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Therapies

National Major Trama Rehabilitation Guidelines

https://www.c4ts.qmul.ac.uk/nmtrg-rehabilitation-guidelines/nmtrg-rehabilitation-guidelines

Multidisciplinary guidelines for the management of Traumatic Brain Injury, SCI and more.

Spinal Cord Management outside a specialist centre

Expectation that all staff who treat SCI should have a working knowledge of the key principles in first column

Resources for training is in second column. This list is not exhaustive and should be used as a guide for training.

Key Principles Training Resources

Spinal Anatomy

  • Bony anatomy of the spinal column
  • Ligamentous complex
  • The spinal cord and spinal nerves
  • Spinal plexus
  • Autonomic nervous system
  • Vascular anatomy of the spine

All grades should have a working knowledge of the anatomy and physiology of the spine. This should be included in the in-house training delivered at each hospital.

Examples of 3D anatomy tutorials:

Ninja Nerd videos – excellent and detailed:

Spinal Injury

  • Types of spinal injury, including spinal stability: unstable vs stable
  • Spinal precautions
  • Respiratory/cardiovascular complications associated with SCI
  • Bladder and bowel complications, including neurogenic bowel requiring reflexic/areflexic bowel regime, catheterisation/intermittent self catheterisation, suprapubic catheterisation
  • ASIA classification and implication of this on recovery
  • Complete/incomplete injuries, including common incomplete syndromes (such as Brown-Sequard syndrome/central cord/ventral cord/dorsal cord/cauda equina syndrome)
  • Common associated injuries

In-house spinal study day – run already at some hospitals covering basic training for therapists and NS

NHS Learning Hub

You will need to register for an account. This is the platform for the most up-to-date learning resources for SCI and is being populated by the Pan London SCI education group. It is a work in progress but there are already links to:

  • Bladder / bowel
  • AD
  • Sexual function
  • Pain post SCI
  • Respiratory complications

Key Resources:

Spinal Cord Syndromes:

Ninja Nerd – excellent explanation of all SCI syndromes and their presentation (1 hour 4 mins)

Watch Spinal Cord Syndromes Lecture

Medical/Surgical Management

  • Awareness of CT/MRI findings, link with neuroanatomy and clinical presentation
  • Surgical vs non-surgical management
  • Acute medical management of SCI
Physiopedia Spinal Cord Injury Clinical Guidelines (1 hour 26 mins)

This has a video (American and 2016) which covers initial management ASIA and expectations of SCI levels

Functional Expectations Guide:

Good resource for guiding functional expectations, devised by the SCI leads in the UK and Ireland:

SCI First Episode of Rehab Therapy Outcomes

Training Videos:

There are also some training videos available on the LSCIC website, with more coming soon:

London Spinal Cord Injury Centre

SCIST Reference:

You can link to the SCIST you refer to on the MASCIP website:

SCIST Final 2022