Spinal Cord Injuries & Integrative Manual Therapy

The Burnham Review
Integrative Medicine & Manual Therapy Research for Health, Healing & Quality of Life

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Spinal Cord Injuries (SCI)

8-06 Spinal Cord Injuries (SCI) and Integrative Manual Therapy

Spinal Cord Injuries

People with spinal cord injuries can make remarkable gains in function. Integrative Manual Therapy (IMT)practitioners, massage therapists, manual therapy based physical therapists, chiropractors, acupuncturist and many more integrative medicine practitioners can facilitate this healing process.

This issue of The Burnham Review begins with a remarkable article (full text available) on spinal cord rehabilitation from the perspective of the person with the spinal cord injury and what they value most and what is most helpful.

I hope it will make every person working in rehabilitation think about what they say, predict and how they treat their clients.Perspective on Spinal Cord Injuries

In this study researchers look at qualitative evidence concerning the experience of rehabilitation following spinal cord injury (SCI).

The search located 64 papers and four books, of which eight papers (describing seven studies) met the review criteria for relevance and rigor. Thematic comparison and synthesis resulted in the identification of seven concepts that encapsulate the important dimensions of rehabilitation from participants' perspectives: (1) the importance of specific staff qualities; (2) the need for a vision of future life possibilities; (3) the importance of peers; (4) the relevance of program content; (5) the institutional context of rehabilitation; (6) the importance of reconnecting the past to the future; (7) the importance of meeting the needs of the real world.

If rehabilitation services are to be evidence-based, relevant and effective in meeting the needs of people with SCI they must be informed by the perspectives of people with SCI. The findings of this review suggest that the most important dimension of rehabilitation for people with SCI is the calibre and vision of the rehabilitation staff." (Whalley Hammell,2007). ...........Buy This Copy Today

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7-1 Benefits of Touch and NFP, The Burnham Review FREE Today

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7-3 A Nutritional Wellness Self Study Program, The Burnham Review

7-4 NeuroAnatomy Study List for Manual Therapists, The Burnham Review

7-5 Manual Therapy and the Peace Process, The Burnham Review

Leger, S. J. (2004). The Effects Of Integrative Manual Therapy On Spinal Cord Injury Recovery, Westbrook University Doctoral Dissertation.
    Spinal cord injury (SCI) has received international focus since Christopher Reeve was injured. Unfortunately, the recovery rates remain bleak and predictors of outcomes show that persons with complete spinal cord injury diagnoses have minute progress after one year following injury. Research trials with electrical stimulus, stem cells, and exercise fill the literature, however there have been no true changes in predictors of outcome for persons with spinal cord injuries in decades.
    Integrative Manual Therapy™ (IMT) has been clinically used to progress clients with both incomplete and complete SCI diagnoses.
     Development of hands-on techniques, which contribute to tissue repair, are the basis of IMT. What is seen in the Center for Integrative Manual Therapy and Diagnostic is that specific combinations of interventions integrated in a timely fashion make improvements with persons with spinal cord injury. In this study, nine persons, eight diagnosed with complete SCI, and one diagnosed incomplete, were studied progressing through an Integrative Manual Therapy Spinal Cord Injury Recovery Program (IMT SCI RP).
    The trial subject was studied for a total of three years, and the remaining eight persons were researched in the final two years. The levels of injury varied from C4 to T12. Ages ranged from seventeen to fifty-five...........Buy This Dissertation Today

Highlighted References
PubMed Abstracts http://www.ncbi.nlm.nih.gov

General References

1. Whalley Hammell, K. (2007). "Experience of rehabilitation following spinal cord injury: a meta-synthesis of qualitative findings." Spinal Cord 45(4): 260-74. [Full Text] http://www.nature.com/sc/journal/v45/n4/full/3102034a.html

2. Wuermser, L. A., C. H. Ho, et al. (2007). "Spinal cord injury medicine. 2. Acute care management of traumatic and nontraumatic injury." Arch Phys Med Rehabil 88(3 Suppl 1): S55-61. [PubMed Abstract]

3. Diamond, Marian and Janet Hopson (2007) Characteristics of an Enriched Environment From Magic Trees of the Mind [Full Text] http://www.newhorizons.org/lifelong/childhood/diamond_characteristics.htm

4. Nilsson, M. and M. Pekny (2007). "Enriched environment and astrocytes in central nervous system regeneration." J Rehabil Med 39(5): 345-52. [Full Text] http://jrm.medicaljournals.se/article/full/10.2340/16501977-0084

5. Hummel FC, Cohen LG. Drivers of brain plasticity. Curr Opin Neurol 2005; 18: 667–674.

6. Ward NS, Cohen LG. Mechanisms underlying recovery of motor function after stroke. Arch Neurol 2004; 61: 1844–1848

7. Nilsson, M. and M. Pekny (2007). "Enriched environment and astrocytes in central nervous system regeneration." J Rehabil Med 39(5): 345-52. [Full Text] http://jrm.medicaljournals.se/article/full/10.2340/16501977-0084

8. Leger, S. J. (2004). The Effects Of Integrative Manual Therapy On Spinal Cord Injury Recovery, Westbrook University Doctoral Dissertation [Full Electronic copy available for purchase at www.TheBurnhamReview.com ]

9. Upledger, J. and T. Wanveer (2007). "Helping the Brain Drain: How CranioSacral Therapy Aids ADD/ADHD." Massage Today March, Vol. 07, Issue 03 [Full Text] http://www.massagetoday.org/pdf_out/MassageToday.com-Helping-the-Brain-Drain-How-CranioSacral-Therapy-Aids-ADDADHD-1201146138.pdf.

10. King, H. (2005). "Reserach in support of the cranial concept." Osteopathic Research Center: [Full Text] http://www.cranialacademy.org/pdf/PRMresearch.pdf.

11. Harrison, D. E., R. Cailliet, et al. (1999). "A review of biomechanics of the central nervous system--Part III: spinal cord stresses from postural loads and their neurologic effects." J Manipulative Physiol Ther 22(6): 399-410. [PubMed Abstract]

12. John Hopkins (2007). "Physical medicine and rehab." John Hopkins Medicine: [Full Text] http://www.hopkinsmedicine.org/Rehab/PDFs/PMR_overview.pdf

13. Skold, C. (2000). "Spasticity in spinal cord injury: self- and clinically rated intrinsic fluctuations and intervention-induced changes." Arch Phys Med Rehabil 81(2): 144-9. [PubMed Abstract]

14. Ballaz, L., N. Fusco, et al. (2007). "Acute peripheral blood flow response induced by passive leg cycle exercise in people with spinal cord injury." Arch Phys Med Rehabil 88(4): 471-6. [PubMed Abstract]

15. Yoganandan, N., F. A. Pintar, et al. (2007). "Biomechanics of side impact: injury criteria, aging occupants, and airbag technology." J Biomech 40(2): 227-43. [Full Text] http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=16527285

16. McLendon, J. H. (2003). "New Therapy Helping Blakely Girl Beat Spinal Cord Injury." [Full Text] http://www.centerimt.com/News/news_flashe1_23_04.asp.

17. Giangregorio, L. M. and C. E. Webber (2004). "Speed of sound in bone at the tibia: is it related to lower limb bone mineral density in spinal-cord-injured individuals?" Spinal Cord 42(3): 141-5 [PubMed Abstract]. [Abstract] http://www.nature.com/sc/journal/v42/n3/abs/3101570a.html;jsessionid=4D8D76B8D2E957272C14B82BCD189E23

18. Schneider, G. (2003). Neuroscience and Behavior, Fall 2003 MIT OCW: 9.01 MIT. Thirty -one 30 - 45 minute lectures iTunes U (Free audio course) http://www.apple.com/downloads/.

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