Rehabilitation and Treatment of Spinal Cord Injuries

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 2075

Special Issue Editor


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Guest Editor
Department of Rehabilitation 1st Faculty of Medicine, Medical University of Warsaw, 02-091 Warszawa, Poland
Interests: spinal cord diseases; neurodegenerative disorders; pain in rehabilitation

Special Issue Information

Dear Colleagues,

Spinal cord injury (SCI) is one of the most debilitating conditions. Every year, about 40 million people worldwide suffer from SCI. Most of them are young men. The treatment and rehabilitation process for trauma caused by SCI is expensive, long and mostly exhausting, requiring a multidisciplinary approach. It causes biophysical, psychosocial and economic problems. The treatment of patients with SCI is an ongoing process lasting many years, starting shortly after the injury with intensive care and early surgical interventions and ending with rehabilitation, which takes many years. At the same time, many problems involving other organs can occur, such as pressure ulcers, spasticity with contractures, and bladder and bowel problems. Patients with spinal cord injury often require care from multiple specialists, delaying a patient’s reintegration with society and leading to psychosocial distress.

As an international journal with global impact, this Special Issue of Healthcare aims to provide high-quality investigations.

This Special Issue seeks empirical and practical studies that consider treatment but especially rehabilitation in relation to SCI on the topics including, but not limited to, the following:

  1. Acute, subacute and chronic rehabilitation in SCI.
  2. Psychosocial aspects of these diseases.
  3. Aspects of complications and their treatment in the context of SCI; for example, bladder and bowel issues, pain problems, etc.
  4. Nutritional aspects.
  5. Others.

Dr. Beata Tarnacka
Guest Editor

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Keywords

  • spinal cord injury
  • rehabilitation
  • food in spinal cord disorders
  • healthcare policies
  • psychological problems

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Published Papers (1 paper)

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Research

14 pages, 2250 KiB  
Article
Technology-Assisted Upper Limb Therapy (TAULT): Evaluation of Clinical Practice at a Specialised Centre for Spinal Cord Injury in Switzerland
by Daniela B. Kuchen, Beatrice Hubacher, Andris Ladner, Inge-Marie Velstra and Mario Widmer
Healthcare 2023, 11(23), 3055; https://doi.org/10.3390/healthcare11233055 - 28 Nov 2023
Viewed by 1608
Abstract
(1) Improving upper limb function is essential for people with tetraplegia. Although promising, technology-assisted upper limb training is understudied in this population. This article describes its implementation in a Swiss spinal cord injury rehabilitation centre and reports on the observed changes. (2) A [...] Read more.
(1) Improving upper limb function is essential for people with tetraplegia. Although promising, technology-assisted upper limb training is understudied in this population. This article describes its implementation in a Swiss spinal cord injury rehabilitation centre and reports on the observed changes. (2) A retrospective evaluation of clinical data from January 2018 to June 2020 examined patient characteristics, training parameters, goal-setting practices, goal achievement, and changes in muscle strength over the course of technology-assisted upper limb training. (3) Data analysis included 61 individuals, 68.9% of whom had a spinal cord injury. The ArmeoSpring was the most frequently used device. The typical treatment regimen was three 25 min sessions per week, with evaluations approximately every six weeks. The 1:1 sessions, delivered by specialised staff, focused primarily on improving shoulder movement and the ability to eat and drink. Functional goals were set using a grid. Performance on selected goals in the areas of ‘body functions’ and ‘activities & participation’ as well as muscle strength, increased over the course of training. (4) The ArmeoSpring has broad applicability. Despite the observed improvements, the isolated effect of technology-assisted upper limb training cannot be concluded due to the lack of a control group and various concurrent interventions. Full article
(This article belongs to the Special Issue Rehabilitation and Treatment of Spinal Cord Injuries)
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