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Total sacrectomy rehabilitation: Implementation of the international classification of functioning, disability, and health model – A case report

dc.contributor.authorLopes, Alfredo A.
dc.contributor.authorMesquita, Inês
dc.contributor.authorTorres, Rui
dc.contributor.authorTorres, Rui
dc.contributor.authorLopes, Alfredo
dc.contributor.authorMesquita, Inês
dc.date.accessioned2025-11-03T14:33:04Z
dc.date.available2025-11-03T14:33:04Z
dc.date.issued2025-01-06
dc.description.abstractThis study aims to outline an evaluative diagnostic process and intervention for a patient who underwent total sacrectomy based on the International Classification of Functioning, Disability, and Health (ICF) model. A 70-year-old male with a history of an aggressive sacral chordoma experiencing intense pain, constipation, and polyuria without the sensation of bladder filling, underwent a total sacrectomy. Two evaluations at two-time points were conducted 12 weeks apart. The patient then underwent an individualized rehabilitation program tailored to address impairments, activity limitations, and participation restrictions. The care plan was adjusted based on the patient’s health status and relevant personal and environmental factors. The Barthel Scale scores improved from 60 to 80. Motor scores on the American Spinal Injury Association scale increased from 62 to 66, while sensory scores for light touch improved from 86 to 96. However, pain scores remained stable at 86. Functional reach tests showed notable enhancements, with anterior reach increasing from 16.4 cm to 23.7 cm and lateral reach from 9.6 cm to 15.2 cm. The patient also showed progress in mobility, increasing the number of steps taken from 0 to 10. This case report highlights the positive therapeutic outcomes achieved, illustrating improvements in functional activities and patient independence, thereby underscoring the effectiveness of the ICF model in managing patients undergoing total sacrectomy.por
dc.identifier.citationLopes, A. A., Mesquita, I., & Torres, R. (2025). Total sacrectomy rehabilitation: Implementation of the international classification of functioning, disability, and health model – A case report. Journal of Musculoskeletal Surgery and Research, 9(1), 140–144. https://doi.org/10.25259/JMSR_289_2024
dc.identifier.doi10.25259/JMSR_289_2024
dc.identifier.eissn2589-1227
dc.identifier.issn2589-1219
dc.identifier.urihttp://hdl.handle.net/10400.22/30720
dc.language.isoeng
dc.peerreviewedyes
dc.publisherJournal of Musculoskeletal Surgery and Research
dc.relation.hasversionhttps://journalmsr.com/total-sacrectomy-rehabilitation-implementation-of-the-international-classification-of-functioning-disability-and-health-model-a-case-report/
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealth
dc.subjectIncapacity
dc.subjectIndependency
dc.subjectPhysiotherapy
dc.subjectSacral chordoma
dc.titleTotal sacrectomy rehabilitation: Implementation of the international classification of functioning, disability, and health model – A case reportpor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage144
oaire.citation.issue1
oaire.citation.startPage140
oaire.citation.titleSaudi Orthopedic Association
oaire.citation.volume9
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTorres
person.familyNameLopes
person.familyNameMesquita
person.givenNameRui
person.givenNameAlfredo
person.givenNameInês
person.identifier678797
person.identifier.ciencia-id3A1D-ABA5-8775
person.identifier.ciencia-idCB11-0C37-6894
person.identifier.orcid0000-0002-4041-270X
person.identifier.orcid0000-0003-4908-1326
person.identifier.orcid0000-0001-9659-7531
person.identifier.ridABH-2612-2020
person.identifier.ridB-1548-2016
person.identifier.scopus-author-id34968690400
relation.isAuthorOfPublication68361dca-f7f0-47d7-857f-2cda62ce7c19
relation.isAuthorOfPublicationafe64921-ca72-481b-8b98-6b0e217651a2
relation.isAuthorOfPublication6fb6423f-87ee-439c-822c-5f0dd11c79e1
relation.isAuthorOfPublication.latestForDiscovery68361dca-f7f0-47d7-857f-2cda62ce7c19

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