Supervisors info:
Σπυρίδων Πνευματικός, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μιχάλης Κουτσιλιέρης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ιωάννης Βλάμης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Summary:
The purpose of the systematic review is the presentation of the latest physiotherapy interventions in the literature, as well as their effectiveness after spinal cord injury.
Method: A bibliographic search was performed in the electronic databases Medline, CINAHL and PEDro. The evaluation of the quality of the researches included was based on the Physiotherapy Evidence- Based Database Scale –PEDro. A total of 16 studies were analyzed and involved 555 individuals with traumatic or non-traumatic spinal cord injury across the entire spine. The evaluation of the quality of the research was mainly "high quality". The physiotherapy interventions that are mentioned are Functional Electrical Stimulation (FES), Hybrid- Functional Electrical Stimulation (Hybrid-FES), gait training supported overhead harness, FES Cycling combined virtual reality racing biofeedback, weight- bearing exercises, Activity- Based Therapy (ABT), Therapeutic Electrical Stimulation (TES), intensive whole body exercise and upper extremity exercise program, Transcutaneous Electrical Nerve Stimulation (TENS), Perturbation- based Balance Training (PBT), Conventional Intensive Balance Training (CIBT), web- based physiotherapy, weight support treadmill training και aerobic exercise. In conclusion, physiotherapy rehabilitation after spinal cord injury includes a variety of interventions and techniques, as well as various combinations thereof. Certainly no specific treatment protocol can be proposed for the patients, because it depends on the needs of each patient, the goals he sets and the psychological state in which he finds himself. The important result is that there are significant improvements, when the treatment plan is followed under supervision, in the daily life and quality of life of individuals.
Keywords: spinal cord injury, exercise, stretch, gait training, physiotherapy intervention, strength, TENS, electrical stimulation
Keywords:
Spinal cord injury, Exercise, Stretch, Gait training, Physiotherapy intervention, Strength, TENS, Electrical stimulation
