Knowledge (XXG)

Paraplegia

Source 📝

54: 244:, requiring treatments to vary from case to case. Rehabilitation aims to help the patient regain as much functionality and independence as possible. Physiotherapy may help to improve strength, range of motion, stretching and transfer skills. Most paraplegics will be reliant on a wheelchair as a mode of transportation. 231:
classifies spinal cord injury severity in the following manner. ASIA A is the complete loss of sensory function and motor skills below the injury. ASIA B is having some sensory function below the injury, but no motor function. In ASIA C, there is some motor function below the level of injury, but
280:
Fidyka regained sensory and motor function in his lower limbs, notably on the side of the transplanted OEC's. Fidyka first noticed the success three months after the procedure, when his left thigh started gaining muscle mass. MRIs suggest that the gap in his spinal cord has been closed up. He is
276:
In 2014, Fidyka underwent pioneering spinal surgery that used nerve grafts, from his ankle, to 'bridge the gap' in his severed spinal cord and OEC's to stimulate the spinal cord cells. The surgery was performed in Poland in collaboration with Prof. Geoff Raisman, chair of neural regeneration at
542:
The 38-year-old, who is believed to be the first person in the world to recover from complete severing of the spinal nerves, can now walk with a frame and has been able to resume an independent life, even to the extent of driving a car, while sensation has returned to his lower
277:
University College London's Institute of Neurology, and his research team. The olfactory cells were taken from the patient's olfactory bulbs in his brain and then grown in the lab, these cells were then injected above and below the impaired spinal tissue.
609: 594: 252:(SCI). With the aid of physiotherapists and occupational therapists, individuals with an SCI can learn new skills and adapt previous ones to maximize independence, often living independently within the community. 667: 232:
half of the muscles cannot move against gravity. In ASIA D, more than half of the muscles below the level of injury can move against gravity. ASIA E is the restoration of all neurologic function.
1414: 660: 653: 368:"The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation" 353: 129: 328: 228: 558: 1263: 53: 529: 464:
Tzonichaki I, Kleftaras G (2002). "Paraplegia from spinal cord injury: self-esteem, loneliness, and life satisfaction".
281:
believed to be the first person in the world to recover sensory function from a complete severing of the spinal nerves.
333: 266: 245: 1163: 1158: 628: 1258: 1054: 1248: 846: 316: 311: 167: 1311: 1270: 296: 727: 1419: 1341: 809: 1373: 1275: 1198: 645: 613: 356:(PDF). American Spinal Injury Association & ISCOS. Archived from the original on June 18, 2011 1110: 1100: 1095: 1004: 869: 767: 676: 481: 291: 261: 249: 213: 193: 181: 139: 1090: 901: 859: 717: 707: 446: 397: 221: 124: 62: 1226: 1105: 1064: 752: 694: 473: 436: 428: 387: 379: 197: 78: 1368: 1301: 1238: 1213: 1203: 1180: 1170: 732: 322: 1193: 1358: 1321: 1072: 886: 874: 762: 747: 441: 416: 392: 367: 208:
or quadriplegia is the correct term. If only one limb is affected, the correct term is
622: 618: 1408: 1393: 1336: 934: 824: 784: 737: 722: 485: 383: 269:(OEC) have been transplanted with success into the spinal cord of a Polish man named 163: 1331: 1148: 1024: 1017: 1012: 954: 939: 742: 702: 432: 306: 270: 189: 147: 633: 1378: 1353: 1253: 1221: 1188: 1144: 958: 879: 814: 789: 772: 567: 562: 205: 171: 477: 1316: 1134: 1120: 1049: 983: 973: 911: 834: 603: 301: 241: 217: 209: 185: 143: 31: 503: 1388: 1348: 1326: 1306: 1280: 1243: 1231: 1139: 1082: 1059: 988: 978: 968: 949: 919: 891: 864: 779: 192:. The area of the spinal canal that is affected in paraplegia is either the 450: 401: 273:, who was the survivor of a knife attack that left him paraplegic in 2010. 17: 1285: 1125: 963: 944: 35: 586: 1363: 1034: 1383: 1044: 929: 924: 896: 854: 712: 598: 201: 1039: 1029: 530:"Paralysed man Darek Fidyka walks again after pioneering surgery" 366:
Taylor-Schroeder S, LaBarbera J, McDowell S, et al. (2011).
61:
A man with traumatic hematomyelia after the fracture of the 11th
819: 799: 680: 649: 571: 102: 87: 417:"SCIRehab Project series: the occupational therapy taxonomy" 354:"Standard Neurological Classification of Spinal Cord Injury" 27:
Impairment of motor and sensory functions in the lower limbs
108: 90: 65:. A line drawn over his navel marks the area of anesthesia. 248:(ADLs) can be quite challenging at first for those with a 188:
condition that affects the neural (brain) elements of the
105: 240:
Individuals with paraplegia can range in their level of
497: 495: 523: 521: 81: 576: 99: 96: 84: 1294: 1212: 1179: 1081: 997: 910: 845: 687: 580: 135: 123: 93: 69: 46: 204:regions. If four limbs are affected by paralysis, 504:"Paralysed man walks again after cell transplant" 175: 415:Ozelie R, Sipple C, Foy T, et al. (2009). 170:of the lower extremities. The word comes from 661: 262:Spinal cord injury § Research directions 8: 1415:Cerebral palsy and other paralytic syndromes 180:) "half-stricken". It is usually caused by 668: 654: 646: 577: 466:OTJR: Occupation, Participation and Health 52: 43: 440: 391: 346: 220:of the affected muscles, rather than 7: 130:Physical medicine and rehabilitation 216:is a form of paraplegia defined by 718:Festinating gait/Parkinsonian gait 329:Sexuality after spinal cord injury 229:American Spinal Injury Association 25: 1312:Overpronation/Flexible flat feet 384:10.1179/107902611x12971826988057 77: 256:Regeneration of the spinal cord 433:10.1080/10790268.2009.11760782 1: 763:Myopathic gait/Waddling gait 528:Quinn B (21 October 2014). 502:Walsh F (21 October 2014). 334:Spinal cord injury research 267:Olfactory ensheathing cells 1436: 478:10.1177/153944920202200302 259: 246:Activities of daily living 176: 29: 1164:Lower motor neuron lesion 1159:Upper motor neuron lesion 964:Myotonia / Pseudomyotonia 679:relating to movement and 146:conditions affecting the 60: 51: 30:Not to be confused with 317:Regeneration in humans 312:Hughes-Stovin syndrome 162:, is an impairment in 1271:Boutonniere deformity 297:Cauda equina syndrome 1342:Clasp-knife response 1374:Conversion disorder 1276:Swan neck deformity 1199:Locomotive syndrome 1111:Spastic paraplegia 1101:Spastic paraplegia 1096:Periodic paralysis 1005:Abnormal posturing 870:Dysdiadochokinesia 806:Asynchronous gait 768:Trendelenburg gait 728:Marche à petit pas 677:Signs and symptoms 568:Types of Paralysis 559:Spinal Cord Injury 292:Adapted automobile 250:spinal cord injury 214:Spastic paraplegia 182:spinal cord injury 140:Spinal cord injury 1402: 1401: 1091:Flaccid paralysis 912:Abnormal movement 902:Hemimotor neglect 860:Cerebellar ataxia 810:Gunslinger's gait 708:Cerebellar ataxia 643: 642: 532:. theguardian.com 421:J Spinal Cord Med 372:J Spinal Cord Med 222:flaccid paralysis 153: 152: 63:thoracic vertebra 41:Medical condition 16:(Redirected from 1427: 1106:Spastic diplegia 1073:Tonic immobility 1065:Waxy flexibility 1009:Stooped posture 815:Hemiparetic gait 796:Asymmetric gait 695:Gait abnormality 670: 663: 656: 647: 578: 546: 545: 539: 537: 525: 516: 515: 513: 511: 499: 490: 489: 461: 455: 454: 444: 412: 406: 405: 395: 363: 357: 351: 179: 178: 168:sensory function 115: 114: 111: 110: 107: 104: 101: 98: 95: 92: 89: 86: 83: 56: 44: 21: 1435: 1434: 1430: 1429: 1428: 1426: 1425: 1424: 1405: 1404: 1403: 1398: 1369:Motion sickness 1302:Rachitic rosary 1290: 1239:Joint stiffness 1214:Range of motion 1208: 1175: 1171:Sleep paralysis 1155:General causes 1077: 993: 906: 841: 753:Vestibular gait 733:Propulsive gait 683: 674: 644: 639: 638: 589: 563:The Mayo Clinic 555: 550: 549: 535: 533: 527: 526: 519: 509: 507: 501: 500: 493: 463: 462: 458: 414: 413: 409: 365: 364: 360: 352: 348: 343: 338: 323:The Body Silent 287: 264: 258: 238: 119: 80: 76: 42: 39: 28: 23: 22: 15: 12: 11: 5: 1433: 1431: 1423: 1422: 1417: 1407: 1406: 1400: 1399: 1397: 1396: 1391: 1386: 1381: 1376: 1371: 1366: 1361: 1359:Astasia-abasia 1356: 1351: 1346: 1345: 1344: 1334: 1329: 1324: 1322:Bow-leggedness 1319: 1314: 1309: 1304: 1298: 1296: 1292: 1291: 1289: 1288: 1283: 1278: 1273: 1268: 1267: 1266: 1261: 1256: 1246: 1241: 1236: 1235: 1234: 1229: 1218: 1216: 1210: 1209: 1207: 1206: 1201: 1196: 1191: 1185: 1183: 1177: 1176: 1174: 1173: 1168: 1167: 1166: 1161: 1153: 1152: 1151: 1142: 1137: 1132: 1123: 1115: 1114: 1113: 1108: 1098: 1093: 1087: 1085: 1079: 1078: 1076: 1075: 1070: 1067: 1062: 1057: 1052: 1047: 1042: 1037: 1032: 1027: 1022: 1021: 1020: 1015: 1007: 1001: 999: 995: 994: 992: 991: 986: 981: 976: 971: 966: 961: 952: 947: 942: 937: 932: 927: 922: 916: 914: 908: 907: 905: 904: 899: 894: 889: 887:Sensory ataxia 884: 883: 882: 877: 875:Pronator drift 872: 867: 857: 851: 849: 843: 842: 840: 839: 838: 837: 829: 828: 827: 822: 817: 812: 804: 803: 802: 794: 793: 792: 787: 777: 776: 775: 770: 765: 757: 756: 755: 750: 748:Truncal ataxia 745: 740: 735: 730: 725: 720: 715: 710: 705: 697: 691: 689: 685: 684: 675: 673: 672: 665: 658: 650: 641: 640: 637: 636: 625: 606: 590: 585: 584: 582: 581:Classification 575: 574: 572:Spinalcord.com 565: 554: 553:External links 551: 548: 547: 517: 491: 456: 407: 358: 345: 344: 342: 339: 337: 336: 331: 326: 319: 314: 309: 304: 299: 294: 288: 286: 283: 257: 254: 237: 234: 151: 150: 137: 133: 132: 127: 121: 120: 118: 117: 73: 71: 67: 66: 58: 57: 49: 48: 40: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1432: 1421: 1418: 1416: 1413: 1412: 1410: 1395: 1394:Dancing mania 1392: 1390: 1387: 1385: 1382: 1380: 1377: 1375: 1372: 1370: 1367: 1365: 1362: 1360: 1357: 1355: 1352: 1350: 1347: 1343: 1340: 1339: 1338: 1337:Hyperreflexia 1335: 1333: 1330: 1328: 1325: 1323: 1320: 1318: 1315: 1313: 1310: 1308: 1305: 1303: 1300: 1299: 1297: 1293: 1287: 1284: 1282: 1279: 1277: 1274: 1272: 1269: 1265: 1262: 1260: 1257: 1255: 1252: 1251: 1250: 1249:Hypermobility 1247: 1245: 1242: 1240: 1237: 1233: 1230: 1228: 1225: 1224: 1223: 1220: 1219: 1217: 1215: 1211: 1205: 1202: 1200: 1197: 1195: 1192: 1190: 1187: 1186: 1184: 1182: 1178: 1172: 1169: 1165: 1162: 1160: 1157: 1156: 1154: 1150: 1146: 1143: 1141: 1138: 1136: 1133: 1131: 1127: 1124: 1122: 1119: 1118: 1116: 1112: 1109: 1107: 1104: 1103: 1102: 1099: 1097: 1094: 1092: 1089: 1088: 1086: 1084: 1080: 1074: 1071: 1068: 1066: 1063: 1061: 1058: 1056: 1055:Joint locking 1053: 1051: 1048: 1046: 1043: 1041: 1038: 1036: 1033: 1031: 1028: 1026: 1023: 1019: 1016: 1014: 1011: 1010: 1008: 1006: 1003: 1002: 1000: 996: 990: 987: 985: 982: 980: 977: 975: 972: 970: 967: 965: 962: 960: 956: 953: 951: 948: 946: 943: 941: 938: 936: 935:Fasciculation 933: 931: 928: 926: 923: 921: 918: 917: 915: 913: 909: 903: 900: 898: 895: 893: 890: 888: 885: 881: 878: 876: 873: 871: 868: 866: 863: 862: 861: 858: 856: 853: 852: 850: 848: 844: 836: 833: 832: 830: 826: 825:Antalgic gait 823: 821: 818: 816: 813: 811: 808: 807: 805: 801: 798: 797: 795: 791: 788: 786: 785:Steppage gait 783: 782: 781: 778: 774: 771: 769: 766: 764: 761: 760: 758: 754: 751: 749: 746: 744: 741: 739: 738:Stomping gait 736: 734: 731: 729: 726: 724: 723:Magnetic gait 721: 719: 716: 714: 711: 709: 706: 704: 701: 700: 698: 696: 693: 692: 690: 686: 682: 678: 671: 666: 664: 659: 657: 652: 651: 648: 635: 631: 630: 626: 624: 620: 616: 615: 611: 607: 605: 601: 600: 596: 592: 591: 588: 583: 579: 573: 569: 566: 564: 560: 557: 556: 552: 544: 531: 524: 522: 518: 505: 498: 496: 492: 487: 483: 479: 475: 472:(3): 96–103. 471: 467: 460: 457: 452: 448: 443: 438: 434: 430: 427:(3): 283–97. 426: 422: 418: 411: 408: 403: 399: 394: 389: 385: 381: 378:(2): 149–61. 377: 373: 369: 362: 359: 355: 350: 347: 340: 335: 332: 330: 327: 325: 324: 320: 318: 315: 313: 310: 308: 305: 303: 300: 298: 295: 293: 290: 289: 284: 282: 278: 274: 272: 268: 263: 255: 253: 251: 247: 243: 235: 233: 230: 225: 223: 219: 215: 211: 207: 203: 199: 195: 191: 187: 183: 173: 169: 165: 161: 157: 149: 145: 141: 138: 134: 131: 128: 126: 122: 113: 75: 74: 72: 70:Pronunciation 68: 64: 59: 55: 50: 45: 37: 33: 19: 1332:Hyporeflexia 1227:Bethlem sign 1194:Gowers' sign 1149:Quadruplegia 1129: 1025:Opisthotonus 1018:Osteoporosis 1013:Camptocormia 955:Hyperkinesia 940:Fibrillation 847:Coordination 800:Leaping gait 743:Spastic gait 713:Choreic gait 703:Scissor gait 627: 608: 593: 541: 534:. Retrieved 508:. Retrieved 469: 465: 459: 424: 420: 410: 375: 371: 361: 349: 321: 307:Quadriplegia 279: 275: 271:Darek Fidyka 265: 239: 226: 190:spinal canal 159: 155: 154: 148:spinal canal 1420:Neurotrauma 1379:Shell shock 1354:Hypnic jerk 1254:Gorlin sign 1222:Contracture 1189:Hemiparesis 1145:Tetraplegia 959:Hypokinesia 880:Dyssynergia 790:Toe walking 773:Pigeon gait 506:. bbc.co.uk 206:tetraplegia 172:Ionic Greek 160:paraparesis 18:Parapalegic 1409:Categories 1317:Knock-knee 1135:Hemiplegia 1130:Paraplegia 1121:Monoplegia 1117:Syndromes 1050:Hypertonia 984:Echopraxia 974:Stereotypy 835:Lotus gait 831:Deformity 536:26 October 510:26 October 341:References 302:Hemiplegia 260:See also: 242:disability 218:spasticity 210:monoplegia 186:congenital 177:παραπληγίη 156:Paraplegia 144:congenital 47:Paraplegia 32:Hemiplegia 1389:Catatonia 1349:Shivering 1327:Back knee 1307:Flat feet 1281:Scoliosis 1244:Ankylosis 1232:Club foot 1140:Triplegia 1083:Paralysis 1069:Grimacing 1060:Catalepsy 998:Posturing 989:Echolalia 979:Akathisia 969:Hypotonia 950:Myoclonus 920:Athetosis 892:Asterixis 865:Dysmetria 780:Foot drop 759:Muscular 486:145347578 236:Treatment 125:Specialty 1286:Kyphosis 1181:Weakness 1126:Diplegia 945:Myokymia 451:19810630 402:21675354 285:See also 194:thoracic 36:Diplegia 1364:Vertigo 1035:Trismus 634:D010264 442:2718817 393:3066500 1384:Stupor 1204:Ptosis 1045:Tetany 930:Tremor 925:Chorea 897:Abasia 855:Ataxia 543:limbs. 484:  449:  439:  400:  390:  202:sacral 198:lumbar 136:Causes 116: 1295:Other 1040:Cramp 1030:Spasm 623:344.1 619:334.1 604:G82.1 482:S2CID 200:, or 184:or a 164:motor 158:, or 820:Limp 699:CNS 688:Gait 681:gait 629:MeSH 614:9-CM 538:2014 512:2014 447:PMID 398:PMID 227:The 1264:HSD 1259:EDS 610:ICD 595:ICD 570:at 561:at 474:doi 437:PMC 429:doi 388:PMC 380:doi 166:or 34:or 1411:: 1147:/ 1128:/ 957:/ 632:: 621:, 617:: 602:: 599:10 540:. 520:^ 494:^ 480:. 470:22 468:. 445:. 435:. 425:32 423:. 419:. 396:. 386:. 376:34 374:. 370:. 224:. 212:. 196:, 142:, 106:dʒ 103:iː 88:ær 669:e 662:t 655:v 612:- 597:- 587:D 514:. 488:. 476:: 453:. 431:: 404:. 382:: 174:( 112:/ 109:ə 100:l 97:p 94:ˈ 91:ə 85:p 82:ˌ 79:/ 38:. 20:)

Index

Parapalegic
Hemiplegia
Diplegia

thoracic vertebra
/ˌpærəˈplə/
Specialty
Physical medicine and rehabilitation
Spinal cord injury
congenital
spinal canal
motor
sensory function
Ionic Greek
spinal cord injury
congenital
spinal canal
thoracic
lumbar
sacral
tetraplegia
monoplegia
Spastic paraplegia
spasticity
flaccid paralysis
American Spinal Injury Association
disability
Activities of daily living
spinal cord injury
Spinal cord injury § Research directions

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.