Clinical Practice Guideline of Physiotherapy Intervention for Lower Limb on Spinal Cord Injury

Abstract

Background: Spinal cord injury (SCI) is a complex and challenging destructive disease of the central nervous system, resulting in permanent motor and sensory dysfunction due to disruption of neural circuits composed of descending motor neurons and ascending sensory neurons. Clinical practice guidelines are a key component of medicine, as they provide evidence-based recommendations for physicians and other health care professionals about the management of care for patients with diseases or other clinical conditions. A number of important developments involving clinical practice guidelines have emerged in the past few years. This View point discusses some of the more important of these. Objectives: Examining the effects of Physiotherapy treatment protocol in paraplegic SCI patients Methodology: This Narrative review was done and reported following the PRISMA guidelines. An automated electronic search of Pedro, PubMed, and Google Scholar database was conducted using key phrases such as Paraplegic SCI, Physiotherapy, Rehabilitation, clinical practice guideline. The inclusion criteria were subjects with a confirmed diagnosis of paraplegic spinal cord injury, articles published in the English language between 2010 and 2023. The Physiotherapy Evidence Database (PEDro) scale was used to rate the effectiveness of the available studies and score of at least 5 out of 10 were used. Research studies that contained subjects expressing complaints of another neurological condition as well as articles evaluating cognitive impairments were excluded from the study. Result: Initially, the database identified 524 studies. 22 studies were identified as possibly matching the inclusion criteria. Conclusion: The suggestions apply to the treatment of people with SCI throughout their lives, from the time of the injury to healthy aging in the community. Key words: Paraplegic SCI, Physiotherapy, Rehabilitation, clinical practice guideline.