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dc.contributor.authorFehlings, Michael G
dc.contributor.authorTetreault, Lindsay A
dc.contributor.authorAarabi, Bizhan
dc.contributor.authorAnderson, Paul
dc.contributor.authorArnold, Paul M
dc.contributor.authorBrodke, Darrel S
dc.contributor.authorChiba, Kazuhiro
dc.contributor.authorDettori, Joseph R
dc.contributor.authorFurlan, Julio C
dc.contributor.authorHarrop, James S
dc.contributor.authorHawryluk, Gregory
dc.contributor.authorHolly, Langston T
dc.contributor.authorHowley, Susan
dc.contributor.authorJeji, Tara
dc.contributor.authorKalsi-Ryan, Sukhvinder
dc.contributor.authorKotter, Mark
dc.contributor.authorKurpad, Shekar
dc.contributor.authorKwon, Brian K
dc.contributor.authorMarino, Ralph J
dc.contributor.authorMartin, Allan R
dc.contributor.authorMassicotte, Eric
dc.contributor.authorMerli, Geno
dc.contributor.authorMiddleton, James W
dc.contributor.authorNakashima, Hiroaki
dc.contributor.authorNagoshi, Narihito
dc.contributor.authorPalmieri, Katherine
dc.contributor.authorSingh, Anoushka
dc.contributor.authorSkelly, Andrea C
dc.contributor.authorTsai, Eve C
dc.contributor.authorVaccaro, Alexander
dc.contributor.authorWilson, Jefferson R
dc.contributor.authorYee, Albert
dc.contributor.authorBurns, Anthony S
dc.date.accessioned2018-10-10T17:30:45Z
dc.date.available2018-10-10T17:30:45Z
dc.date.issued2017-09-01
dc.identifier.issn2192-5682
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/283579
dc.description.abstractIntroduction: The objective of this study is to develop guidelines that outline the appropriate type and timing of rehabilitation in patients with acute spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to rehabilitation in patients with acute SCI. A multidisciplinary guideline development group used this information, and their clinical expertise, to develop recommendations for the type and timing of rehabilitation. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as "we recommend," whereas a weaker recommendation is indicated by "we suggest. Results: Based on the findings from the systematic review, our recommendations were: (1) We suggest rehabilitation be offered to patients with acute spinal cord injury when they are medically stable and can tolerate required rehabilitation intensity (no included studies; expert opinion); (2) We suggest body weight-supported treadmill training as an option for ambulation training in addition to conventional overground walking, dependent on resource availability, context, and local expertise (low evidence); (3) We suggest that individuals with acute and subacute cervical SCI be offered functional electrical stimulation as an option to improve hand and upper extremity function (low evidence); and (4) Based on the absence of any clear benefit, we suggest not offering additional training in unsupported sitting beyond what is currently incorporated in standard rehabilitation (low evidence). Conclusions: These guidelines should be implemented into clinical practice to improve outcomes and reduce morbidity in patients with SCI by promoting standardization of care, decreasing the heterogeneity of management strategies and encouraging clinicians to make evidence-informed decisions.
dc.languageeng
dc.publisherSAGE
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.titleA Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Type and Timing of Rehabilitation.
dc.typeArticle
prism.endingPage238S
prism.issueIdentifier3 Suppl
prism.publicationDate2017
prism.publicationNameGlobal Spine Journal
prism.startingPage231S
prism.volume7
dc.identifier.doi10.17863/CAM.30941
rioxxterms.versionofrecord10.1177/2192568217701910
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-09-01
dc.contributor.orcidKotter, Mark [0000-0001-5145-7199]
dc.identifier.eissn2192-5690
rioxxterms.typeJournal Article/Review
cam.issuedOnline2017-09-05


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International