Efficacy of early rehabilitation in a patient with spinal cord ischemia and hypoxic ischemic encephalopathy: a case report
26 yasinda erkek hasta hipoksik iskemik ensefalopati ve omurilik iskemisine bagli tetrapleji tanisi ile Fizik Tedavi ve Rehabilitasyon (PMR) klinigine basvurdu. Her iki durumun bir arada bulunmasi nadir bir durumdur. Bu calisma rehabilitasyon uygulana hastada erken tedavinin hastanin agir durumuna nasil yarar saglayacagini incelemeyi amaclamaktadir. Motor ve fonksiyonel degerlendirmeler 8 haftalik rehabilitasyon programindan once ve sonra yapildi. Alt ekstremite kas kuvveti ve denge durumunu degerlendirmek icin biodex izokinetik kuvvet ve denge testleri kullanildi. Ayrica, 6 dakikalik yurume testi yapilmis ve kavrama gucu olculmustur. Ust ekstremite fonksiyonlarini degerlendirmek icin Kol, Omuz ve Ellerde Engellilik Indeksi (DASH) bagimsizlik seviyesini belirlemek icin Fonksiyonel Bagimsiz Onlemler (FIM) Anketi kullanilmistir. Erken rehabilitasyon programinin bir sonucu olarak, hastanin motor ve fonksiyonel durumu onemli olcude iyilesti. Abstract A 26 year old male patient was admitted to Physical Medicine and Rehabilitation (PMR) inpatient clinic with a diagnosis of tetraplegia due to hypoxic ischemic encephalopathy and spinal cord ischemia. The coexistence of both conditions is a rare condition. This study aims to examine how early treatment in terms of rehabilitation would benefit the patient's severe condition. Motor and functional evaluations were performed before and after the 8 weeks rehabilitation program. Biodex isokinetic strength and balance tests were used to evaluate lower extremity muscle strength and balance status. Also, the 6 minute walking test was performed, and the pinch and handgrip strength were measured. Disability of the Arm, Shoulder, and Hands Index (DASH) was used to evaluate the upper extremity functions, and the Functional Independent Measures (FIM) Questionnaire was used to determine the independence level. As a result of an early rehabilitation program, motor and functional status of the patient improved significantly.