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Thread: SCI model rehab VS standard?

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  1. #1

    SCI model rehab VS standard?

    Hi everyone. i have found this site extremely helpful in researching info about my friend's injury. He was a T11 vertebral rupture after being hit by a drunk driver 5 weeks ago.He has no anal sensation nor genitalia sensation. He does, however, have normal bladder sensation. While he has no function in the legs, only spasms, he does have infrequent sensation. He definitely complained of "bone pain" when his PT accidentally knocked his toes into the wall while in his wheelchair. From what I can read on this site, he is considered a complete injury since he has no function of sacral regions? Even though he has random sensation in his legs? Oh yea, he feels wedgies of his pants too LOL He spent 2 weeks in ICU and 1 week in step down. He is now in rehab. he is still a bit limiting learning to transfer, etc as he had an arm fracture which has yet to be cleared.
    We watched a video on the Parastep today. anyone with any experience with this?
    Him and his wife are looking to build a home. I have been trying to research maybe modular homes which are specific to accessibility, thinking this might be the quickets way to build. Any thoughts?

    Thanks so much!

  2. #2
    Senior Member
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    Has he been ASIA tested? That is really the best way to determine complete/incomplete. Also, he probably still has swelling that may impact his sensation.

    Where is he doing rehab. Is it a SCI model center (the best) or a general rehab facility? There is a big difference.

    I know he is frustrated about the broken arm but it takes time. This whole thing takes time. My son crushed both his legs in the accident that damaged his spinal cord. He is an incomplete C-2, ASIA D. This means that he has movement and sensation below the point of injury. He has been limited by the crushed legs but plans to walk again. The hardest part of this process is to understand that it is a process. There is no magic pill or magic exercise. Progress is slow but it can happen. It takes work and determination and good therapists. If he is a complete injury, good therapists can help him maximize what he has, learn new ways to do everyday things, and keep his body in shape.

    FYI, the bladder and bowels are on the same nerves so he may see a change there in the coming months. Six weeks is nothing in SCI recovery.--eak

  3. #3
    Thanks for your reply. He doesn't have bowel or actual ability to control urination. He is catheterization dependent, but DOES feel normal "urge" to urinate if that makes sense. It seems his sensation really stops just below the hips. As far as I know, he has not been assigned an ASIA score. I work in the medical field,so I have been trying to piece together some of the basic info he gives me. Like I said, he has no anal sensation. No motor use of anything waist down but does complain of pain with spasms and running into a wall LOL
    6 weeks definitely is early. It appears his funtion/sensation has not really improved since the very few minutes post injury.
    he really is doing amazing. He is in a general rehab facility at the level 3 trauma center where he was initially admitted. They are hoping to extend him another 5-6 weeks due to the fact he can't fully transfer independently with a broken arm.

  4. #4
    Eak,
    From what I can deduct from my own assessment, at this time I would think he is an L1-L2 Asia A.

  5. #5
    Dear Time4Summer

    Being your friend is still in the UnSwelling stage on his spinal cord >> he probably will notice more sensation as time goes on as Swelling diminishes .

    I am saying this from personal experience .

    Also ;
    Click on Forum Jump and check out all the information We have to offer here it is about the largest Web SCI informative site out there . Care Cure Community is enoromous .

    Sincerely;
    GL

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