II. Definitions
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Paraplegia
- Complete paralysis of the lower part of the body including the legs
- Level of thoracolumbar spine lesion determines deficits
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Quadriplegia
- Paralysis of all four limbs and trunk
- Level of Cervical Spine lesion determines deficits
III. Prevention
- See Decubitus Ulcer Prevention
- Regular preventive care per age, gender, comorbidity
- Spinal Cord Injured Patients have reduced preventive healthcare
- Subspecialty care is also reduced for spine injured patients
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Fall Prevention
- Falls are associated with significant morbidity and mortality
- Falls typically occur during transfers (e.g. to and from bed or toilet)
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Wheelchair locking mechanism should be functional and locked during transfers
- Consider automatic locking mechanisms or more sturdy Wheelchair locks
- Transfer technique is important (assisted or unassisted)
- Independent recovery and assisted recovery techniques (getting back into Wheelchair) are also important
- Sutton (2019) Canadian Agency for Drugs and Technologies in Health +PMID: 31545572 [PubMed]
- Regular Physical Activity
- Improves aerobic capacity, balance, walking ability, Activities of Daily Living and global function
- Also improves Major Depression and sleep quality
- Selph (2021) AHRQ 21(22): EHC017 +PMID: 34723448 [PubMed]
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Related Studies
| Concepts | Patient or Disabled Group (T101) |
| Italian | Soggetto che usa la sedia a rotelle |
| Japanese | 車椅子使用者, ｸﾙﾏｲｽｼﾖｳｼｬ |
| Czech | Uživatel kolečkového křesla |
| English | Wheelchair user, users wheelchair, wheelchair user |
| Hungarian | Kerekesszék használó |
| Portuguese | Utilizador de cadeira-de-rodas |
| Spanish | Persona en una silla de ruedas |
| Dutch | rolstoelgebruiker |
| French | Utilisateur de fauteuil roulant |
| German | Rollstuhlfahrer |
