Abstract:
Purpose: Spinal cord injury (SCI) has a substantial global impact on people, families,
economies, and healthcare systems. Damage to the spinal cord that causes a loss of
function, such as feeling or movement, is known as a spinal cord injury (SCI). An
incomplete tetraplegic spinal cord injury (SCI) is a term used to describe partial spinal cord
distraction at the cervical (neck) level that leaves all four limbs with varying degrees of
motor and sensory function lost (tetraplegia). This study was done to ascertain the best
course of action for reducing the condition's symptoms.
Objectives: The study aims to examine the impact of repetitive upper extremity muscle
strengthening training for the people with incomplete tetraplegic spinal cord injury on the
strength of the following muscles: elbow flexor, elbow extensor, wrist flexor, and wrist
extensor in patients with incomplete tetraplegic SCI.
Methodology: It was a quasi-experimental study. A total of 15 samples were purposively
chosen from the inpatient treatment programme of the Centre for the Rehabilitation of the
Paralyzed (CRP), Savar, Dhaka, Physiotherapy Department, and Spinal Cord Injury Unit.
A structured questionnaire was applied to review the participants' sociodemographic data
as well as other information. A pre-test was carried out prior to starting the treatment. After
four weeks of treatment, the same process was implemented to take the post-test. For a
total of 4 weeks, there were 5 treatment sessions per week for 4 weeks.
Result: Among 15 participants, the average age was 24.07 years. Pre and post-test DASH
score’s standard deviation was 8.96 and 9.81, mean 90.39 and 74.95, median 91.50 and
79.00, range 27.5 and 30.0. Where mean score of pre and post-test Oxford Muscle Grade
score were 2.93 and 3.73. In statistical analysis through Wilcoxon Singed-Ranked test there
were significant improvement for wheelchair propel in incomplete tetraplegic spinal cord
injury patients.
Conclusion: This study shows that the upper limb strengthening programme improve in
incomplete tetraplegic spinal cord injury patients.
Key Words: Spinal Cord Injury, Muscle Strengthening, Upper Limb.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.