Early physiotherapy in rehabilitation hospital for severe traumatic brain injury: A case study of dynamic lady

Background: Physiotherapy is an integral component of the management of patients with traumatic injuries. This case study discusses possible interventions for restoring physical and cognitive function during an inpatient rehabilitation program of 63years female who presented with slip and fall from running train with hypovolemic shock and sever crushing, traumatic amputation left upper arm, Multiple fractures and open wounds.

Methods: Underwent many surgical procedure and rehabilitation for 5 month, Initial assessment was taken for pain, range of motion, Limited ambulation because of open wounds, Task specific exercises, postural corrections, residual limb exercises, activities in sitting, standing were done for 4 weeks, 3 sessions per day for 45mins, after 4 weeks of the surgeries. 

Outcome measures: Harris hip score, Functional Independence Measure (FIM), VAS, Berg Balance scales were used to assess the patient before and after the 4weeks program.

Results: Post operative treatment there was decrease in pain, increase in hip mobility and overall functional ability. There was significant improvement in Gait and the patient was able to perform her ADLs independently.

Conclusion: Physiotherapy arises as a possible and safe complementary treatment, Exercises and physiotherapy in Rehabilitation appear to be beneficial for patients with amputation, fractures Healing, Hip replacements, wound healing by enhancing their functionality and quality of life.