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DR. GAJANAN BHALERAO (PT) MPTh Neuro, MIACP, MIFNR, MIAP SENIOR LECTURE Masters in physiotherapy, Neurosciences Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com PUBLICATIONS:- Comparison of Motor Relearning program versus Bobath Approach in acute stroke rehabilitation: Journal of Orthopedics And Rehabilitation, India, 2011 RESEARCH PAPER PRESENTATIONS & AWARDS:- INTERNATIONAL 1.Winner Of Young Presenters Scholarship From Epilepsy Foundation India, in the conference of“International congress on neurology and rehabilitation Goa April 2010”, STATE LEVEL: 1. Winner of best paper award in engeering and technology category In Avishkar 201o of Maharashtra university of health sciences (MUHS), Nashik India. 2.WINNER OF BEST PAPER FOR scientific paper presentation in AVISHKAR 2010 of Maharashtra University of Health Sciences (MUHS), AURANGABAD, India. REESOURCE PERSON/COURSE INSTRUCTOR:- I have conducted Conducted workshop on 1. 2D & 3D Gait Analysis and its Management 2. MOTOR RELEARNING PROGRAM- for stroke rehab 3.Spinal Cord Injury Rehabilitation

Tuesday, 6 December 2011

How to carry out ambulation training with KAFO in patient with a spinal cord injury who had an added complication of an accidental burn on thigh region?


Mr. Shah had a D12 compression fracture, spinal cord compression with ASIA type B with neurological level of injury D12 and fracture of the upper end of humerus. After one and half month of ambulation training he could walk with a walker and a KAFO (In a KAFO we have 3 points of support. 1. Thigh band, 2. Knee cuff & 3. Calf band). Apart from the walker and the  KAFO, he required moderate assistance for balance during the dynamic activity of walking and assistance with stepping forward.  He was using moist heat for the pain around the fractured L shoulder. After heating his L shoulder, he kept the hot water bag by the L thigh and due to the lack sensation below D12 (below groin region), he got a significantly large burn on the anterior aspect of the thigh. 
This where we could have had a major setback in his ambulation training. Because of the burn, he couldn't have worn the KAFO. It would have taken 2-4 weeks for the healing to complete. This meant that Mr. Shah would have to stop walking for that period of time. Instead of losing a whole month of rehabilitation, I came up with a plan. I waited for two days for early inflammation to subside.
Then, I used an AFO, a knee cuff, a thigh pad and a calf band to support his leg while walking. I did not tie the thigh band which was over the burnt area - the anterior aspect of thigh. With the AFO, knee cuff and thigh pad we got 3 point support and could manage without thigh band. He had started walking with a KAFO (like device) within 2 days of the burn.

please click here to see photo.
http://gajananbhalerao.wordpress.com/2011/12/06/how-to-do-ambulation-training-with-kafo-in-patient-of-spinal-cord-who-got-complication-with-accidental-burn-on-thigh-region/ 

5 comments:

  1. hi sir ...had a doubt ....how was this thigh pad....wht i can imagine it to be just a ring shape ..other wise he would have again got hurt over the burnt region....can u upload its picture.
    Regards Priti

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  2. hi sir i need a topic fr thesis plz suggest me some topics

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  3. hi sir i need a topic fr thesis plz suggest me some topics

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  4. dear radhika please let me know your field of interest? where do u study now? what is the common patient population available? then i can suggest something

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