Preventive measures in the tertiary care of spinal cord injured people

Bedbrook, George M.; Beer, N I E; McLaren, Ruth

doi:10.1038/sc.1985.13

Cited by 9 publications

(4 citation statements)

References 3 publications

(2 reference statements)

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“…7 Drug abuse is also a potentially increasing problem in this population. 8 The Sydney Spinal Cord Injury Study (SSCIS), 9 ± 13 a nonrandomized controlled trial, has been in progress since 1989 and has endeavored to scienti®cally evaluate aspects of adjustment to SCI. In the ®rst stage, the study concentrated upon attitudinal aspects of adjustment including anxiety, depressive mood, selfesteem, locus of control and coping styles.…”

Section: Introductionmentioning

confidence: 99%

Improving the long-term adjustment of spinal cord injured persons

1999

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Study Design: The study involved the long-term assessment of persons with spinal cord injury (SCI) who previously participated in a nonrandomized longitudinal controlled trial. Objectives: The objective was to report on the e ectiveness of early psychological intervention in improving some aspects of adjustment to SCI 2 years post injury. Setting: The study was conducted in Sydney, Australia. Methods: Twenty-eight SCI persons who had participated in group Cognitive Behaviour Therapy (CBT) during hospital rehabilitation were assessed for drug usage, hospital readmissions, relationships, perceived adjustment and social discrimination 2 years after treatment. The intervention group's responses on the measures were compared with a control group of 31 SCI persons who only received traditional rehabilitation services during their hospitalization. Results: Subjects in the treatment group experienced less hospital re-admissions, used less drugs and reported higher levels of adjustment compared to the control group. Relationships were stable for both groups and there were no suicides in either group up to 2 years. There were no di erences in perceived social discrimination between the two groups. Conclusion: The study suggests the long-term adjustment for SCI persons is encouraging for the majority. However, the provision of group CBT for SCI persons appears to improve signi®cantly some aspects of adjustment to the injury in the long-term.

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Section: Introductionmentioning

confidence: 99%

Improving the long-term adjustment of spinal cord injured persons

1999

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“…Bedbrook (1985) states alcohol abuse is encountered in over 50% of people prior to spinal cord trauma, and Petrus and Balaban, 1953;Nyquist and Bors, 1967;Wilcox and Stauffer, 1972, indicate an increasing incidence of alcohol and drug related problems, including neglect of care and overdosage, post-spinal injury.…”

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confidence: 99%

Self-neglect of spinal injured patients

Macleod

1988

Spinal Cord

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SummarySelf-neglect is a recognised, but poorly emphasised, complication of spinal cord injury, with a prevalence in this study of 9°'0 of a consecutive sample of 400 patients. Self-neglect may be the presenting symptom of problems related to adjustment to disability, a major depressive disorder (DSM III criteria), or a clear and rational wish to die (existential self-neglect). Management is discussed, emphasising the importance of respecting spinal injured patients' autonomy.

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“…Disuse atrophy results in decreased muscle mass and force-generating capacity as well as an increased susceptibility to fatigue (Gordon & Mao, 1994;Peckham & Keith, 1992 , 1995). This is of particular concern in lower extremity neural prostheses because the bones must bear body weight and the stimulated ready weakened muscles to move the limb through its needed range, but these changes in passive tissue properties can often be prevented by appropriate range of motion therapy (Bedbrook, Beer, & McLaren, 1985). In individuals where chronic passive tissue properties have already developed and are significantly limiting motion, surgical procedures to release joint contractures and/or adhesions can be performed (Keith et aI., 1996).…”

Section: Design Challengesmentioning

confidence: 97%

Neuroprosthetic Applications of Electrical Stimulation

Grill

Kirsch

2000

Assistive Technology

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Neural prostheses are a developing technology that use electrical activation of the nervous system to restore function to individuals with neurological impairment. Neural prostheses function by electrical initiation of action potentials in nerve fibers that carry the signal to an endpoint where chemical neurotransmitters are released, either to affect an end organ or another neuron. Thus, in principle, any end organ under neural control is a candidate for neural prosthetic control. Applications have included stimulation in both the sensory and motor systems and range in scope from experimental trials with single individuals to commercially available devices. Outcomes of motor system neural prostheses include restoration of hand grasp and release in quadriplegia, restoration of standing and stepping in paraplegia, restoration of bladder function (continence, micturition) following spinal cord injury, and electrophrenic respiration in high-level quadriplegia. Neural prostheses restore function and provide greater independence to individuals with disability.

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Preventive measures in the tertiary care of spinal cord injured people

Cited by 9 publications

References 3 publications

Improving the long-term adjustment of spinal cord injured persons

Improving the long-term adjustment of spinal cord injured persons

Self-neglect of spinal injured patients

Neuroprosthetic Applications of Electrical Stimulation

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