Spinal Cord Rehabilitation Program
The Spinal Cord Rehabilitation Program addresses the physical, psychological, and environmental needs of individuals with spinal cord injuries. This is achieved by helping to restore an individual's physical functions and/or modifying their physical and social environment. Our Spinal Cord Rehabilitation Program is tailored to the individual needs of the person served and can include one or more types of therapy. Family members are often actively involved in the rehabilitation program.
Who Can Enroll?
- Spinal Cord Injury – complete or partial
- Ability to actively participate in therapy for 30 minutes
- Presently not requiring ventilation
The above eligibility criteria exclude individuals who have significant red flags such as Neurological deficit (major motor weakness, disturbance of bowel or bladder control), Infection (fever, urinary tract infection (UTI), intravenous (IV) drug use, immune suppression), Fracture, Tumour.
What Can I Expect On My First Visit?
An initial assessment for treatment planning is conducted by a Health Care Provider at the start of the Program of Care. The assessment includes the taking of a complete history, subjective evaluation of the primary complaints related to the injury, a thorough physical examination, including range of motion evaluation, orthopaedic testing, muscle testing, and neurological testing. The Health Care Provider will also administer outcome measures to obtain baseline measures of pain and function. These may include, but are not limited to the Numeric Pain Rating Scale (NPRS), the Oswestry Disability Index, the Neck Disability Index (NDI), the Lower Extremity Functional Scale (LEFS), or the Upper Extremity Functional Scale (UEFS).
The Health Care Provider will also assess for possible Yellow flags, which can indicate psychological risk factors that may have an impact on their recovery as a result of behaviour, expectations and recovery from injury. A discussion on achievable goals from the treatment program will be discussed as well as responsibilities of the person’s served and Health Care Provider through the duration of the program.
What Is The Duration Of The Program?
The duration of the Spinal Cord Rehabilitation Program of Care is determined after the initial assessment and is dependent on the needs of each individual person’s served.
When Will I Be Discharged?
To be discharged from the Spinal Cord Rehabilitation Program, one or more of the following criteria must be met:
- The person served has achieved the goals that have been established with the rehabilitation team.
- The services of the Health Care Providers are no longer necessary or appropriate.
- The person’s progress has reached a plateau and he or she is no longer benefiting from the services of the program.
- When the person served is unable to tolerate the demands of the program and appropriate referrals have been made.
- When the person served is deemed medically unstable (including psychiatric illness) and/or requires acute medical care resulting in an inability to return to therapies within a 30-day period.
- The rehabilitation program is "put on hold" due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.
- The Health Care Provider recommends an alternate and more appropriate program or level of care for the person’s served.
- The person served requests discharge (even against the advice of his doctor or therapist) assuming legal competence.
- The person served causes safety concerns for staff or others or exhibits inappropriateness in verbal or non-verbal interactions, appropriate referrals would then be completed.
- When the person served is non-compliant with treatment or demonstrates non-compliance with attendance/ no-show policy.