What it is
A short, honest summary.
- —Cord ka damage — traumatic ya anya — jo brain aur body ke beech signal ko baadhit karta hai.
- —Injury level aur completeness shuruaati tasveer tay karte hain, ending waali nahi.
- —Rehabilitation body aur nervous system par saath-saath, saalon tak kaam karta hai.
What families notice
The signals worth taking seriously.
- 01Body par ek level ke neeche sensation ya movement ka khona
- 02Bladder, bowel, ya sexual function mein badlaav
- 03Spasticity — involuntary tightness ya movement
- 04Immobility se skin pressure ki chintaayein
- 05Mood, identity aur relationships mein badlaav
My approach
How the work is structured.
- —Functional goal-setting — transfers, self-care, mobility, jahaan sambhav ho work par lautna.
- —Injury level ke anuroop strength, endurance aur skill training.
- —Transfers, pressure care aur bowel/bladder routines par caregiver education.
- —Zaroorat ke anusaar physiatrist, urologist aur occupational therapist ke saath coordination.
What recovery looks like
A plain-language picture.
“SCI mein recovery uneven aur aksar hairaan karne waali hoti hai. Kuch return tez aata hai; kuch mein saal lagte hain. Rehab na sprint hai, na finite.”
FAQ
Common questions, answered briefly.
- Kya SCI ke baad recovery par koi time limit hai?
- Nahi. Jabki zyaadatar spontaneous return pehle 18 mahinon mein hota hai, function lagataar, skilled kaam se sudharta rehta hai.
- Kya mera family member dobara chalega?
- Imaandaari se, yeh injury level aur completeness par nirbhar karta hai. Hum nazdeeki functional goals tay karte hain aur jaise-jaise tasveer saaf hoti hai, revise karte hain.
For clinicians
Clinical detail, assessment and evidence.
Clinical summary
The picture in clinician register.
SCI disrupts ascending and descending cord pathways; the neurological level and completeness (ASIA Impairment Scale) frame the initial picture but not the ceiling. Rehabilitation is function-led and long-horizon, addressing motor and skill retraining alongside bladder, bowel, skin and autonomic management. Spontaneous recovery is greatest in the first 12-18 months, but skilled work adds function well beyond it.
Terminology
Terms worth being precise about.
- ASIA Impairment Scale
- Standard classification of injury completeness, A through E.
- Neurological level
- The lowest segment with intact motor and sensory function.
- Autonomic dysreflexia
- A potentially dangerous hypertensive response to a noxious stimulus below the lesion.
- Neurogenic bladder/bowel
- Loss of normal voiding control requiring a structured management routine.
Assessment aur measures
What the first sessions measure.
- —ISNCSCI / ASIA classification.
- —SCIM (Spinal Cord Independence Measure); transfer and mobility assessment.
- —Spasticity (Modified Ashworth Scale); skin and seating review.
Red flags
Signs that need urgent escalation.
- Autonomic dysreflexia — severe hypertension with headache; a medical emergency. Find and remove the trigger.
- A developing pressure injury.
- A new ascending neurological level — consider a syrinx.
Referral aur MDT
When and to whom to refer.
Physiatry / spinal-injury service. Urology; specialist seating and pressure-care; occupational therapy; psychology.
Evidence
References and guideline anchors.
- Activity-based therapy in SCI — PLACEHOLDER — verify against current guidelines before launch.