Excerpt from Rehabilitation of Persons With Spinal Cord Injuries
Synonyms, Key Words, and Related Terms: spinal cord injury, SCI, SCI rehabilitation, thromboembolic disease, autonomic dysfunction, neuropathic spinal pain, neurogenic bladder dysfunction, neurogenic colonic dysfunction, heterotopic bone formation, heterotopic ossification, pressure ulceration, spasticity, neurologic recovery, expected levels of function, gait, upper extremity reconstructive surgery, functional neuromuscular stimulation, FNS, sexual physiology following SCI
Traumatic spinal cord injury (SCI) is perhaps the most devastating orthopedic injury possible. With prolonged survival being the rule, rehabilitation of these injuries has an increasingly important role. The primary goals of rehabilitation are prevention of secondary complications, maximization of physical functioning, and reintegration into the community. Rehabilitation following SCI is most effectively undertaken with a multidisciplinary, team-based approach. Physical therapists typically focus on lower extremity function and on difficulties with mobility. Occupational therapists address upper extremity dysfunction and difficulties in activities of daily living. Rehabilitation nurses are concerned with the issues of bowel and bladder dysfunction and the management of pressure ulcers. Psychologists deal with the emotional and behavioral concerns of the newly injured patient and with any potential cognitive dysfunction. Speech language pathologists address with issues of communication and swallowing. Case managers and social workers are the primary interface among the rehabilitation team, the patient and his or her family, and the payer source. The rehabilitation team functions under the direction of physiatrist, which is a physician who specializes in physical medicine and rehabilitation, or a physician with subspecialty certification in spinal cord medicine. While each team member has primary responsibilities, any member of a properly functioning interdisciplinary team can contribute to the resolution of any problem.
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