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Clinical management of quadriplegia in low and middle-income countries: a patient’s road to physiotherapy, prostheses and rehabilitation
  1. Marcus Choong1,
  2. Thao Chau2,
  3. Delia Chy3,
  4. Allen Ross4
  1. 1Menzies Health Institute Queensland, Gold Coast, Queensland, Australia
  2. 2Descipline of Public Health, Flinder University, Adelaide, South Australia, Australia
  3. 3Municipal Medical Officer of Health, Palpag, Northern Samar, The Philippines
  4. 4School of Medical Sciences, Griffith University, Meadowbrook, Queensland, Australia
  1. Correspondence to Professor Allen Ross, a.ross{at}


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’s 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.

  • trauma
  • global health
  • healthcare improvement and patient safety
  • medical management
  • accidents, injuries
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  • Contributors The article was planned by AR. MC, TC, DC and AR contributed to the analysis and writing of the paper. MC and DC collected the data and interviewed the patient and healthcare staff at Otto Bock in the Philippines.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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