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Case Study

Saffron | T4 ASIA A (Complete Spinal Cord Injury | Oaksey House

January 22, 2026

SaCr sustained a spinal cord injury on 8 June 2024 following a fall during a British Eventing competition, leading to a T4/T5 fracture dislocation with spinal cord compression. Surgical intervention included T3–T7 Posterior Thoracic Instrumentation Fusion and Decompression. After initial treatment at Leeds General Hospital, she was transferred to Pinderfields SCI Unit for specialist rehabilitation, later discharged home on 8 October 2024.
SaCr remained highly motivated, demonstrating strong adjustment, engagement, and resilience throughout her rehabilitation journey.
SaCr came to for a 3 week in patient stay at Oaksey house following a fall from a horse a year prior resulting in a complete T4 spinal cord injury. Prior to her stay, SaCr had intensive outpatient therapy 4 days a week for 2 hours

Main Areas Affected

• Motor and sensory loss below the level of T4, resulting in paraplegia.
• Postural challenges and spasticity, particularly during standing and prolonged sitting.
• Upper limb overuse pain and shoulder strain related to wheelchair mobility and transfers.

Functional Ability on Admission

• Required assistance for standing frame use due to blood pressure instability.
• Minimal assistance needed for transfers, particularly from floor to wheelchair.
• Experienced abdominal spasms and shoulder pain impacting comfort and activity tolerance.

Hobbs Rehabilitation Input

•Full multi-disciplinary team input including assessment and treatment progression with physiotherapy, occupational therapy, neuropsychology, and rehab assistant/fitness instructor.
•Facilitated trial of different standing frames (Oswestry and Quest 88/Delta) to determine optimal long-term standing support.
•Conducted posture and wheelchair assessments, recommending backrest modifications to improve balance and comfort.
•Supported community-based functional activities, including car transfers, petrol station visits, and hydrotherapy sessions to enhance confidence and independence

Functional Ability on Discharge

•Independent with bed mobility, car transfers, and most daily living tasks.
•Able to manage kerbs up to 4 inches with supervision and descend independently using back-wheel balance.
•Independent in pool mobility, completing multiple swimming lengths and self-managing dressing and transfers

Outcomes

SCI-SET (Spasticity Outcome Measure)
9% Improvement Improvement
Quality of Life Index – Part 1 Satisfaction
5% Improvement Improvement
Modified Fatigue Impact Scale (MFIS)
44% Improvement Improvement

Goals

To get in/out of the car with wheelchair
Achieved
To be able to go up and down different height kerbs safely and independently in wheelchair
Partially
To feel confident using hydro pool independently with mum
Achieved

Testimonial

I thoroughly enjoyed my time at Hobbs Oaksey House, it was an opportunity for me to stay away from home for the first time by myself since my accident and I thrived in the environment and nature of the intense rehab. Hobbs were so thorough, even down to coming with me to have a go at filling my car up with fuel for the first time in a wheelchair. These little extras made all the difference for me as it left me feeling confident for the outside world when I went back home”

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