{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T10:15:54Z","timestamp":1736244954911,"version":"3.32.0"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["journalmsr.com"],"crossmark-restriction":true},"short-container-title":["JMSR"],"abstract":"<jats:p>This 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\u2019s 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.<\/jats:p>","DOI":"10.25259\/jmsr_289_2024","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T06:42:47Z","timestamp":1731652967000},"page":"140-144","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Total sacrectomy rehabilitation: Implementation of the international classification of functioning, disability, and health model \u2013 A case report"],"prefix":"10.25259","volume":"9","author":[{"given":"Alfredo A.","family":"Lopes","sequence":"first","affiliation":[{"name":"Center for Rehabilitation Research, School of Health of Polytechnic of Porto, Porto Center University Hospital, Matosinhos, Portugal,"}]},{"given":"In\u00eas","family":"Mesquita","sequence":"additional","affiliation":[{"name":"Center for Rehabilitation Research, School of Health of Polytechnic of Porto, Research and Project Nucleus, Santa Maria Health School, Porto, Portugal,"}]},{"given":"Rui","family":"Torres","sequence":"additional","affiliation":[{"name":"Cespu, North Polytechnic Institute of Health, Portuguese Physioterapists Order, Polytechnic Institute of Porto, School of Allied Health Sciences, Technical University of Lisbon, Faculty of Human Kinetics, University of Porto, Faculty of Sport, Porto, Portugal,"}]}],"member":"10894","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"10.25259\/JMSR_289_2024\/ref-1","doi-asserted-by":"publisher","first-page":"9","DOI":"10.5455\/IJMRCR.172-1661558179","article-title":"Rehabilitation and functional result after total scapulectomy without protetization","volume":"7","author":"Ribeiro","year":"2023","journal-title":"Int J Med Rev Case Rep"},{"key":"10.25259\/JMSR_289_2024\/ref-2","doi-asserted-by":"publisher","first-page":"864","DOI":"10.2106\/JBJS.D.02299","article-title":"Total sacrectomy and reconstruction with structural allografts for neurofibrosarcoma of the sacrum. 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