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The Rehabilitation of Spinal Cord Injury Patients in Europe

  • Conference paper

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 124))

Abstract

In Western European countries there is an incidence of traumatic spinal cord injury (SCI) of 16 to 19.4 new cases per million inhabitants per year. Since World War II, European physicians have been fundamental in the development of SCI medicine, starting from Sir Ludwig Guttman, who developed the idea of the integrated treatment of these patients. More recently, scientists from Germany and Switzerland have developed a new rehabilitative approach, Body Weight Support Treadmill Training, based on the concept of activity-based therapy and aimed at restoring walking in SCI patients. This review highlights issues concerning different organizational systems and health policies within and outside Europe.

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References

  1. Ahoniemi E, Alaranta H, Hokkinen E-M, Valtonen K, Kautiainen H (2008) Incidence of traumatic spinal cord injuries in Finland over a 30-year period. Spinal Cord 46(12):781–784

    Article  CAS  PubMed  Google Scholar 

  2. Anderson DK, Beattie M, Blesch A, Bresnahan J, Bunge M, Dietrich D (2005) Recommended guidelines for studies of human subjects with spinal cord injury. Spinal Cord 43(8):453–458

    Article  CAS  PubMed  Google Scholar 

  3. Behrman AL, Harkema SJ (2007) Physical rehabilitation as an agent for recovery after spinal cord injury. Phys Med Rehabil Clin N Am 18(2):183–202

    Article  PubMed  Google Scholar 

  4. Biering-Sørensen F, Charlifue S, DeVivo M, Noonan V, Post M, Stripling T, Wing P (2006) International spinal cord injury data sets. Spinal Cord 44(9):530–534

    Article  PubMed  Google Scholar 

  5. Chan SC, Chan AP (2005) Rehabilitation outcomes following traumatic spinal cord injury in a tertiary spinal cord injury centre: a comparison with an international standard. Spinal Cord 43:489–498

    Article  CAS  PubMed  Google Scholar 

  6. Chhabra HS, Harvey LA, Muldoon S, Chaudhary S, Arora M, Brown DJ (2013) www.elearnSCI.org: a global educational initiative of ISCoS. Spinal Cord 51:176–182

  7. Consortium for Spinal Cord Medicine. Outcomes following traumatic spinal cord injury: clinical practice guidelines for health-care professionals. J Spinal Cord Med. 2000 Winter;23(4):289–316

    Google Scholar 

  8. Cripps RA, Lee BB, Wing P, Weerts E, Mackay J, Brown D (2011) A global map for traumatic spinal cord injury epidemiology: towards a living data repository for injury prevention. Spinal Cord 49(4):493–501

    Article  CAS  PubMed  Google Scholar 

  9. Dahlberg A, Kotila M, Leppanen P, Kautiainen H, Alaranta H (2005) Prevalence of spinal cord injury in Helsinki. Spinal Cord 43(1):47–50

    Article  CAS  PubMed  Google Scholar 

  10. de Groot S, Dallmeijer AJ, Post MWM, van Asbeck FWA, Nene AV, Angenot ELD, van der Woude LHV (2006) Demographics of the Dutch multicenter prospective cohort study ‘Restoration of mobility in spinal cord injury rehabilitation’. Spinal Cord 44(11):668–675

    Article  PubMed  Google Scholar 

  11. Di Benedetto P (2011) Clean intermittent self-catheterization in neuro-urology. Eur J Phys Rehabil Med 47(4):651–659

    PubMed  Google Scholar 

  12. Dietz V, Colombo G, Jensen L, Baumgartner L (1995) Locomotor capacity of spinal cord in paraplegic patients. Ann Neurol 37:574–582

    Article  CAS  PubMed  Google Scholar 

  13. Ditunno JF, Scivoletto G, Patrick M, Biering-Sorensen F, Abel R, Marino R (2008) Validation of the walking index for spinal cord injury in a US and European clinical population. Spinal Cord 46(3):181–188

    Article  CAS  PubMed  Google Scholar 

  14. Ditunno PL, Patrick M, Stineman M, Morganti B, Townson AF, Ditunno JF (2006) Cross-cultural differences in preference for recovery of mobility among spinal cord injury rehabilitation professionals. Spinal Cord 44(9):567–575

    Article  CAS  PubMed  Google Scholar 

  15. Donovan WH (2007) Donald Munro Lecture Spinal cord injury--past, present, and future. J Spinal Cord Med 30(2):85–100

    Article  PubMed  PubMed Central  Google Scholar 

  16. Frankel HL (2012) The Sir Ludwig Guttmann lecture 2012: the contribution of Stoke Mandeville Hospital to spinal cord injuries. Spinal Cord 50(11):790–796

    Article  CAS  PubMed  Google Scholar 

  17. Frankel HL, Hancock DO, Hyslop G, Melzak J, Michaelis LS, Ungar GH, Vernon JD, Walsh JJ (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia 7(3):179–192

    Article  CAS  PubMed  Google Scholar 

  18. Fromovich-Amit Y, Biering-Sørensen F, Baskov V, Juocevicius A, Hansen HV, Gelernter I, Hart J, Baskov A, Dreval O, Terese P, Catz A (2009) Properties and outcomes of spinal rehabilitation units in four countries. Spinal Cord 47(8):597–603

    Article  CAS  PubMed  Google Scholar 

  19. Grillner S (1975) Locomotion in vertebrates: central mechanisms and reflex interaction. Physiol Rev 55(2):247–304

    CAS  PubMed  Google Scholar 

  20. Guttmann L (1973) Spinal cord injuries, comprehensive management and research. Blackwell Scientific Publications, Oxford Press, London

    Google Scholar 

  21. Hagen EM, Aarli JA, Grønning M (2001) Patients with traumatic spinal cord injuries at the department of neurology, Haukeland Hospital 1952-99. Tidsskr Nor Laegeforen 121(28):3273–3275

    Google Scholar 

  22. Hagen EM, Eide GE, Rekand T, Gilhus NE, Gronning M (2010) A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway. Spinal Cord 48(4):313–318

    Article  CAS  PubMed  Google Scholar 

  23. Heinemann AW, Hamilton B, Linacre JM, Wright BD, Granger C (1995) Functional status and therapeutic intensity during inpatient rehabilitation. Am J Phys Med Rehabil 74:315–326

    Article  CAS  PubMed  Google Scholar 

  24. Horsewell J (2007) Acute care and primary rehabilitation in ESCIF member countries 2007. ESCIF: Eur Spinal Cord Injury Federation Web site. Available at: http://www.escif.org/files/documents/members_downloads/infoproject.pdf

  25. Jezernik S, Colombo G, Keller T, Frueh H, Morari M (2003) Robotic orthosis lokomat: a rehabilitation and research tool. Neuromodulation 6:108–115

    Article  PubMed  Google Scholar 

  26. Mehrholz J, Kugler J, Pohl M (2008) Locomotor training for walking after spinal cord injury. Cochrane Database Syst Rev 16(2):CD006676

    Google Scholar 

  27. National Spinal Cord Injury Statistical Center (2010). Annual report for the spinal cord injury model systems. Birmingham. Available at: goo.gl/rQEmNp

  28. New PW, Cripps RA, Bonne Lee B (2014) Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository. Spinal Cord 52(2):97–109. Review. Erratum in: Spinal Cord 52(5):417

    Google Scholar 

  29. New PW, Townson A, Scivoletto G, Post MWM, Eriks-Hoogland I, Gupta A (2013) International comparison of the organisation of rehabilitation services and systems of care for patients with non-traumatic spinal cord injury. Spinal Cord 51(1):33–39

    Article  CAS  PubMed  Google Scholar 

  30. O’Connor RJ, Murray PC (2006) Review of spinal cord injuries in Ireland. Spinal Cord 44(7):445–448

    PubMed  Google Scholar 

  31. Sadowsky CL, McDonald JW (2006) Activity-based restorative therapies: concepts and applications in spinal cord injury-related neurorehabilitation. Dev Disabil Res Rev 15:112–116

    Article  Google Scholar 

  32. Scivoletto G, Morganti B, Molinari M (2005) Early versus delayed inpatient spinal cord injury rehabilitation: an Italian study. Arch Phys Med Rehabil 86(3):512–516

    Article  PubMed  Google Scholar 

  33. Scivoletto G, Morganti B, Ditunno P, Ditunno JF, Molinari M (2003) Effects of age on spinal cord lesion patients’ rehabilitation. Spinal Cord 41:457–464

    Article  CAS  PubMed  Google Scholar 

  34. Silver JR (2005) History of the treatment of spinal injuries. Postgrad Med J 81(952):108–114

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Smith M (2002) Efficacy of specialist versus non-specialist management of spinal cord injury within the UK. Spinal Cord 40(1):11–16

    Article  Google Scholar 

  36. Swinnen E, Duerinck S, Baeyens JP, Meeusen R, Kerckhofs E (2010) Effectiveness of robot-assisted gait training in persons with spinal cord injury: a systematic review. J Rehabil Med 42(6):520–526

    Article  PubMed  Google Scholar 

  37. Van Asbeck FWA, Post MWM, Pangalila RF (2000) An epidemiological description of spinal cord injuries in The Netherlands in 1994. Spinal Cord 38(7):420–424

    Article  PubMed  Google Scholar 

  38. Wernig A, Muller S, Nanassy A, Cagol E (1995) Laufband therapy based on `rules of spinal locomotion’ is effective in spinal cord injured persons. Eur J Neurosci 7:823–829

    Article  CAS  PubMed  Google Scholar 

  39. Wyndaele M, Wyndaele J-J (2006) Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 44(9):523–529

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Giorgio Scivoletto MD, PhD .

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Scivoletto, G. et al. (2017). The Rehabilitation of Spinal Cord Injury Patients in Europe. In: Visocchi, M., Mehdorn, H.M., Katayama, Y., von Wild, K.R.H. (eds) Trends in Reconstructive Neurosurgery. Acta Neurochirurgica Supplement, vol 124. Springer, Cham. https://doi.org/10.1007/978-3-319-39546-3_31

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  • DOI: https://doi.org/10.1007/978-3-319-39546-3_31

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39545-6

  • Online ISBN: 978-3-319-39546-3

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