Authors (including presenting author) :
Ng CK(1), Chan KL(1), Yu KP(1), Ng SW(1)
Affiliation :
(1)Community Rehabilitation Service Support Centre, Queen Elizabeth Hospital
Introduction :
Standing is essential for the people with lower limb paraplegia to maintain health status. Paleg and Livingstone (2015) implemented a systematic review on the dosage of supported home-based standing programs for adults with stroke, spinal cord injury and other neurological conditions. They concluded the strong evidence that supports the home-based supported standing programs can benefit range of motion and activity for individuals with stroke or spinal cord injury. There was also mixed evidence supports impact on bone mineral density. They recommended standing should occur 30 min 5 times a week for a positive impact on most outcomes while 60 min daily is suggested for mental function and bone mineral density. Since it is difficult for patients to attend regular institution training after outbreak of the COVID-19, enhancement of home base training is essential to maintain and improve the health and functional status of the clients.
Objectives :
To evaluated the effect of a 12-week home base standing program using the mobile standing robot - BBR on a patient with wheelchair bound problem due to lower limbs paraplegia upon dischagred from hospital.
Methodology :
A case report of a 53-year old male patient, diagnosed T10-11 ependymoma with excision of the spinal tumor done on Aug 2020, complicated with progressive bilateral lower limbs weakness and subsequently wheelchair bound on discharged home was studied.
A 12-week home base standing program using the mobile standing robot - BBR has been offered to client after completing the initial 3 training sessions in CRSSC. Interim telephone follow up of client’s conditions on using the robot at home was provided. Home visit consultation was arranged at the end of the program to evaluate the functional achievement. Besides, P&O colleague will fabricate a caliper for the client to facilitate him to perform standing and walking without the robot after the 12th week.
Result & Outcome :
A wheelchair bound lower limb paraplegic patient at T10 level was able to resume basic walking function under the use of a lower limb caliper and a walking frame support with one moderate assistance after the intervention of a 12-week home base standing program using the mobile standing robot - BBR.
Standing performance are markedly enhanced also, with standing frequency and tolerance changed from < 3 times weekly to > 2 times daily and < 30 sec each time with 2 major assistance to > 30 mins independently using the BBR respectively.
