
Challenges in the Rehabilitation Management of a Patient with Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) Secondary to High-voltage Electrical Burn Injury with Multiple Disabilities: A Case Report
Author(s) -
Angela Corazon D. Jimenez,
Noel Nathaniel Napa,
Dorothy Dy Ching Bing–Agsaoay
Publication year - 2022
Publication title -
acta medica philippina/acta medica philippina
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.128
H-Index - 4
eISSN - 2094-9278
pISSN - 0001-6071
DOI - 10.47895/amp.v56i4.4117
Subject(s) - medicine , rehabilitation , spinal cord injury , paraplegia , physical medicine and rehabilitation , physical therapy , telerehabilitation , radiography , burn injury , crutch , amputation , spinal cord , surgery , health care , telemedicine , engineering , structural engineering , psychiatry , economic growth , economics
A 22-year-old male who came in contact with a high-voltage wire, with entry point at the head and exit points at the ankles, presented with flaccid paraplegia and loss of sensation of bilateral lower extremities with no radiographic abnormalities. Several burn-related medical complications arose during the admission, as well as episodes of demotivation. Bilateral below the knee amputation was done because of extensive burn injuries of the lower extremities. The rehabilitation management for a patient with multiple disabilities needed to be tailored depending on the limitations and needs of the patient at a certain point in time. Despite the challenges, satisfactory results were achieved, through telerehabilitation and employing a multidisciplinary team approach.