Traumatic Spinal Cord Injury: Recovery, Rehabilitation, and Prognosis

被引：18
作者：
Mazwi N.L. [1 ]
Adeletti K. [2 ]
Hirschberg R.E. [1 ]
机构：
[1] Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Spaulding Rehabilitation Hospital, Harvard Medical School, Ruth Sleeper Hall, 55 Fruit Street, Boston, 02114, MA
[2] Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, 02114, MA
来源：
Current Trauma Reports | 2015年 / 1卷 / 3期
关键词：
Prognosis; Recovery; Rehabilitation; Spinal cord injury;
D O I：
10.1007/s40719-015-0023-x
中图分类号：
学科分类号：
摘要：
The impact of traumatic spinal cord injury (TSCI) on function and quality of life (QOL) is substantial, and the incidence of people living with complete TSCI is increasing over time as our emergent and critical care capabilities improve. Much of TSCI treatment and prognosis is based on initial assessment of the neurological level of injury (NLI), which is followed throughout the continuum of rehabilitation. Medical treatment and surveillance of the patient’s vulnerable organs begins in the intensive care unit and continues into acute rehabilitation, with pulmonary, cardiovascular, integumentary, genitourinary, and gastrointestinal as priority systems. The multidisciplinary rehabilitation team collaborates to help patients achieve specific functional goals. Determining outcome and prognosis for ambulation in TSCI is based upon completeness of injury and NLI, as well as other variables. Traditional TSCI rehabilitation techniques when done in concert with new methods, i.e., augmentative motor devices and novel neuromedical treatments such as stem cell work, continues to expand the possibilities for QOL for this challenging patient population. © 2015, Springer International Publishing AG.
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页码：182 / 192
页数：10
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