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Case Studies
The following case studies of patients with spinal cord injuries show the manifold strengths of the Rehab Cycle in clincial practice. The individuals portrayed in these cases differ in regard to the nature and cause of their injuries and the height of the lesion.
1Goal Setting
2Independence
3Hope
4Health Behavior
5SCI in the Elderly
6Recovery after traumatic SCI
7Vocations
8Community Reintegration
9Sports in Rehabilitation
10Walking Recovery
11Care in Developing Countries
12SCI and Environmental Accessibility
13SCI in Adolescence and Peer Relationships
14Bowel and bladder management
15Psychological issues and SCI
16When more time is less
17Motivation and rehabilitation
 
Case Study 1:
Translating interventions in real-life gains, A Rehab Cycle Approach
Evaluation

The Rehab Cycle

Evaluation

Just two weeks before completing the first Rehab Cycle, Peter asked to be discharged and was released against the recommendations of his health care team. Unfortunately, he was unable to be dissuaded and a final evaluation was performed just before he left the clinic — significantly earlier than originally intended.

This evaluation compared the first assessment of the intervention targets with the final outcomes. His evaluation display showed that his outcome evaluation met most of the intervention targets (see Table 3). Although there was some improvement in all of the targets, the desired values were not reached in a number of intervention targets, including changing body position and the ability to transfer himself.

Table 3:

Evaluation display
Other critical interventions, such as those grouped under personal factors, did however show some improvement. Similarly, some cycle goals were not achieved. It is believed that this was a result of his early departure from the program and that had he remained in the program, more targets and goals would have been met.

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