Paraplegic Patients: Treatment and Challenges Research Paper

Paraplegic Patients: Treatment and Challenges Research Paper

Paraplegia is described as a complete or incomplete paralysis of the lower body, including legs, bowels, and possibly the trunk. According to the national surveys, over four million people in America suffer from spinal cord injuries. Out of them 300,000 are paraplegics. (“How many People are affected by Spinal Cord Injury (SCI)” par. 2). The life of a paraplegic is hard and full of challenges. Mundane tasks suddenly become troublesome, such as moving around the house or going downstairs (York par. 1). Allowing these people to perform mundane tasks without additional help from someone else would make them feel capable and independent once more (“Spinal Cord Injury – Paraplegia” par. 8).Paraplegic Patients: Treatment and Challenges Research Paper.

This design project is orientated towards paraplegics, and might be of interest to people who have a friend or a relative suffering from paraplegia. Sometimes families do not realize how much they could do for a disabled person. It is not impossible to help them live a relatively normal life. Many different devices and mechanisms could be used to make a paraplegic’s life easier, such as rails, ramps, personal elevators, and bathroom aides.

One of the more challenging tasks that paraplegics have to face is bathing. Getting into a bathtub could be hard for people with limited mobility. However, it becomes an impossible task should one attempt it without extra help or specialized equipment. It requires not one but two strong people to put a paraplegic into a bathtub. This is a very uncomfortable procedure due to the exposure and the physical strain put on the body. In addition, this method has a very high risk of causing additional trauma, leaving it highly unfavorable.

Personal hygiene is very important for the paraplegics due to how they go about their bladder and bowel program (“Bowel Management After Spinal Cord Injury” par. 8). They are required to wash frequently. Being able to do so alone without additional assistance is a major step to improving the quality of life for the paraplegics since not only would they be able to feel independent, but it would also protect their pride and privacy.

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Not everybody is comfortable with being naked in the presence of another person, even a family member. Some feel humiliated and think they are a burden, even if their family and caregivers do not think that way. Paraplegics may not say it aloud, but it is how they feel, and their feelings must be respected (Dezarnaulds 8).

Fortunately, there are devices that allow a paraplegic with the reasonable upper-body strength to perform the act of bathing on their own. Paraplegic Patients: Treatment and Challenges Research Paper. They are called tub lifts. These devices are relatively simple and safe. The majority of the mechanisms are operated by either gears and levers, or by an electric engine that does the heavy lifting (Bonecutter par. 18). The latter is recommended for the elderly or those who do not possess the necessary upper-body strength.

A tub lift allows the paraplegics to lift themselves up from the wheelchair and then lower their body down into the tub without putting any extensive pressure on the spinal cords. Tub lifts are available in a varied price range to accommodate different social groups. Possessing a tub lift would be of great help to a paraplegic, and an important step towards personal independence.

Abstract Approximately 11,000 spinal cord injuries involving Paraplegia are reported in the United States yearly. These injuries occur as a result of automobile and motorcycle accidents, falls, sporting accidents, and gunshot wounds; although, it is also caused by congenital conditions. When the spinal nerve signals below the level of the injury is partially cut off from the brain, this results in Paraplegia disability. This is an impairment of motor or sensory function of the lower extremities. The most affected areas of the spinal canal by Paraplegia are related directly either with the thoracic, lumbar, or sacral regions. Spinal Cord injuries are medical emergencies.Paraplegic Patients: Treatment and Challenges Research Paper.  Immediate treatment can reduce long-term effects. There are
“Handicaps are really to be used another way to benefit yourself and others.” (Wonder). This type of technology has improved the life of many paraplegic patients. Improving their style of life through technological advances can be a tool they can use to help re-establish their lives in many ways. Although, is a great road ahead more and new researches are being done in order to help paraplegic patients manage the disease. For example in Kentucky for the first time in history and with the usage of a neurostimulator four young men who were paralyzed for several years were able to move their legs again. This progress was obtained through the usage of the electrical epidural stimulation of the spinal cord. This technology has helped and has given a new light at the end of tunnel and a new resource in the battle of this terrible condition. Conclusion Scientists are currently using all the available resources in order to fight and possibly cure Paraplegia. It is a big ordeal considering all the factors that contribute to the level of injury each patient has. The amount of time this impairment takes in order to be handled has a big impact in the emotional well being of each individual. All the different kind of therapies offered to the patients has its pros and cons, but some risks must be taken in order to be able to obtain positive results. The life expectancy for patients with Paraplegia is lower than normal people. Fortunately, during the
Approximately 11,000 spinal cord injuries involving Paraplegia are reported in the United States yearly. These injuries occur as a result of automobile and motorcycle accidents, falls, sporting accidents, and gunshot wounds; although, it is also caused by congenital conditions. When the spinal nerve signals below the level of the injury is partially cut off from the brain, this results in Paraplegia disability. This is an impairment of motor or sensory function of the lower extremities. Paraplegic Patients: Treatment and Challenges Research Paper. The most affected areas of the spinal canal by Paraplegia are related directly either with the thoracic, lumbar, or sacral regions. Spinal Cord injuries are medical emergencies. Immediate treatment can reduce long-term effects.

There are several effective techniques that can help minimize the impact of these injuries and could help paraplegic patients regain some movement of the joints, muscles, and extremities. These techniques extent and are not limited to: manual therapy, physical therapy, sport medicine rehabilitation, exercise training, technological stimulation, neurological studies, and emotional support. All these therapies along with the proper professional intervention can help paraplegic patients get back some sense of support that could lead to their future independency and self worthiness.

PARAPLEGIA

When a person suffers a spinal cord injury most of the neurological information travels from the spinal nerves below the level of injury all the way to the brain. Somehow these spinal nerves stop sending signals to the brain partially cutting off its main function resulting in Paraplegia. There are many levels of Paraplegia that depend on the severity of the injury which permanently damages the spinal cord. There are several effective techniques and practices that have successfully helped with the rehabilitation of paraplegic patients. Some of these techniques extent from manual therapies such as stretching and flexibility exercise, swimming, and the usage of the most innovative technological development today. These therapies help managing the Paraplegia disability and stop the probability from worsen and acquiring complications to the disease. Therefore, offering new hope and a sense of emotional support to paraplegic patients. If you are an underdog, mentally disabled, physically disabled, if you do not fit in, if you are not as pretty as the others, you can still be a hero. (Guttenberg, 2012).

Managing Paraplegia is not an easy task. The disability itself is very breath taking but the people that suffer the disease manage the strength to endure and confront it. Some of the most endurance trainings are physical deteriorating. 1. Stretching and Flexibility exercises are the two most important techniques used to treat paraplegia at the present time. Stretching can reduce muscle spasticity and is good to improve flexibility. Paraplegic Patients: Treatment and Challenges Research Paper. These exercises also help to reduce other related health problems such as Tendonitis and Bursitis. Manual therapy is the hands-on approach that differentiates Physical Therapists from other health practitioners. This practice should be the prime and backbone of any treatment plan because it reeducates the body into its proper movement and mechanics, and helps tremendously in the rehabilitation of paraplegic patients. There are only two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle. (Einstein).

Since most of the Paraplegia cases are rarely known to be overcome, it is only fair to say that some of the emotional stages these patients get to be at lets them acquire some grade of optimism to keep on and have faith that their miracle may come at any time. Limitations only go so far. (Hensel). The psychological toll paraplegic patients go through is very high, but this does not stops them from making their dreams come true and keep competing in the sports they like the most. For example the paratriathlete, John McLean, who became the first person in a wheelchair to complete the Ironman World Championship and swim the English Channel in 1995 and 1998. 2. Swimming and aquatic exercises provide optimal conditions for paraplegic patients. The water eliminates the effects of gravity allowing weakened limbs to attain a greater range of motion. It also helps to support the body so there is less stress on the hips, knees, and spine.

Exercises in the water increase muscle power and endurance which help mobilize joints and muscles. Therefore, swimming is definitely a good sport to practice that stimulates the health and wellbeing of people suffering from Paraplegia. Being disabled should not mean being disqualified from having access to every aspect of life. (Thompson). Paraplegic Patients: Treatment and Challenges Research Paper. Paraplegics should have access to the developmental progress currently happening in the field. Although, everybody does not have the same capability of reaching new technology doctors should implement it for the well being of their patients. 3. Innovative new technological therapies offer new hope for Paraplegia disability. For example: The spinal electric stimulation helps patients to temporarily regain muscle control in their legs, feet, toes, ankles, and knees. The ultrasound therapy also helps generate heat deep in the body that makes it easier to loosen up tissues in the preparation of manual therapy.

Last but not least, another alternative to treat Paraplegia is the Ware K. Tremor therapy which uses special assisted facilities and equipment made specifically to manipulate the human neurological and nervous systems. This therapy helps paraplegic patients intensify their sensitivity and environmental stimulation. Handicaps are really to be used another way to benefit yourself and others. (Wonder). This type of technology has improved the life of many paraplegic patients. Improving their style of life through technological advances can be a tool they can use to help re-establish their lives in many ways.

Although, is a great road ahead more and new researches are being done in order to help paraplegic patients manage the disease. For example in Kentucky for the first time in history and with the usage of a neurostimulator four young men who were paralyzed for several years were able to move their legs again. This progress was obtained through the usage of the electrical epidural stimulation of the spinal cord. This technology has helped and has given a new light at the end of tunnel and a new resource in the battle of this terrible condition. Paraplegic Patients: Treatment and Challenges Research Paper.

Conclusion

Scientists are currently using all the available resources in order to fight and possibly cure Paraplegia. It is a big ordeal considering all the factors that contribute to the level of injury each patient has. The amount of time this impairment takes in order to be handled has a big impact in the emotional well being of each individual. All the different kind of therapies offered to the patients has its pros and cons, but some risks must be taken in order to be able to obtain positive results. The life expectancy for patients with Paraplegia is lower than normal people. Fortunately, during the past several years the survival rate has increased. The truth is that some paraplegic patients will be able to see some kind of improvement along the road, others will still be fighting the disease hoping that new technology or cure can be created in order to save their lives. 

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I thank God for my handicaps, for, through them, I have found myself, my work, and my God. (Keller). It is only fair to acknowledge that the disease itself, the recuperation process, and the rehabilitation progress take so much strength not only from the patients, but also from each and one of every family member that is involved. The disease takes its own style of life that creates a sense of compassion that should be present in every human being in order to help fight this terrible disease.

References
Laming, Rebecca and Wolpert, Stuart (2014). Breakthrough therapy allows four paraplegic men to voluntary move their leg. Health and medicine Newsroom, UCLA Health. Kentucky: The Oxford University Press. Website: http://www.uclahealth.org

URL: http://www.uclahealth.org/body.cfm?id=561&action=detail&ref=2412 Lindberg, Donald A.B., MedlinePlus (2014). Paralysis also called Hemiplegia, Palsy, Paraplegia, Quadriplegia. U.S. National Library of Medicine, and NIH: National Institutes of Health. Maryland: U.S. National Library of Medicine Publisher. Paraplegic Patients: Treatment and Challenges Research Paper.

Website: www.nlm.nih.gov/medlineplus/paralysis.html
Website source: www.lirn.net/titles / www.lirnmuseglobal.com/muse/servlet/MusePeer Lindberg, Donald A.B., MedlinePlus (2014). Spinal Cord Injuries. U.S. National Library of Medicine, and NIH: National Institutes of Health. Maryland: U.S. National Library of Medicine Publisher. Website: www.nlm.nih.gov/medlineplus/spinalcordinjuries.html

Website source: www.lirn.net/titles / www.lirnmuseglobal.com/muse/servlet/MusePeer MMD Newswire (2012). Ware K (TM) Tremor Therapy exploits the vital role (TM) plays in our health and wellbeing. Georgia: Mass Media Distribution LLC. Publishing.

Website: http://www.mmdnewswire.com
URL: http://www.mmdnewswire.com/ware-k-tremor-therapy-chaos-health-1106086.html Odonnell, Leslie (2009). Inspiration quotes for the disabled and those who raise them. Examiner.com. New York: AXS Digital Group LLC. Publishing. Website: www.examiner.com URL: www.examiner.com/article/inspiration-quotes-for-the-disabled-and-those-who-raise-them Guttenberg, Steve (2012) Newest Edition. BookThe Guttenberg bible: A memoir. Volume I, Chapter I, P36. Texas: Thomas Dunn Books Publisher. Website: www.goodreads.com URL: http://u.s.macmillan.com/theguttenbergbible/SteveGuttenberg Ozelie R, Sipple C, Foy T, et al (2009). SCIRehab Project Series: The occupational therapy taxonomy. J Spinal Cord Med 32 (3): 283-97. PMC 2718817. US: MIT Publishing. Paraplegic Patients: Treatment and Challenges Research Paper.

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