Case Study
Year: 2021 | Month: January-March | Volume: 6 | Issue: 1 | Pages: 196-200
Getting Back on Their Feet: A Single Case Study
Chetna Prakash Waradkar1, Shilpshree Prashant Palsule2
1Master of Occupational Therapy, Occupational Therapy School & Centre, Seth G.S. Medical College & KEMH, Mumbai, Maharashtra, India.
2Assistant Professor, Occupational Therapy School & Centre, Seth G.S. Medical College & KEMH, Mumbai, Maharashtra, India.
Corresponding Author: Chetna Prakash Waradkar
ABSTRACT
A 56 years old female, operated case of D6 Koch’s spine with complete paraplegia was re- admitted in a tertiary care hospital, post discharge 7 months for further rehabilitation. Her functional performance was assessed using International Classification of Functioning (ICF) framework. Problem areas were assessed. Client centred approach used while planning therapy program. Contextual factors were taken in consideration. Modifications were suggested in Basic and Instrumental activities of daily living (BADL and IADL) using Compensatory and adaptive approach & biomechanical frame of reference. Post intervention patient showed improvement in spinal cord independence measure (SCIM) scores and performance & satisfaction on COPM. As per ICF improvement is seen in the domains of Body function, Activity & participation, Products & technology. The results suggest that early focus on IADL activity might be helpful to improve overall function.
Keywords: COPM, ICF, SCIM, Spinal cord injury.