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Controversies regarding mobilisation and rehabilitation following acute spinal cord injury

Afshari, FT; Choi, D; Russo, A; (2020) Controversies regarding mobilisation and rehabilitation following acute spinal cord injury. British Journal of Neurosurgery , 34 (2) pp. 123-126. 10.1080/02688697.2019.1708268. Green open access

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Abstract

Spinal cord injury is a debilitating condition associated with significant physical and emotional burden for the patients and families involved. Despite advances in care of patients following spinal cord injury, rehabilitation following injury remains an underfunded area of research that is in need of significant change. Although bed rest has been suggested to improve spinal cord perfusion after acute cord injury, there is no data to suggest that long periods of bed rest following spinal cord injury (in the absence of haemodynamic or biomechanical instability) leads to better outcome. Despite paucity of evidence, prolonged flat bed rest is still practiced in many spinal cord injury rehabilitation units across United Kingdom with no consensus on timing of mobilisation. Here we review some of the controversies on mobilisation and rehabilitation following spinal cord injury with the aim to emphasise on the benefits of early mobilisation following spinal cord injury and to challenge the old practice of long periods of flat bed rest.

Type: Article
Title: Controversies regarding mobilisation and rehabilitation following acute spinal cord injury
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/02688697.2019.1708268
Publisher version: https://doi.org/10.1080/02688697.2019.1708268
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Early mobilisation, Spinal cord injury, Spinal rehabilitation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/10089900
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