Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 3 Issue 12

A Seven Year Retrospective Review of Spinal Cord Injury Managed at a Physiotherapy Clinic in a South-western Tertiary Hospital in Nigeria

Idowu Olukoju*, Opeyemi Oluwasanmi Adeloye, Olaniran Moses Ogunleye, Olubukola Arewa, Oyeneyin David Babatunde and Adegbembo Olusaanu

Department of Physiotherapy, University of Medical Science Teaching Hospital, Ondo, Nigeria

*Corresponding Author: Idowu Olukoju, Department of Physiotherapy, University of Medical Science Teaching Hospital, Ondo, Nigeria.

Received: September 29, 2020; Published: November 28, 2020

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Abstract

Introduction: The role of physiotherapy in the management and rehabilitation of spinal cord injury (SCI) patient is well documented. SCI is an enormous devastating condition which affect most commonly young and productive age group of predominantly male population with motor vehicle accidents accounting for the highest incidence.

Method: This is a retrospective review of cases of spinal cord injured patient as seen in the Department of Physiotherapy University College Hospital Ibadan, Nigeria, over the 7 year period, January 1, 2006 to December 31, 2012. The case note accessed account for both out patients and in-patient seen at the hospital for the period under review. Information regarding Age, Gender, Marital Status, Occupation, Year of admission, Religion, Diagnosis/Frankel classifications, Neurological levels and Discharge pattern were retrieved using a spread sheet. Descriptive statistics of frequency, percentage, range, mean and standard deviation were used to summarize data.

Result: Two hundred and twenty six patients, 154 (68.1%) male and 72 (31.9%) female (M: F=2:1), were studied. Their age ranged from 13 to 81 years with a mean age of 43.24years. One hundred and eighty eight (61.9%) had traumatic SCI out of which a total of 103 (45.4) resulted from RTA, fall accounted for 30 (13.2%) cases and 2(0.9%) from penetrating injuries. At presentation 70 (31.0%) patients present with grade A, 33 (14.6%) patients were B, 48 (21.2%) patients had C, and 34 (15.0%) patients had grade D. However at discharge 49 (21.7%) patients had grade A, 22 (9.7%) patients with grade B, 22 (9.7%) patients had C, 57 (25.2%) patients had D while 4 (1.8%) patients had E. Etiology of SCI was found to be significantly associated with each of age (χ2= 35.19; p = 0.00) and marital status (χ2= 35.19; p = 0.00) respectively.

Conclusion: The pattern of SCI from this study showed that RTA is the most common cause affecting mostly young male. The cervical injury was the most implicated in this study and appreciable amount of patient discharged from the ward continued rehabilitative management.

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Keywords: Spinal Cord; Physiotherapy; RTA

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Citation

Citation: Olukoju Idowu., et al. "A Seven Year Retrospective Review of Spinal Cord Injury Managed at a Physiotherapy Clinic in a South-western Tertiary Hospital in Nigeria". Acta Scientific Neurology 3.12 (2020): 45-50.




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