Incomplete spinal cord injury

  Patient XXX, female, 33 years old, was admitted to the hospital with the main cause of “bilateral lower extremity motor, sensory and bowel dysfunction for more than 7 months due to a fall”. Main diagnosis: spinal cord injury (incomplete) after L1 vertebral fracture.  Major impairment: 1. AIS: grade D, motor incomplete spinal cord injury 2. motor plane R/L: L1/ L1, motor score 45 on the left side, 31 on the right side 3. decreased muscle strength of both lower limbs, with the right side being the focus: hip flexors R/L: 2/3; knee extensors R/L: 1/4; knee flexors R/L: 1/3; ankle dorsiflexors R/L: 1/5; thumb extensors R/L: 1/4; ankle plantar flexors 4.Standing balance level 0, right knee and ankle joint control is not possible. 5. Barthel index score 55, daily life needs assistance Key problems to be solved: 1.Squat training on inclined bed: instruct the patient to squat on the inclined bed from a small angle, the angle is appropriate for the patient to complete 5 squats of both lower limbs independently. Expand the scope of application of inclined bed and create conditions for closed chain movement under weight loss. 2. Suspension exercise training: use neuromuscular activation technique to improve right knee control. Discharge status: AIS: Grade D, motor plane R/L: L1/ L1, motor score 47 on the left side and 36 on the right side. The right lower limb straight leg raise could be done independently without knee extension delay; independent outdoor walking with one hand crutches, poor pelvic control. Hip flexor R/L: 4/4; knee extensor R/L: 3/5; ankle dorsiflexor R/L: 1/5; thumb extensor R/L: 1/4; ankle plantar flexor R/L: 2/4Barthel index score of 70, basic self-care of daily life.