What do I need to know?
Ninety-five percent of all pressure sores are preventable!
After spinal cord injury, your skin requires daily care and a lot of attention.
You will need to spend time daily cleaning the skin, keeping it dry (from incontinence or perspiration), checking the skin for problems or changes, moving ...
Background: Proper transfer technique is associated with improved biomechanics and decreased pain and pathology. However, many users do not use proper technique, and appropriate assessment and training are needed to address these deficits. The transfer assessment instrument (TAI) 4.0 was designed to meet those needs and improve on past versions ...
Objectives: To determine the efficacy of a web-based transfer training module at improving transfer technique across 3 groups: web-based training, in-person training (current standard of practice), and a waitlist control group (WLCG); and secondarily, to determine subject factors that can be used to predict improvements in transfer ability after training.
Design: ...
Transferring in and out of your wheelchair puts higher stress on your arms and shoulders than anything else you do on a regular basis. Learning the correct way to transfer is extremely important in order to keep your arms functioning and pain-free.
The pressure relief technique you use will depend on your level of injury, the type of wheelchair you use and how much movement and strength you have in your arms and shoulders.
Tilting or reclining
If you are unable to perform independent pressure reliefs, you can use a power tilt wheelchair for ...
What is the study about?
This study investigated the effectiveness of CareCall, an interactive, low-cost phone system developed for adults with spinal cord injury (SCI) and multiple sclerosis (MS). Callers to CareCall receive automated medical support and information. Researchers looked at how CareCall is used by and benefits people with SCI ...
What is the study about?
Survival within two years after spinal cord injury (SCI) has greatly improved over the past few decades, although long-term survival after the first two years has not shown significant improvement. However, people with SCI still have higher rates of mortality than people without SCI. To better ...
A pressure sore (also called pressure ulcer, decubitus ulcer, decubiti (plural), bedsore or skin breakdown) is an area of the skin or underlying tissue (muscle, bone) that is damaged due to loss of blood flow to the area. Blood flow to the skin keeps it alive and healthy. If the ...
What do I need to know?
Individuals with SCI are at high risk for developing pressure sores.
Pressure sores can be life threatening.
Possible complications:
Infections can develop and spread to the blood, heart and bone.
Amputations
Prolonged bed rest necessary for healing can keep you out of work, school and social activities for months.
Because ...
Objectives: To evaluate the psychometric properties of the Transfer Assessment Instrument Questionnaire (TAI-Q), a self-assessment measure to evaluate transfer quality compared with clinician-reported measures.
Design: Participants self-assessed transfers from their wheelchair to a mat table using the TAI-Q. For session 1, participants self-assessed their transfer both before and after reviewing a ...
What is skin tolerance?
Skin tolerance is how much time your skin can stand to be under pressure before damage starts to occur. Each person's skin tolerance is different. Some people may need to relieve pressure very often, others may not have to do it as often, but they still need ...
Areas where bones are close to the surface (called "bony prominences") and areas that are under the most pressure are at greatest risk for developing pressure sores.
In bed, body parts can be padded with pillows or foam to keep bony prominences (areas where bones are close to the skin surface) ...
How can I tell if I have a pressure sore?
First signs. One of the first signs of a possible skin sore is a reddened, discolored or darkened area (an African American’s skin may look purple, bluish or shiny). It may feel hard and warm to the touch.
A pressure sore has ...
What is the study about?
This study aims to evaluate how valid (reliable) and efficient two measures are that are used in evaluating people with spinal cord injury. The measures are the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM). The SCI-SET and PRISM are ...
Objective: To evaluate the psychometric properties of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM) using Rasch analysis to optimize their validity and efficiency.
Design: Rasch analysis of the SCI-SET and PRISM represents a secondary analysis of data collected as part of a collaborative ...
What is the study about?
This study’s aim was to describe the relationship between spasticity and perceived quality of life as well as the perceived value of spasticity management approaches for individuals with spinal cord injury (SCI).
What did the study find?
This study found that spasms most often occurred in response to ...
Spasticity is the uncontrolled tightening or contracting of the muscles that is common in individuals with spinal cord injuries. About 65%–78% of the SCI population have some amount of spasticity, and it is more common in cervical (neck) than thoracic (chest) and lumbar (lower back) injuries.
This infographic teaches how to transfer in and out of a manual wheelchair safely in three simple steps. Learning how to transfer correctly can protect the user's arms and shoulders.
For more information about how to transfer safely, see MSKTC’s factsheet on Safe Transfer Technique.
What is the study about?
This review evaluated the Walking Index for Spinal Cord Injury (WISCI), which is a scale with 21 levels that measures the capacity of a spinal cord injury (SCI) survivor to walk 10 meters with or without personal assistance and the use of equipment such as braces ...
What is the study about?
Medical and rehabilitation care advances have contributed to an increase in the number of individuals with spinal cord injury (SCI) who are able to regain and maintain ambulatory (walking) abilities. However, some studies have implied that the risk of falls is higher for ambulatory persons with ...