Avaliação e tratamento de uma paciente com lesão medular Toracica 12: um estudo de caso

Abstract

Introduction: Spinal Cord Injury is a major health problem in Brazil and in the world due to the neurological damage often associated with it, with a higher incidence in adult males. Data from the IBGE, released by the 2006 demographic census, indicate a contingent of 200,000 paraplegics and 50,000 quadriplegics in Brazil in a population of 169,872. 856 people. Objective: To verify the effects of an evaluation and rehabilitation protocol for a patient with spinal cord injury in T 12, assisted in the extension project: Physiotherapy in Spinal Cord Injury - Low Injury. Methodology: This is a qualitative case study. We analyzed data from an extension project carried out at the Kinesiotherapy and Posture Laboratory (LACIP) of the Physiotherapy course of the Uberlândia Federal University of a patient who suffered a spinal cord injury in T12. a year ago, due to an automobile accident, the data before and after the physical therapy intervention were evaluated, measuring the applicability of a protocol of physiotherapeutic intervention that consisted of strength training, functional training and gait training. Results: Application of the MIF scale was a sensitive instrument for the measurement of research data since greater autonomy and independence in daily life is closely linked to the performance and control of movements. A program of strength training and associated functional training contributed to an evolution of functional independence. The 12 week period with 3 sets 12 to 15 repetitions for 50 minutes each session of physiotherapeutic intervention was sufficient to promote gain of upper limb muscle strength. Conclusion: We can conclude that a well-designed physiotherapeutic intervention program contributes to an improvement in functional capacity, physical, social, emotional, general health and vitality, providing greater functional independence in performing daily life activities and a better quality of life. life.