{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T22:28:32Z","timestamp":1762295312022,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,9]]},"abstract":"<jats:p>Here we discuss the follow-up case of a 27-year-old male patient from rural Philippines, who was neglected by local health services after losing all four of his limbs as a result of a high-voltage electrical accident. The case follows the patient\u2019s road to accessing prostheses, rehabilitation health services and physiotherapy. Significant disparities were found between the government health services and the private sector with respect to quality, accessibility and affordability. Access to affordable healthcare is a basic human right that must be a priority for low-income and middle-income countries.<\/jats:p>","DOI":"10.1136\/bcr-2018-225171","type":"journal-article","created":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T00:25:11Z","timestamp":1532651111000},"page":"bcr-2018-225171","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical management of quadriplegia in low and middle-income countries: a patient\u2019s road to physiotherapy, prostheses and rehabilitation"],"prefix":"10.1136","volume":"2018","author":[{"given":"Marcus","family":"Choong","sequence":"first","affiliation":[{"name":"Menzies Health Institute Queensland, Gold Coast, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thao","family":"Chau","sequence":"additional","affiliation":[{"name":"Descipline of Public Health, Flinder University, Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delia","family":"Chy","sequence":"additional","affiliation":[{"name":"Municipal Medical Officer of Health, Palpag, Northern Samar, The Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen","family":"Ross","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Griffith University, Meadowbrook, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,7,26]]},"reference":[{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.1","unstructured":"Ottobock.co.th. Treatment circle leg prostheses \u2014 ottobock. 2018 https:\/\/www.ottobock.co.th\/clinical-services\/treatment-process\/leg-prostheses\/ (cited 1 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.2","unstructured":"Rightdiagnosis.com. Statistics by country for amputation - rightdiagnosis.com. 2018 http:\/\/www.rightdiagnosis.com\/a\/amputation\/stats-country.htm (cited 2 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.3","unstructured":"Amputee Coalition. Financial assistance for prosthetic services, durable medical equipment, and other assistive devices - amputee coalition. 2018 https:\/\/www.amputee-coalition.org\/resources\/financial-assistance-for-prosthetic-services\/ (cited 1 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.4","unstructured":"WHO. A new leg, a new lease on life in the Philippines. 2018 http:\/\/www.who.int\/features\/2013\/new_leg_philippines\/en\/ (cited 3 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.5","unstructured":"Philhealth.gov.ph. Prosthesis package expanded. 2018 https:\/\/www.philhealth.gov.ph\/news\/2016\/prosthesis_package.html (cited 31 Jan 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.6","unstructured":"Philhealth.gov.ph. Premium contribution table: employed philhealth. 2018 https:\/\/www.philhealth.gov.ph\/partners\/employers\/contri_tbl.html (cited 2 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.7","unstructured":"Philippine Statistics Authority. Average family income in 2015 is estimated at 22 thousand pesos monthly (Results from the 2015 Family Income and Expenditure Survey). 2018 https:\/\/www.psa.gov.ph\/content\/average-family-income-2015-estimated-22-thousand-pesos-monthly-results-2015-family-income (cited 2 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.8","unstructured":"National Council on Disability Affairs. Republic Act No. 10754 \u2013 an act expanding the benefits and privileges of persons with disability (PWD). 2018 http:\/\/www.ncda.gov.ph\/disability-laws\/republic-acts\/republic-act-no-10754-an-act-expanding-the-benefits-and-privileges-of-persons-with-disability-pwd\/ (cited 3 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.9","doi-asserted-by":"crossref","unstructured":"DOH Hospitals. Department of health website. 2018 http:\/\/www.doh.gov.ph\/DOH-Hospitals-Directory\/ (cited 3 Feb 2018).","DOI":"10.31152\/JB.2018.04.3.1.1"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.10","unstructured":"Poc.doh.gov.ph. Orthopedic center. 2018 http:\/\/poc.doh.gov.ph\/ (cited 3 Feb 2018)."},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6680"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.12","doi-asserted-by":"crossref","first-page":"106","DOI":"10.21315\/mjms2017.24.5.12","article-title":"Provision of prosthetic services following lower limb amputation in Malaysia","volume":"24","author":"Arifin","year":"2017","journal-title":"Malays J Med Sci"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.13","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.sbspro.2016.05.135","article-title":"Quality of life among lower limb amputees in Malaysia","volume":"222","author":"Razak","year":"2016","journal-title":"Procedia Soc Behav Sci"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.14","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2016.1253117"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.15","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000009426","article-title":"Three-dimensional-printed upper limb prosthesis for a child with traumatic amputation of right wrist: a case report","volume":"96","author":"Xu","year":"2017","journal-title":"Medicine"},{"key":"2025082700522750000_2018.jul25_2.bcr-2018-225171.16","first-page":"1160","article-title":"Evaluation of 3D printed anatomically scalable transfemoral prosthetic knee","volume":"2017","author":"Ramakrishnan","year":"2017","journal-title":"IEEE Int Conf Rehabil Robot"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:52:35Z","timestamp":1756281155000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,26]]},"references-count":16,"alternative-id":["10.1136\/bcr-2018-225171"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225171","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,7,26]]}}}