Year: 2026 | Month: April-June | Volume: 11 | Issue: 2 | Pages: 9-14
DOI: https://doi.org/10.52403/ijshr.20260202
Effect of Early Physiotherapy Intervention After Lumbar Spine Fixation: A Case Report
Jigar N. Mehta1, Ershadali Ansari2, Shreya Gupta3
1Professor, 2Associate Professor, 3MPT Resident,
K M Patel Institute of Physiotherapy,
Bhaikaka University, Karamsad, Anand, Gujarat.
Corresponding Author: Dr. Shreya Gupta
ABSTRACT
Background: Spinal cord injury (SCI) is a serious condition with lasting effects on motor, sensory, and autonomic functions. In India, traumatic SCI frequently results from falls and disproportionately affects young adults. Early physiotherapy intervention after spinal fixation is crucial but underreported, especially in female patients.
Case Presentation: A young female sustained a traumatic lumbar spine injury due to a fall, resulting in bilateral facet dislocation at L1–L2, anterior translation of L1, and a wedge compression fracture of L3. Surgical fixation was performed, and physiotherapy was initiated within 24 hours postoperatively. A structured four-week rehabilitation protocol included neuromuscular facilitation, upper limb strengthening, supported sitting, wheelchair mobility, tilt table training, and sensory re-education. The physiotherapy plan was progressed weekly based on the patient’s neurological status and tolerance.
Discussion: Initially classified as ASIA A on the (American Spinal Injury Association) ASIA scale. The patient progressed to ASIA B by week three, regaining pinprick sensations and showing palpable muscle contractions in lower limb muscles. Functional improvements included better postural control, independent transfers with assistance, and cardiovascular stability with weight bearing during tilt table sessions. Quality of life also improved based on quality-of-life index scoring.
Conclusion: Early, individualized physiotherapy post-lumbar spine fixation significantly improved neurological and functional outcomes in this case. The structured rehabilitation approach enhanced sensory recovery, motor activity and upright tolerance. This report highlights the value of early intervention leads to better recovery.
Keywords: Spinal cord injury, early physiotherapy, lumbar fixation, ASIA scale, paraplegia, rehabilitation, case report.