De livering Spinal Rehabili tation through 3-Tier Health Service Delivery in Nepal: A âOne Stop Rehabilitation Services/OSRS* Approach*â
Current statistics show that about seventeen, 500 new spinal injuries occur annually, with about fifty eight leading to complete or incomplete tetraplegia. Therefore, over 1/2 all sustained neural structure injuries (SCIs) manifest in a point of impairment of the higher limb.1 Such an oversized comparative proportion of individuals with tetraplegia warrants exaggerated attention to the analysis and treatment of the higher limb. Purposeful use of the arms and hands is of predominant importance to people with tetraplegia.2–5 fortuitously, new interventions and clinical trials directed at restoring higher limb operate when SCI ar rising. The aim of this text is to elucidate a up to date approach to evaluating the higher limbs of individuals with cervical SCI. New interventions for restoring operate and rising recovery need additional careful examination of the motor capacities of the higher limb. Specifically, characteristics of weak and totally paralytic muscles be additional attention early when injury. 2 such characteristics embrace lower motor nerve fiber (LMN) integrity and also the presence of latent, or unrecognized, voluntary motor responses in muscles that ar clinically classified as paralytic. These novel characteristics ar presently not evaluated as a customary of care in higher limb assessments of individuals with tetraplegia, but info gained from such evaluations has the potential to influence interventions across the time of higher limb care.
DrByanjankar S 1 , DrMaharjan D 1 , Dr K C Avinash1 , Devapitchai K 2 , Dr Samuel R 2 , Dr. Marahatta K 2 , Technical Working Group1
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