Saturday, 7 September 2013

PARAPLEGIA
PARALYSIS OF BOTH THE LOWER LIMB WITHOUT ANY INVOLVEMENT OF THE UPPER LIMB IS CALLED AS PARAPLEGIA.
CAUSES :
UPPER MOTOR NEURON LESION
  • TUMORS OF FALX CEREBRI
  • THROMBOSIS OF SUPERIOR SAGITTAL SINUS
  • THROMBOSIS OF UNPAIRED ANTERIOR CEREBRAL ARTERY AFFECTING BOTH LEG AREA
  • SUBACUTE COMBINED DEGENERATION OF CORD
  • MULTIPLE SCLEROSIS
  • ACUTE TRANSVERSE MYELITIS
  • MOTOR NEURON DISEASE
  • EPIDURAL ABSCESS
  • RADIATION MYELOPATHY
  • TRAUMA
  • POTT'S PARAPLEGIA
LOWER MOTOR NEURON LESION
  • ANTERIOR HORN CELL LESION IN CONDITIONS LIKE POLIOMYELITIS,SPINAL MUSCULAR ATROPHY AND MOTOR NEURON DISEASE
  • ROOTS LESION LIKE IN CAUDA EQUINA SYNDROME
  • MYESTHENIA GRAVIS
  • PERIPHERAL NERVE LESION
  • SPINA BIFIDA
 CLINICAL FEATURE:
ABCENCE OF REFLEXES
FLACCIDITY
TIGHTNESS CONTRACTURE
OSTEOPOROSIS
URINARY COMPLICATION
DEPRESSION
TREATMENT:
  1. MAINTAINING PASSIVE AND ACTIVE RANGE OF MOTION
  2. CARE OF SKIN 
  3. CARE OF BLADDER
  4. ACTIVE EXERCISES
  5. MANAGEMENT OF SPASTICITY
  6. TRANSFER ACTIVITIES
  7. GAIT TRAINING











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