Rehabilitation of spinal cord injuries

World J Orthop, 2015 · DOI: http://dx.doi.org/10.5312/wjo.v6.i1.8 · Published: January 18, 2015

Spinal Cord Injury Orthopedics Rehabilitation

Simple Explanation

Spinal cord injury (SCI) is damage to the spinal cord, often from accidents or injuries. It disrupts the spinal cord's functions below the injury site, leading to serious disabilities. SCI can result in various complications, including neurogenic bladder and bowel, pressure ulcers, and cardiovascular problems. These complications significantly impact a patient's life expectancy and quality of life. Rehabilitation for SCI is a lengthy and costly process that requires a multidisciplinary approach. Early rehabilitation is crucial to prevent complications and maintain the patient's physical health.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Not specified

Key Findings

1
Spinal cord injury leads to a variety of complications, including neurogenic bladder and bowel, pressure ulcers, spasticity and autonomic dysreflexia.
2
Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system.
3
The treatment and rehabilitation process of SCI is long, expensive and requires a multidisciplinary approach.

Research Summary

Spinal cord injury (SCI) leads to serious disability and complications. The treatment and rehabilitation process of SCI is long, expensive and requires a multidisciplinary approach. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. The wheelchair is the most important tool for SCI patients to be mobile and participate in social life.

Practical Implications

Early Rehabilitation

Essential for preventing complications like joint contractures and muscle loss, preserving bone density, and maintaining respiratory and digestive function.

Multidisciplinary Approach

A team led by a physiatrist is crucial, involving family, therapists, dieticians, psychologists, and social workers, to address the diverse needs of SCI patients.

Home Modifications

Adapting the home environment is vital for SCI patients to achieve independent living, including wider doorways, accessible switches, and ramps.

Study Limitations

1
Lack of randomized controlled trials for robotic orthosis efficacy.
2
Insufficient evidence for pharmacological interventions for spasticity.
3
Need for further research on long-term effects of respiratory muscle training.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury