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Rehabilitation of Spinal Cord Injury: WFNS Spine Committee Recommendations

Neurospine 2020년 17권 4호 p.820 ~ 832
Peev Nikolay, Komarov Alexander, Osorio-Fonseca Enrique, Zileli Mehmet,
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 ( Peev Nikolay ) - Royal Victoria Hospital Belfast Health and Social Care Trust Department of Neurosurgery
 ( Komarov Alexander ) - Russian State Social University Department of Adaptive Physical Culture and Recreation
 ( Osorio-Fonseca Enrique ) - LosCobos Medical Center
 ( Zileli Mehmet ) - Ege University Department of Neurosurgery

Abstract


Spinal cord injury (SCI) is accompanied by a significant number of complications associated with damage to the spinal cord, gross functional impairments leading to limited self-care and movement, leading to a high level of disability, social and psychological maladaptation of the patients. Besides, pain and spasticity negatively affect rehabilitation programs. This search was conducted in PubMed/MEDLINE database. All studies published in English language (n = 16,297) were considered for inclusion. Of all studies evaluating rehabilitation in SCI patients (n = 80) were included. Based on the literature review the faculty of the WFNS Spine Committee created statements covering different aspects of the contemporary rehabilitation process of the SCI patients. The prepared statements were subjected to discussions, followed by anonymous voting process by the members of the WFNS Spine Committee. As result of the diccussions and the voting process the statements were modified and published as recommendations of the WFNS Spine Committee. The care for the SCI has gone a long way from the times after the World War II when these patients were considered hopeless in terms of any functional recovery, to the contemporary comprehensive rehabilitation programs. The rehabilitation is important part of the modern comprehencive treatment of SCI patients nowadays. The current manuscript reflects different aspects of the contemporary rehabilitaton process and decision makings, which were discussed by the faculty of the WFNS Spine Committee resulting in issuing of the following recommendations.

키워드

Spinal cord injury; Rehabilitation; Functional electrical stimulation; Spasticity; Pain after spinal cord injury

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