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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
Evaluation

The Rehab Cycle

Evaluation

One month after the accident, the initial, early post-acute care Rehab Cycle was completed with an evaluation of its progress.

Encouragingly, Mr. Seiler’s recovery had surpassed expectations of both the health care team and the patient himself. The positive course of the recovery of the initially impaired body structures contributed to this result.

Additionally, his engagement, motivation and self-discipline all contributed significantly, clearly paying off in his positive results. Each of the intervention target goals was achieved and remarkably six of the intervention targets exceeded their expected outcome values.

Overall, this led to the achievement of all three cycle goals. The cycle goal for moving in different locations was also achieved beyond expectations.

Table 4:

ICF Evaluation display
 Taken together, these stepwise accomplishments resulted in reaching and surpassing the anticipated Service program goal of greater independence in daily living.  Included here are a number of personal reflections on Mr. Seiler’s recovery:

The whole process of Mr. Seiler’s recovery has proceeded wonderfully. From the actions of his colleagues who first found him to the rescue crew and the medical teams responsible for his acute care and rehabilitation ... and of course, Mr. Seiler himself. Each person involved was a link in a chain that led an accident victim to the best possible recovery. We are all pleased beyond words. 
— Mr. Seiler’s physician

I think I’m one of the happiest patients here. Within one month, I’ve recovered so much. I didn’t think I would have my health back again. It’s my second life — I never thought I’d stand again. I will absolutely not take this second life for granted!

I think being athletic helped me a lot — my swimming, skiing and working hard all contributed. I have a lot of strength and stamina; I drink very little and don’t smoke. Overall, I’m an exceptionally healthy person. Even my medical examinations after the accident showed I was in great health — this was really encouraging. 

I have to admit that the greatest support for me was the care I received. The rescue workers, the intensive care team and the rehabilitation team were all so warm and understanding; they really helped me along psychologically. 

 — Mr. Seiler, reflecting at the end of his Rehab Cycle

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