Recovery Story Details

Patient Wang, male, 34 years old, from Guangzhou, Guangdong. In 2023, he suffered a complete T2 spinal cord injury in a car accident, resulting in paraplegia and loss of bladder and bowel control. After 6 months of postoperative rehabilitation, he remains unable to stand and is experiencing low mood.

Evaluation Results

• Level of Injury: T2 Complete (ASIA A)
• Lower extremity muscle strength: 0 grade (no active contraction)
• Lower extremity sensation: Complete loss below the knees.
• Range of motion: Mild hip flexion contracture (10°)
• Bone Density: Mild Osteoporosis

Treatment Plan

1. Custom Knee-Ankle-Foot Orthosis (KAFO): Bilateral locked knee joint, fixed-axis ankle joint
2. Pelvic Binder: Provides trunk stability
3. Standing Training: Perform standing balance training within the parallel bars
4. Gait Training: Four-point gait training with a walker
5. Strength TrainingStrengthen upper body and core muscles

Treatment Progress

• Months 1-2: Tolerates brace wear; stands in parallel bars for 5 minutes
• Months 3-6Standing time extended to 30 minutes; steps can be taken with walker assistance.
• Months 7-12: Can walk 50 meters with a walker
• Months 13-18: Walks up to 100 meters, climbs 1 flights of stairs

Treatment Effect

• Standing ability: Unable to stand → Independent standing for 30 minutes
• Walking ability: Unable to walk → Walking with a walker for 100 meters
• Activities of Daily Living: FIM score improved from 65 to 95.
• Mental Status: Significant decrease in depression scores; regained confidence in life.