Download Healthy Living with Spinal Cord Injury - Gaylord Hospital PDF

TitleHealthy Living with Spinal Cord Injury - Gaylord Hospital
File Size6.2 MB
Total Pages157
Document Text Contents
Page 1



Healthy Living with Spinal Cord Injury

A supplement to the Paralysis Resource Guide

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1. Introduction
2. Gaylord Hospital Model SCI Center Partnership

3. Spinal Cord Injury Anatomy
4. Role of the Treating Team

5. Skin Care
6. Bowel and Bladder

7. Respiratory Therapy
8. Emotional Adjustment
9. Medical Considerations
a. Autonomic Dysreflexia
b. Postural Hypotension
c. Deep Vein Thrombosis
d. Heterotopic Ossification
e. Pain

f. Spasticity
g. Edema
h. Temperature Regulation (thermoregulation)
10. Medications
11. Sexuality
12. Technology and Equipment
a. Assistive Technology
b. Wheelchairs
c. Standing Frame
d. Functional Electrical Stimulation
e. Ekso Bionics
13. Aquatics
14. Sports and Leisure
15. Exercise and Weight Management
16. Gaylord Outpatient Services
17. Research
18. Community Resources

Copyright © 2014 Gaylord Specialty Healthcare

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Power mobility devices:
A power mobility device, including power scooter, power wheelchair, and
power assist system, is typically used if you cannot push or propel a manual
wheelchair due to arm weakness, pain, or poor endurance, or if you cannot
perform independent positioning and pressure relief in a manual wheelchair.

• Scooter
A scooter is a power mobility device with three or four wheels and a tiller style
steering mechanism. There is no custom seating available on a scooter. This
is primarily used if you require a wheelchair for long distance mobility only,
do not require any custom seating or positioning, and cannot propel a manual

• Power Add On Unit/Power Assist System
A power assist system is an electronic system consisting of motorized wheels
that can be added to most manual wheelchair bases. In this system, the
motors multiply the force applied to the wheels by the user to give the user
more power during propulsion. These wheels can be removed for transport
or when not needed. This system is appropriate for you if you can complete
independent positioning and pressure relief in a manual wheelchair but
experience some difficulty with manual wheelchair propulsion. This system
also allows you to have the portability and maneuverability of a manual

• Power wheelchairs
A power wheelchair is a wheelchair that consists of a battery powered, motor-
propelled base and a seating system. A power wheelchair is used if you are
unable to propel a manual wheelchair or perform independent positioning and
pressure relief in a manual wheelchair. Three drive configurations for power
wheelchairs exist: front wheel drive, mid/center wheel drive, and rear wheel
drive. Many options exist to allow you to operate a power wheelchair, including
joysticks and switches to operate with your fingers, hands, chin, head, tongue,
breathing, feet or legs.

Several power seating systems can be added to a power wheelchair as
appropriate. These include:

• Power tilt system: This system tilts your entire seat backwards and returns
you to upright. This assists with pressure relief, changes the affects of gravity
on your body, can inhibit pain and fatigue, can help with your posture, can
increase your trunk stability, and can decrease edema in your legs.

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• Power recline system: This system reclines your seat back, much like a car
seat. This can allow you to catheterize seated in the wheelchair, can assist
with pressure relief, can accommodate range of motion limitations, and can
help decrease pain, fatigue and edema.

• Power elevating leg rest system: This system raises and extends your
legs while seated in the wheelchair. This accommodates range of motion
limitations, and can help decrease pain, edema and spasticity.

• Power seat lift: This system raises the seat height of the wheelchair. It
can increase independence and safety with transfers and can increase
independence with performance of home management and self care tasks. It
also has many benefits in social settings and work environments.

• Power standing system: This system is a power standing frame system that
is built into the power wheelchair. This allows you to attain the physiological
benefits of standing while using your wheelchair.

Manual and Power Wheelchair Accessories:

• Most components of wheelchairs have many options
and are customizable, from seat size to arm rests, foot
supports, wheels/tires and electronics.

• Seat cushion: A seat cushion must be added to all
wheelchairs. The role of a seat cushion is to provide
pressure relief, positioning, and comfort. Many
types of cushions exist, including foam cushions, gel
cushions and air cushions. Proper cushion selection
can prevent skin breakdown and changes in posture.

• Back support: A back support must be added to all
wheelchairs. The role of a back support is to provide
stability to the trunk. Many options exist, including
sling upholstery, adjustable tension upholstery, rigid,
and custom molded. Proper back support selection can provide trunk stability
and help with proper posture.

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