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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 5:
Considerations for SCI rehabilitation in the elderly patient
Literature

1 Gerhart KA, Charlifue S, Menter RR, Weitzenkamp DA, Whiteneck G. Aging with spinal cord injury. Website: http://www.ed.gov/pubs/AmericanRehab/spring97/sp9706.html. Accessed

2 Ibid.

3 Whiteneck GG, Charlifue, SW, Frankel HL, Fraser MH, Gardne BP, Gerhart KA, Krishnan KR, Menter RR, Nuseibeh I, Short DJ, Silver JR. Mortality, morbidity, and psychosocial outcomes of persons spinal cord injured more than 20 years ago. Paraplegia. 1992; 30: 616-630.

4 Barrett J, Putzke J, Richards J. Early versus late onset of spinal cord injury among the elderly. J Clin Psych Med Settings. Sept 2002; 9(3): 219-226

5 Thomas Jefferson University. Elderly Spinal Cord Injuries Increase Five-fold In 30 Years, Neurosurgeons Find. ScienceDaily. Mar 2007; Retrieved January 16, 2008, from http://www.sciencedaily.com /releases/2007/03/070319111256.htm

6 Capoor J, Stein A. Aging with spinal cord injury. Phys Med Rehabil Clin N Am. 2005; 16: 129-161

7 DeVivo M, Kartus P, Rutt R, Stover S, Fine P. The influence of age at time of spinal cord injury on rehabilitation outcome. Arch Neurol. June 1990; 47: 687-691

8 Scivoletto G, Morganti B, Ditunno P, Ditunno JF, Molinari M. Effects on age on spinal cord patients’ rehabilitation. Spinal Cord 2003; 41, 457-464

9 Scivoletto G, Morganti B, Ditunno P, Ditunno JF, Molinari M. Effects on age on spinal cord patients’ rehabilitation. Spinal Cord 2003; 41, 457–464

10 Putzke JD, Barrett J, Richards J, DeVivo M. Age and SCI: An emphasis on outcomes among the elderly. J Spinal Cord Med. Spring 2003; 26(1): 37-44

11 Barrett J, Putzke J, Richards J. Early versus late onset of spinal cord injury among the elderly. J Clin Psych Med Settings. Sept 2002; 9(3): 219-226

12 Ibid.

13 DeVivo, M, Kartus P, Rutt R, Stover S, Fine P. The influence of age at time of spinal cord injury on rehabilitation outcome. Arch Neurol. June 1990; 47: 687-691

14 Ibid.

15 Putzke JD, Barrett J, Richards J, DeVivo M. Age and SCI: An emphasis on outcomes among the elderly. J Spinal Cord Med. Spring 2003; 26(1): 37-44

16 Barrett J, Putzke J, Richards J. Early versus late onset of spinal cord injury among the elderly. J Clin Psych Med Settings. Sept 2002; 9(3): 219-226

17 Ibid.

18 DeVivo, M, Kartus P, Rutt R, Stover S, Fine P. The influence of age at time of spinal cord injury on rehabilitation outcome. Arch Neurol. June 1990; 47: 687-691

19 Ohsawa S, Tamaki M, Hirabayashi S. Medical rehabilitation of the patients with spinal cord injury caused by aortic aneurysm and its operation. Spinal Cord. May 2007. 

20 Barrett J, Putzke J, Richards J. Early versus late onset of spinal cord injury among the elderly. J Clin Psych Med Settings. Sept 2002; 9(3): 219-226

21 Barrett J, Putzke J, Richards J. Early versus late onset of spinal cord injury among the elderly. J Clin Psych Med Settings. Sept 2002; 9(3): 219-226

22 Ibid.

23 Scivoletto G, Morganti B, Ditunno P, Ditunno JF, Molinari M. Effects on age on spinal cord patients’ rehabilitation. Spinal Cord. 2003; 41, 457–464

24 Rochon PA et al. Comorbid illness is associated with survival and length of Hospital stay in patients with chronic disabilities. Med Care. Nov 1996; 34(11):1093-101.

25 DeVivo MJ. Discharge disposition from model SCI care system rehabilitation programs, 1999

26 Capoor J, Stein A. Aging with spinal cord injury. Phys Med Rehabil Clin N Am. 2005; 16: 129-161


32 Heinemann A, Hamilton B, Linacre J, Wright B, Granger C. Functional status and therapeutic intensity during inpatient rehabilitation. Am J Phys Med Rehab. July/Aug 1995; 74(4): 315-326

33 Putzke JD, Barrett J, Richards J, DeVivo M. Age and SCI: An emphasis on outcomes among the elderly. J Spinal Cord Med. Spring 2003; 26(1): 37-44

34 Blanchard J. Epidemiology of abdominal aortic aneurysms. Epiodemiologic Reviews. 1999; 21(2): 207-221

35 Scivoletto G, Morganti B, Ditunno P, Ditunno JF, Molinari M. Effects on age on spinal cord patients’ rehabilitation. Spinal Cord. 2003; 41: 457–464

36 Ibid.

37 Holicky R, Charlifue S. Aging with spinal cord injury: the impact of spousal support. Disability and Rehabilitation. 1999; 21(5/6): 250-257

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