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2011, Number 1

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RCAN 2011; 21 (1)

Influencia de la rehabilitación neuromuscular en el estado nutricional del paciente con trauma raquimedular dorsolumbar

Zamora PF, Santos HC, Rosa AC, Suárez MC, Hernández GE, Morúa-Delgado VLP, Rodríguez CML, Gorris GM, González MC

Language: Spanish
References: 37
Page: 14-34
PDF size: 674.00 Kb.


ABSTRACT

Rationale: Spinal cord trauma is cause of paraplegia, visceral and vegetative damages, muscle dystrophy, disability and nutritional disorders. Nutritional status might affect the response to neural muscle rehabilitation. Material and method: Forty paraplegic patients (Men: 75%), younger than 40 years old, received 8 weekly sessions 38.5 hours each of structured exercises in different domains of neural muscle function as part of the Neurological Rehabilitation Program at the CIREN International Center for Neurological Restoration, Havana City (Cuba). Skeletal muscle mass (total/regional) was quantified from arm circumference and creatinine urinary excretion. Results: Neurological rehabilitation resulted in improvement of motor activity, sensitivity to tactile as well as pain stimulation, and of patient’s validism and autonomy. An increase in arm circumference and creatinine urinary excretion was observed after completion of the rehabilitation program. Differences observed in the estimates of skeletal muscle mass can be reconciled if is taken into account that scapular muscle belt might respond to neural muscle rehabilitation better than other muscle groups more affected by paraplegia. Conclusions: The applied neural rehabilitation regime, qualified as shortlasting but intensive, brought about measurable changes in the Barthel index and the motor and sensitive dimensions of ASIA scale, along with an increase in arm circumference and urinary creatinine excretion, these latest indicators that constitute major signs of prognosis of rehabilitation.


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