Thursday 13 September 2012

Recovering From Spinal Cord Injuries

It is very common that spinal cord injury patients will have feelings of fright, confusion or anxiety .They may also have feelings of disbelief because they are still alive even though they have severe disabilities. Actually rehabilitation consists of a multi pronged approach. It includes physical therapies, activities to rebuild skills and emotional and social support. The rehab team of specialists will normally include a physiatrist, recreational therapist, social worker, physical and occupational therapists, nutritionists, nurses, psychologists, case workers to coordinate everything and others. The first part of rehabilitation will consist of the physical aspect of getting the affected mobility returned. This may be accomplished only with the help of devices such as: wheelchairs, braces and walkers. To get the patient to communicate he will use normal typing, writing and phone devices. Muscle strengthening is part of actual physical therapy whereas redeveloping fine motor skills is within the role of an occupational therapist. Basic toileting routines and self grooming are also taught at this stage. If the patient shows the ability to cope, a vocational counselor (VC) will assess skills, dexterity, physical and cognitive capabilities to determine what might be available in terms of employment. The VC will also arrange for any assistive devices that may be needed in the workplace. If the patient will not be able to achieve gainful employment then the VC will find other places for the patient to spend his time in a productive manner. This could include hobbies, educational classes, getting involved in special interest groups, and participating in family and community events. Finally there is recreational therapy which would get the patient to use their abilities to participate in athletic activities at their level. This latter aspect can help to achieve a more normal lifestyle and allow for some raised self esteem. When deciding on the most appropriate form of physical therapy an effort should be made to utilize the most advanced form of physical therapy products. Such devices are now found in the form of the recently developed TUTOR system. Consisting of the HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR these devices are at the forefront of assisting spinal cord injury patients to recover lost movement ability skills. The TUTORs implement an impairment based rehabilitation program with augmented feedback and encourage motor learning. The system allows the therapist to evaluate and objectively quantify and record the patient’s motor and cognitive impairments and then customizes a treatment session for that patient. Currently in use in leading U.S. and European hospitals and clinics the TUTORs are fully certified by the FDA and CE. They are usable by children as young as 5 as well as adults and can be used in the patient’s home through telerehabilitation. See WWW.MEDITOUCH.CO.IL for further information.

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