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The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [2] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
It may take place anytime after reflexes have returned following spinal shock. [5] Most people at risk develop their first episode within the first year after the injury. [17] There are many possible triggers of AD in patients who have had spinal cord injuries. The most common causative factor is bladder distention. [18]
The results of the 10 million cells cohort showed a doubling of the expected rate of recovery from traumatic spinal cord injury. [10] The center is a clinical program site in the Stanford Partnership for Spinal Cord Injury and Repair. [11] The center is a core facility for Stanford residents and fellows in training.
A rapid trauma assessment goes from head to toe to find these life threats: [1] [3] [5] Cervical spinal injury; Level of consciousness; Skull fractures, crepitus, and signs of brain injury; Airway problems (although these were checked during the initial assessment, they are rechecked during the rapid trauma assessment) such as tracheal deviation
The Functional Independence Measure (FIM) is an assessment tool that aims to evaluate the function of patients throughout the rehabilitation process following a spinal cord injury or other serious illness or injury. [124] It can track a patient's progress and degree of independence during rehabilitation. [124]
Spinal cord injury research seeks new ways to cure or treat spinal cord injury in order to lessen the debilitating effects of the injury in the short or long term. There is no cure for SCI, and current treatments are mostly focused on spinal cord injury rehabilitation and management of the secondary effects of the condition. [ 1 ]
Patients with spinal cord injury due to trauma tend to have other life-threatening traumatic injuries or complications of spinal cord injury such as neurogenic shock [12] that take precedence to repair of the spine. [6] Thus, spinal motion restriction should be maintained while other medical interventions are begun. [6]
The bulbocavernosus reflex (BCR), bulbospongiosus reflex (BSR) or "Osinski reflex" is a polysynaptic reflex that is useful in testing for spinal shock and gaining information about the state of spinal cord injuries (SCI). Bulbocavernosus is an older term for bulbospongiosus, thus this reflex may also be referred to as the bulbospongiosus reflex.