[en] Background. Seventeen-year-old male begins to suddenly in his lower limbs, quickly spreading to upper limbs. C4 AIS B non-traumatic spinal cord injury is diagnosed secondary to spinal cord edema due to hemangioblastoma bleeding, caracteristhic of Von Hippel – Lindau disease. Objective. Reach a functional independence in an adapted context and reincorporate to educational, personal and leisure environment. Intervention. Three evaluations were conducted: the admission one (07/02/2024), one before beginning treatment (29/03/2024) and the final one (07/06/2024). A total of 47 two - hour long treatment sessions were completed over 10 weeks in the physical therapy room of the Spinal Cord Injury Unit at CHUAC, which included gait therapy in Lokomat Pro and the application of a strength protocol specifically designed for spinal cord injury, in addition to conventional therapy. This approach aimed for upper limb muscular strength increase, trunk balance and control improvement, increase of lower limb recruitment, among others. Outcomes. Intervention has proven effective, according to upper limb muscle strength increase, trunk balance and control improvement and lower limb recruitment, demonstrated through acquired skills during treatment period and objectified in scales, tests and questionnaires used (AIS, SCIM III, WheelCon and mFRT). Conclusions. All objectives set were achieved during intervention, in addition to psychological field progress. To achieve peak rehabilitation, physical therapy must keep being applied. Keeping on with therapy is essential to make the most from patient's recovery potential, as well as observing long term effects.

[gl] Contextualización do caso clínico. Varón de 17 años que comeza a percibir de forma súbita debilidade en membros inferiores, extendéndose rápidamente a membros superiores. Recibe un diagnóstico de lesión medular cervical non traumática a nivel de C4 AIS B, secundaria a un edema medular provocado polo sangrado dun hemanxioblastoma, característico da enfermidade de Von Hippel – Lindau. Obxectivos. Alcanzar a independencia funcional en entorno adaptado e reincorporarse á educación e contexto persoal e de ocio. Intervención. Leváronse a cabo 3 evaluacións, unha ao ingreso (07/02/2024), unha ao inicio do tratamento (29/03/2024), e unha final (07/06/2024). Un total de 47 sesións de 2 horas de tratamento foron realizadas ao longo de 10 semanas, na sala de fisioterapia da Unidad de Lesionados Medulares do CHUAC, as cales incluíron terapia de marcha en Lokomat Pro e aplicación dun protocolo de forza específico para LM, ademais de terapia convencional. Este abordaxe tivo como obxectivo aumentar a forza en MMSS, gañar control e equilibrio de tronco e aumentar activación muscular en MMII, entre outros. Resultados. A intervención resulta efectiva, de acordo ca melloría entorno á forza en MMSS, equilibrio e control de tronco e activación de MMII, demostradas mediante as habilidades acadadas durante o período de tratamiento e obxectivadas nas escalas, probas e cuestionarios empleados (AIS, SCIM III, WheelCon, mFRT). Conclusións. Alcanzáronse todos os obxectivos marcados durante o período de aplicación do tratamento, ademais do progreso da esfera psicolóxica. Proseguir ca terapia é imprescindible para aproveitar ao máximo o potencial de recuperación do paciente, así como observar os efectos do mesmo a longo prazo.