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Spinal Cord Injury
OT 537
Part 2
Lancaster
Groups for Clinical Conversations on Case Studies
Clinical Conversations on Case Studies
• Status of the client (i.e. subject of the case study) – living
situation, history, etc.
• How is the diagnosis impacting the individual at the phase of
recovery highlighted in the case study (relate to occupational
performance)?
• Client roles and priorities
• The role of OT and what the OT process looks like
What We Know About SCI
Spinal Cord Injury
Two broad categories:
• Traumatic Injury
• Non-Traumatic Injury
Spinal Cord Injuries are classified as:
Tetraplegia/Quadriplegia Complete
Paraplegia Incomplete
Phases of Recovery after SCI
Special Considerations
• Group education
• Support groups
• Prognosis
• Equipment needs
• School/work
• Community access
• Relationships
• Age
Factors Impacting Functional
Performance After SCI
• Level of injury
• Complete vs. incomplete
• What else??
Functional Implications Based on Level of SCI
C1-C4
C5
C6
C7-8
T10-L1
T1-T9
L1-S5
Hand Function
Tenodesis grasp -- http://www.youtube.com/watch?v=0YrDRvm-saU
• “My Beautiful Struggle”
• https://www.youtube.com/user/JordanBone89
Tetraplegia
ReferencesCatz, A., Itzkovich, M., et al. (1997). "SCIM-spinal cord independence measure: a new disability scale for patients with
spinal cord lesions.” Spinal Cord, 35(12): 850-856.
Crepeau, E. B., Cohn, E. S., Boyt-Schell, B. A. (2009) Willard and Spackman’s Occupational Therapy (11th ed.),
Wolters Kluwer – Lippincott Williams & Wilkins.
Guidetti, S., Asaba, E., & Tham, K. (2009). Meaning of context in recapturing self-care after stroke or spinal cord
injury. AJOT, 63, 323-332.
Randomski, M. V., Trombley-Latham, C. A. (2008). Occupational Therapy for Physical Dysfunction (6th ed.), Wolters
Kluwer – Lippincott Williams & Wilkins.
Ward, K., Mitchell, J., & Price, P. (2007). Occupation-based practice and its relationship to social and occupational
participation in adults with spinal cord injury. Occupational Therapy Journal of Research: Occupation, Participation,
and Health, 27, 149-156.

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OT537 SCI part 2 2017

  • 1. Spinal Cord Injury OT 537 Part 2 Lancaster
  • 2. Groups for Clinical Conversations on Case Studies
  • 3. Clinical Conversations on Case Studies • Status of the client (i.e. subject of the case study) – living situation, history, etc. • How is the diagnosis impacting the individual at the phase of recovery highlighted in the case study (relate to occupational performance)? • Client roles and priorities • The role of OT and what the OT process looks like
  • 4. What We Know About SCI
  • 5. Spinal Cord Injury Two broad categories: • Traumatic Injury • Non-Traumatic Injury Spinal Cord Injuries are classified as: Tetraplegia/Quadriplegia Complete Paraplegia Incomplete
  • 6. Phases of Recovery after SCI
  • 7. Special Considerations • Group education • Support groups • Prognosis • Equipment needs • School/work • Community access • Relationships • Age
  • 8. Factors Impacting Functional Performance After SCI • Level of injury • Complete vs. incomplete • What else??
  • 9.
  • 10. Functional Implications Based on Level of SCI C1-C4 C5 C6 C7-8 T10-L1 T1-T9 L1-S5
  • 11. Hand Function Tenodesis grasp -- http://www.youtube.com/watch?v=0YrDRvm-saU
  • 12. • “My Beautiful Struggle” • https://www.youtube.com/user/JordanBone89
  • 14. ReferencesCatz, A., Itzkovich, M., et al. (1997). "SCIM-spinal cord independence measure: a new disability scale for patients with spinal cord lesions.” Spinal Cord, 35(12): 850-856. Crepeau, E. B., Cohn, E. S., Boyt-Schell, B. A. (2009) Willard and Spackman’s Occupational Therapy (11th ed.), Wolters Kluwer – Lippincott Williams & Wilkins. Guidetti, S., Asaba, E., & Tham, K. (2009). Meaning of context in recapturing self-care after stroke or spinal cord injury. AJOT, 63, 323-332. Randomski, M. V., Trombley-Latham, C. A. (2008). Occupational Therapy for Physical Dysfunction (6th ed.), Wolters Kluwer – Lippincott Williams & Wilkins. Ward, K., Mitchell, J., & Price, P. (2007). Occupation-based practice and its relationship to social and occupational participation in adults with spinal cord injury. Occupational Therapy Journal of Research: Occupation, Participation, and Health, 27, 149-156.