Early rehabilitation of spinal cord injury

As soon as spinal cord injury occurs, early rehabilitation interventions are required in parallel with clinical treatment to prevent complications and reduce the degree of disability. Early rehabilitation of spinal cord injury is as follows: 1. Self-care includes bathing, toileting, dressing, eating, grooming and personal hygiene, etc. For injuries above cervical 4 and cervical 4, train the use of environmental control system, i.e., for total paralysis patients in bed or wheelchair to switch on and off lights, TV, telephone, etc. by blowing or jaw movement. Training below neck 6 to eat, grooming and dressing; training below neck 8 to eat, grooming, dressing, bowel and urine. 2. Prevent decubitus ulcers by teaching patients to check the condition of pressurized skin by themselves, to lift their hips with both hands every hour in rotation, to turn over frequently in the prone position, and to change positions. 3, residual muscle strength strengthening mainly deltoid, biceps, triceps, latissimus dorsi and other training, the use of resistance training, progressive resistance training. Muscle strength training can strengthen the upper limb support and the ability to maintain sitting and standing posture, laying the foundation for future hand control of wheelchairs or walking with crutches. 4.Initial transfer training for horizontal injury below neck 1 training patients from wheelchair → ← treatment bed, wheelchair → ← treatment platform, car, wheelchair → ← toilet transfer training. 5.Balance retraining neck 6 and below horizontal injury, first from the sitting balance training after the patient can sit straight-legged bed, further training its stability, so that the two arms straight forward flat, maintain sitting posture, and can suddenly apply a little thrust to the patient’s body, so that the patient force to maintain balance, but also in the sitting position with a companion or therapist to pass the ball or two hands in turn to the front fist, etc. 6.Basic wheelchair movement At the beginning of wheelchair movement, learn how to control and push, make it forward, backward, turn, then learn how to go up and down the slope, and finally learn how to leave the wheelchair to the bed and floor, and then back to the wheelchair. 7, physical therapy lesions without heat ultra-short wave therapy, ultraviolet therapy, direct current iodine ion introduction, ultrasonic therapy, etc., to promote the dissipation of inflammatory exudates from the injured spinal cord, prevent adhesions, and promote the recovery of nerve function.