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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 6:
Traumatic spinal cord injury-- recovery begins at the accident site
General Introduction

Mr. Seiler and recovery from traumatic spinal cord injury

I’m at the beginning of my second life!
        — Mr. Seiler

Mr. Seiler is 65 years old, a former butcher and still a vigorous individual very much engaged with the life pursuits of his retirement, living in Switzerland. Although divorced, he and his wife had raised three children who were all now middle aged.

During the dawn of his recent retirement, Mr. Seiler had enthusiastically continued working and enjoying life. After the close of his long career, he carried on working in a field that was no less demanding — farming — regularly assisting farmers in his region in all manner of activities.

Mr. Seiler’s recreational activities were just as testing as an all around athlete involved in sports such as skiing, hiking and jogging. He even spent evenings as a talented “rock ’n roll” dancer. All in all, a life that could tire even a younger man.

An unexpected farming accident would leave Mr. Seiler with acute incomplete tetraplegia.

I remember lying on the edge of that mountain slope. I couldn’t move my head, my hands, my legs, nothing anymore…
      — Mr. Seiler on recalling the accident

With the sudden and unexpected nature of traumatic spinal cord injury (SCI), concerns and questions surrounding recovery are at the forefront of the minds of the patient and all concerned with his or her well-being.

Recovery of functioning in traumatic SCI depends on two critical factors: the type of injury, meaning both the severity and the etiology,1 and on timely and appropriate medical, potential surgical and rehabilitative interventions.2  Such interventions begin at the scene of accident and continue through the implementing rehabilitation.

This case study seeks to illustrate how proper and timely care contribute to optimal functioning and demonstrate the importance of rehabilitation beginning at the accident site.

 

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