The Meaning of Transitioning from Rehabilitation to a Physically Active Lifestyle Following a Spinal Cord Injury


Book Description

This study explored the meaning people with spinal cord injuries give to physical activity and recreation participation as they make the transition from the protected environment of hospital rehabilitation to the reality of returning to their homes and communities. The experiences of 4 individuals between 15 and 24 years of age who had sustained spinal cord injuries within the previous five years were captured using the phenomenological methods of semi-structured individual interviews, focus group interviews, photographs, and field notes. Rimmers (1999) model of health promotion for people with disabilities combined with Peters (1996) model of disablement provided the conceptual framework for the study and facilitated the interpretation of the findings. The participants indicated that physical activity was a very important component to living a psychologically, socially and physically healthy lifestyle following a spinal cord injury. A thematic analysis revealed three themes: (a) as my body heals, (b) learning to be me, and (3) getting back to life. The importance of physical activity in maintaining a healthy lifestyle following a spinal cord injury was reflected in stories of physical activity as a component of hospital rehabilitation, the importance of physical activity during the transition from the hospital to the challenges of returning home, and finally, engagement in community based physical activity. A gap in the continuity of physical activity opportunities during the transition from in-hospital rehabilitation to the return to the community was identified.




The Neuroscience of Spinal Cord Injury


Book Description

Diagnosis and Treatment of Spinal Cord Injury will enhance readers' understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. Spinal injury affects about 10 million people annually worldwide, impacting on the family unit and causing lifelong disabilities, with varied symptoms including paresthesia, spasticity, loss of motor control, and often severe pain. Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury will enhance readers' understanding of the biological and psychological effects of spinal cord injury. Featuring chapters on gene expression, metabolic effects, and behavior, this volume discusses in detail the impact of spinal cord injury to better understand the underlying pathways and processes. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand these injuries. Diagnosis and Treatment of Spinal Cord Injury: - Covers both the diagnosis and treatment of spinal cord injury - Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding - Features chapters on epidemiology and pain - Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury - Discusses pain reduction, drug delivery, and rehabilitation Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury: - Summarizes the neuroscience of spinal cord injury, including cellular and molecular biology - Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding - Features chapters on signaling and hormonal events - Includes plasticity and gene expression - Examines health and stress behaviors after spinal cord injury




Spinal Cord Injury


Book Description

A comprehensive approach to complex challenges Here’s the foundational knowledge, skills, and understanding physical therapists need to develop and implement rehabilitation programs for persons living with spinal cord injuries. From coverage of pathology and the pathological repercussions through medical and rehabilitative management to patient and family education, students will be prepared to be effective members of the rehabilitation team. They’ll also understand the importance of psychosocial adaptation and develop insights into their roles in the process.




Surviving to Living


Book Description

The intended outcome of rehabilitation is that people with spinal cord injury return to the highest level of function possible and participate in community life. However, little is known about the process of achieving participation from the perspectives of the individuals with SCI who have experienced rehabilitation. The purpose of this study was to describe experiences of rehabilitation after spinal cord injury and the influence of the rehabilitation experiences on the ability to achieve community reintegration from the individuals' perspectives. A qualitative phenomenological approach was used. Six participants who were six months to one year post discharge from initial rehabilitation for an acute spinal cord injury participated in a series of semistructured interviews and confirmatory discussions. Participants described the process of community integration as a transition from surviving to living. Four major themes related to this transition emerged from narrative descriptions: support, psychological adjustment, physical adjustment, and education. Although the intended outcome of rehabilitation is that people with SCI return to the highest level of cummunity participation possible, rehabilitation focuses on support and education that assists people with skills necessary for day to day survival of SCI. Under the traditional continuum of care, support and education to facilitating living skills are lacking. Home and cummunity rehabilitation or other transition programs may better enhance individuals' abilities to participate in community life after discharge from inpatient rehabilitation.




Spinal Cord Injuries


Book Description

Spinal Cord Injuries: Psychological, Social, and Vocational Adjustment focuses on the process of adjustment to spinal cord injuries, including rehabilitation, medical intervention, and examination of the daily life of persons with this kind of injury. The book first discusses the consequences of spinal cord injury and rehabilitation as a behavior change process, including physical symptoms of spinal cord injury; rehabilitation process and treatment systems; approach to the concept of adjustment; and suicide and self-neglect. The manuscript also deals with the psychological factors in the adjustment to spinal cord injury. Topics include emotional reactions at onset of spinal cord injury; personality characteristics of persons with spinal cord injury; and factors associated with adjustment to spinal cord injury. The publication takes a look at the social factors in the adjustment to spinal cord injury, as well as the social implications of disability, family relationships, recreation, aging, and task of socialization. The book also reviews the variables related with productivity following spinal cord injury and sexuality and spinal cord injury. The effect of the treatment environment on adjustment to spinal cord injury and therapeutics techniques are discussed. The manuscript is a dependable reference for readers interested in the psychological, social, and productivity implications of spinal cord injuries.




Diagnosis and Treatment of Spinal Cord Injury


Book Description

Diagnosis and Treatment of Spinal Cord Injury will enhance readers' understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. - Covers both the diagnosis and treatment of spinal cord injury - Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding - Features chapters on epidemiology and pain - Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury - Discusses pain reduction, drug delivery, and rehabilitation




Physical Fitness


Book Description

Offers a solid foundation in understanding the importance of physical fitness and the ways in which people with spinal cord injuries (SCI) can achieve, maintain, and enjoy keeping fit. Several different levels of SCI are covered and variations on how the desired exercises can be accomplished are included. Meant to inform SCI patients and clinicians that routines can be created to allow SCI sufferers to exercise independently. Includes papers written by experts about the importance and factors that affect physical fitness in persons with SCI. Photos.




Enhancing Care After Spinal Cord Injury, an Issue of Physical Medicine and Rehabilitation Clinics of North America


Book Description

In this issue of Physical Medicine and Rehabilitation Clinics, guest editor Dr. Camilo Castillo brings his considerable expertise to the topic of Enhancing Care After Spinal Cord Injury. Top experts in the field provide important information on the many factors affecting the transition of SCI patients from inpatient to outpatient care, highlighting the multifaceted nature of this process and its significance. Readers will gain a comprehensive understanding of the challenges and practical solutions regarding the care of SCI patients, including the importance of a coordinated approach to care and a well-structured transition plan that includes the involvement of non-SCI providers. Contains 14 relevant, practice-oriented topics including transitioning SCI patients from acute care to rehabilitation; early mobilization strategies in SCI rehabilitation; empowering women's health after SCI; exploring post-acute care challenges and opportunities in SCI: perspectives from three distinct countries; and more. Provides in-depth clinical reviews on enhancing care after spinal cord injury, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.




A Practical Guide to Health Promotion After Spinal Cord Injury


Book Description

A clearly identified but largely unmet need after spinal cord injury i s health and fitness promotion. This book integrates multifaceted heal th-oriented principles and practices into the rehabilitation of those with spinal cord injury and serves as a resource in both rehabilitatio n facilities and in community-based settings. Tables, figures, illustr ations, and educational handouts complement the text. Carefully design ed patient handouts save you time creating self-care, take-home materi als and boost compliance.




Enhancing Care After Spinal Cord Injury, An Issue of Physical Medicine and Rehabilitation Clinics of North America


Book Description

In this issue of Physical Medicine and Rehabilitation Clinics, guest editor Dr. Camilo Castillo brings his considerable expertise to the topic of Enhancing Care After Spinal Cord Injury. Top experts in the field provide important information on the many factors affecting the transition of SCI patients from inpatient to outpatient care, highlighting the multifaceted nature of this process and its significance. Readers will gain a comprehensive understanding of the challenges and practical solutions regarding the care of SCI patients, including the importance of a coordinated approach to care and a well-structured transition plan that includes the involvement of non-SCI providers. - Contains 14 relevant, practice-oriented topics including transitioning SCI patients from acute care to rehabilitation; early mobilization strategies in SCI rehabilitation; empowering women's health after SCI; exploring post-acute care challenges and opportunities in SCI: perspectives from three distinct countries; and more. - Provides in-depth clinical reviews on enhancing care after spinal cord injury, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.