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Spinal Cord Injured Patient
Aka: Spinal Cord Injured Patient, Wheelchair Bound Patient, Wheelchair User, Non-Ambulatory Patient
- See Also
- Spinal Cord Syndrome
- Assistive Technology
- Wheelchair
- Cerebral Palsy
- Definitions
- Paraplegia
- Complete paralysis of the lower part of the body including the legs
- Level of thoracolumbar spine lesion determines deficits
- Quadriplegia
- Paralysis of all four limbs and trunk
- Level of Cervical Spine lesion determines deficits
- Prevention
- See Decubitus Ulcer Prevention
- Regular preventive care per age, gender, comorbidity
- Spinal Cord Injured Patients have reduced preventive healthcare
- Stillman (2014) Arch Phys Med Rehabil 95(6):1114-26 +PMID: 24565745 [PubMed]
- Subspecialty care is also reduced for spine injured patients
- Lagu (2013) Ann Intern Med 158(6):441-6 +PMID: 23552258 [PubMed]
- Fall Prevention
- Falls are associated with significant morbidity and mortality
- Falls typically occur during transfers (e.g. to and from bed or toilet)
- 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]