Prevention Book


Spinal Cord Injured Patient

Aka: Spinal Cord Injured Patient, Wheelchair Bound Patient, Wheelchair User, Non-Ambulatory Patient
  1. See Also
    1. Spinal Cord Syndrome
    2. Assistive Technology
    3. Wheelchair
    4. Cerebral Palsy
  2. Definitions
    1. Paraplegia
      1. Complete paralysis of the lower part of the body including the legs
      2. Level of thoracolumbar spine lesion determines deficits
    2. Quadriplegia
      1. Paralysis of all four limbs and trunk
      2. Level of Cervical Spine lesion determines deficits
  3. Prevention
    1. See Decubitus Ulcer Prevention
    2. Regular preventive care per age, gender, comorbidity
      1. Spinal Cord Injured Patients have reduced preventive healthcare
        1. Stillman (2014) Arch Phys Med Rehabil 95(6):1114-26 +PMID: 24565745 [PubMed]
      2. Subspecialty care is also reduced for spine injured patients
        1. Lagu (2013) Ann Intern Med 158(6):441-6 +PMID: 23552258 [PubMed]
    3. Fall Prevention
      1. Falls are associated with significant morbidity and mortality
      2. Falls typically occur during transfers (e.g. to and from bed or toilet)
      3. Wheelchair locking mechanism should be functional and locked during transfers
        1. Consider automatic locking mechanisms or more sturdy Wheelchair locks
      4. Transfer technique is important (assisted or unassisted)
      5. Independent recovery and assisted recovery techniques (getting back into Wheelchair) are also important
      6. Sutton (2019) Canadian Agency for Drugs and Technologies in Health +PMID: 31545572 [PubMed]
    4. Regular Physical Activity
      1. Improves aerobic capacity, balance, walking ability, Activities of Daily Living and global function
      2. Also improves Major Depression and sleep quality
      3. Selph (2021) AHRQ 21(22): EHC017 +PMID: 34723448 [PubMed]

Wheelchair user (C0853966)

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
Derived from the NIH UMLS (Unified Medical Language System)

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