Rehabilitation of Spinal Cord Injury: WFNS Spine Committee Recommendations

Neurospine, 2020 · DOI: https://doi.org/10.14245/ns.2040270.135 · Published: December 1, 2020

Spinal Cord Injury Pain Management Rehabilitation

Simple Explanation

Spinal cord injury (SCI) leads to complications like limited movement, self-care difficulties, and psychological issues. Rehabilitation programs are essential for modern treatment. This review, based on PubMed/MEDLINE database, summarizes recommendations from the WFNS Spine Committee after discussions and voting on various aspects of SCI rehabilitation. The manuscript covers contemporary rehabilitation processes and decision-making, reflecting the WFNS Spine Committee's recommendations.

Study Duration

Not specified

Participants

80 studies evaluating rehabilitation in SCI patients, 9 members of the WFNS Spine Committee

Evidence Level

Systematic review and expert recommendations

Key Findings

1
Various physiotherapeutic treatments like massage, cryotherapy, laser therapy, and exercise therapy can aid in restoring musculoskeletal function and reducing spasticity.
2
Functional Electrical Stimulation (FES) shows promise in improving motor functions, muscle strength, and overall fitness in SCI patients, although evidence is based on small studies.
3
Surgical interventions like DREZotomy and spinal cord stimulation can be considered for managing pain and spasticity in SCI patients, with DREZotomy showing better results for segmental pain.

Research Summary

This review summarizes recommendations from the WFNS Spine Committee on SCI rehabilitation, covering physiotherapy, FES, and surgical pain management. Physiotherapy includes various techniques to restore function and prevent complications. FES can improve motor function, while surgical options like DREZotomy address pain and spasticity. The recommendations emphasize timely intervention, comprehensive care, and the potential for improving the quality of life for SCI patients.

Practical Implications

Comprehensive Rehabilitation Programs

Emphasizes the need for multidisciplinary rehabilitation programs tailored to individual needs, including physiotherapy, occupational therapy, and psychological support.

FES as Adjunct Therapy

Highlights the potential of FES to improve motor function, muscle strength, and overall fitness, suggesting its integration into rehabilitation plans.

Surgical Intervention for Pain Management

Provides guidance on surgical options like DREZotomy and spinal cord stimulation for managing pain and spasticity, especially in refractory cases.