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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.
Before the widespread use of spinal precautions in the 1970s, 55% of patients referred to spinal cord injury centers had complete spinal cord injury. [12] In the 1980s, spinal immobilization was initially used routinely for people who had experienced physical trauma, with little evidence to support its use. [21]
Spinal cord injury patients often require extended treatment in specialized spinal unit or an intensive care unit. [118] The rehabilitation process typically begins in the acute care setting. Usually, the inpatient phase lasts 8–12 weeks and then the outpatient rehabilitation phase lasts 3–12 months after that, followed by yearly medical ...
Bone mineral loss and osteoporosis are common consequences after spinal cord injury. Therapeutic standing, a weight-bearing intervention that can be applied using a standing frame, has traditionally been incorporated into rehabilitation programs for those with chronic spinal cord injury in order to prevent osteoporosis. [1]
In a patient with a spinal cord lesion, the descending autonomic pathways that are responsible for the supraspinal communication with the SPN are interrupted. [23] This results in decreased sympathetic outflow below the level of the injury. [11] In this circumstance, the SPN is controlled only by spinal influences. [11]
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
A more detailed and rapid neurological evaluation is performed at the end of the primary survey. This establishes the patient's level of consciousness, pupil size and reaction, lateralizing signs, and spinal cord injury level. The Glasgow Coma Scale is a quick method to determine the level of consciousness, and is predictive of patient outcome ...
Bors is recognized as a pioneer who "carried the torch of care and research and opened the way for better care" of all individuals with spinal cord injury. [5] He is memorialized by The Ernest Bors Award for Scientific Development , which is administered by the Journal of Spinal Cord Medicine , the official journal of the American Paraplegia ...