450.3. In ICF was obtained improvement in personal factors, in A sia an improvement of motor and sensory level did not show improvements in CIF, S F -36 improvement was observed in the emotional aspect from 66 % to 100 % satis faction d152.1 to D152. 0. There is no difference in FIM. We conclude that this study has brought good results to the patient reported despite not having become a community ambulatory.