Utilization of the HOAC II Framework for Physical Therapy Management of a Patient with a T1 SCI and Multiple Fractures
Type of Presentation
Poster Session
Location
Hall of Governors
Start Date
4-8-2022 4:00 PM
End Date
4-8-2022 6:00 PM
Abstract
Background and Purpose: Spinal cord injury (SCI) is a life-long condition which can negatively impact the health and well-being of affected individuals. The Hypothesis-Oriented Algorithm for Clinicians II (HOAC II) is an algorithm designed to aid clinicians in decision making and executing various elements of a patient’s plan of care. The purpose of this case report is to provide an example of the application of the HOAC II framework for the management of a patient with chronic SCI who sustained multiple musculoskeletal injuries during a vehicle versus wheelchair user pedestrian accident.
Case Description: The patient subject of this case report was a 39-year-old male who experienced a spinal stroke 9 years prior to being involved in a motor vehicle versus wheelchair user pedestrian accident. The client acquired subsequent musculoskeletal and integumentary injuries which negatively impacted his functional mobility abilities, ability to work, and quality of life. The HOAC -II was utilized to address patient identified problems as well as non-patient identified problems in order to formulate an optimal plan of care to improve the patient’s level of function.
Outcomes: Functional improvements were measured using the Neuro Recovery Scale, modified Functional Reach, and hip and knee Range of Motion. Quality of Life was measured using the Quality of Life Index – Spinal Cord Injury version.
Discussion- The HOAC-II framework provided a proactive framework for the physical therapist to use for decision making regarding seating and positioning to address the musculoskeletal injuries that compromised the patient’s integumentary system and could have significantly impaired the patient’s healing process.
Presenter:
Olayemi Olabamiji
Physical Therapy Doctoral Student
Faculty / Staff Sponsor
Dr. Mary Jones
Assistant Professor, College of Health and Human Services
Utilization of the HOAC II Framework for Physical Therapy Management of a Patient with a T1 SCI and Multiple Fractures
Hall of Governors
Background and Purpose: Spinal cord injury (SCI) is a life-long condition which can negatively impact the health and well-being of affected individuals. The Hypothesis-Oriented Algorithm for Clinicians II (HOAC II) is an algorithm designed to aid clinicians in decision making and executing various elements of a patient’s plan of care. The purpose of this case report is to provide an example of the application of the HOAC II framework for the management of a patient with chronic SCI who sustained multiple musculoskeletal injuries during a vehicle versus wheelchair user pedestrian accident.
Case Description: The patient subject of this case report was a 39-year-old male who experienced a spinal stroke 9 years prior to being involved in a motor vehicle versus wheelchair user pedestrian accident. The client acquired subsequent musculoskeletal and integumentary injuries which negatively impacted his functional mobility abilities, ability to work, and quality of life. The HOAC -II was utilized to address patient identified problems as well as non-patient identified problems in order to formulate an optimal plan of care to improve the patient’s level of function.
Outcomes: Functional improvements were measured using the Neuro Recovery Scale, modified Functional Reach, and hip and knee Range of Motion. Quality of Life was measured using the Quality of Life Index – Spinal Cord Injury version.
Discussion- The HOAC-II framework provided a proactive framework for the physical therapist to use for decision making regarding seating and positioning to address the musculoskeletal injuries that compromised the patient’s integumentary system and could have significantly impaired the patient’s healing process.
Presenter:
Olayemi Olabamiji
Physical Therapy Doctoral Student