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Range of Motion With aging, joint capsules tighten and muscles lose elasticity. This can reduce the range of motion in your joints, especially if you experience spasticity. Even a minor loss of motion can prevent you from performing simple tasks independently, like standing, walking, dressing, and transferring. It’s important to have a regular program for stretching your arms and legs to prevent loss of motion and maintain your independence. Your therapist can evaluate the motion of your upper and lower limbs, and give you some exercises to improve your range of motion. Even if you need assistance with stretching, it’s very important to make it part of your daily routine. For efficiency, you can combine stretching with bathing or dressing. to use a mechanical lift. Older people can also develop difficulty with transfers into vehicles. A transfer board can be helpful and improve safety during vehicle transfers and uneven [overheight] transfers. You might also think about modifying your wheelchair or vehicle. Many older people with SCI switch to a van with a wheelchair lift to eliminate difficult transfers. Older people with SCI who develop pain or weakness in their upper limbs might not be able to push their manual wheelchair long distances, which can reduce their ability to participate in community life. If this happens to you, get an evaluation of your wheelchair setup and accessories and your posture to make sure your equipment is still appropriate. If you’re having a hard time using your manual wheelchair in the community, consider switching to a power chair. Finally, persons with SCI who are able to walk may lose strength and need to consider assistive devices. A walker, cane, crutches, or leg braces can improve your stability and prevent falls. Some people might need to consider using a manual wheelchair instead of walking. Equipment As people with SCI age, they may need more assistance with mobility and caring for themselves because of loss of strength, pain, injury from repetitive stress, or weight gain. Your therapist can evaluate your mobility, strength, and function, and suggest possible adaptive equipment to help you with your tasks. In some cases, older people with SCI might need to start using an attendant to help with their care. People with SCI who have a repetitive stress injury—like carpal tunnel or a rotator cuff tear—may have difficulty with independent transfers because of pain in one or both arms. If you develop joint pain in your arms years after your SCI, a therapist can evaluate your transfers to make sure you’re using the right technique to avoid injury and pain. The therapist might suggest that you reduce the number of transfers to avoid stress on your arms. Some people start Aging Gracefully Whether your injury occurred in your older adult years or it occurred a long time ago and you are aging, the goal is to maximize your potential in all areas. If you start off by working hard in rehabilitation, you’ll have the tools you’ll need to live a full life. As you age, appropriate equipment and training can help you maintain your independence and participate in community life despite increased pain or weakness. Section 4: Staying Healthy after SCI! | [ 221 ]

Yes You Can - Fourth Edition

Table of Contents for the Digital Edition of Yes You Can - Fourth Edition

Yes You Can - Fourth Edition
Table of Contents
Section 1. How SCI Affects Your Body
1.a Anatomy, Physiology, and Research
1.b Skin Care and Pressure Ulcers
1.c Respiratory Care
1.d Bladder Management
1.e Bowel Management
1.f Sexual Health and Reproduction
1.g Muscles and Bones
1.h Circulatory System
1.i Autonomic Dysreflexia
Section 2. Maximizing Your Function
2.a Expected Outcomes
2.b Equipment
2.c Limb Preservation and Posture
2.d Home Modifications
2.e Driver Rehabilitation and Training
2.f Attendant Management
Section 3. Coping and Living with SCI
3.a Transitions
3.b Psychosocial Adjustment
3.c Mental Health Conditions
3.d Community Resources
3.f Financial Planning
3.g Your Rights
3.h Pain
3.i Brain Injury
Section 4. Staying Healthy after SCI
4.a Recreation
4.b Nutrition and Weight
4.c Exercise
4.d Medications
4.e Alcohol and Substance Abuse
4.f Health Care
4.g Aging
4.h Disasters
Appendix A: Range-of-Motion Exercises
Appendix B: Resource Organizations
Glossary
Index
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Yes You Can - Fourth Edition - Section 1. How SCI Affects Your Body
Yes You Can - Fourth Edition - 2
Yes You Can - Fourth Edition - 1.a Anatomy, Physiology, and Research
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Yes You Can - Fourth Edition - 1.b Skin Care and Pressure Ulcers
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Yes You Can - Fourth Edition - 1.c Respiratory Care
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Yes You Can - Fourth Edition - 1.d Bladder Management
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Yes You Can - Fourth Edition - 1.e Bowel Management
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Yes You Can - Fourth Edition - 1.f Sexual Health and Reproduction
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Yes You Can - Fourth Edition - 1.g Muscles and Bones
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Yes You Can - Fourth Edition - 1.h Circulatory System
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Yes You Can - Fourth Edition - 1.i Autonomic Dysreflexia
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Yes You Can - Fourth Edition - Section 2. Maximizing Your Function
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Yes You Can - Fourth Edition - 2.a Expected Outcomes
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Yes You Can - Fourth Edition - 2.b Equipment
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Yes You Can - Fourth Edition - 2.c Limb Preservation and Posture
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Yes You Can - Fourth Edition - 2.d Home Modifications
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Yes You Can - Fourth Edition - 2.e Driver Rehabilitation and Training
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Yes You Can - Fourth Edition - Section 3. Coping and Living with SCI
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Yes You Can - Fourth Edition - 3.a Transitions
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Yes You Can - Fourth Edition - 3.b Psychosocial Adjustment
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Yes You Can - Fourth Edition - 3.c Mental Health Conditions
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Yes You Can - Fourth Edition - 3.d Community Resources
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Yes You Can - Fourth Edition - 3.f Financial Planning
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Yes You Can - Fourth Edition - 3.g Your Rights
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Yes You Can - Fourth Edition - 3.h Pain
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Yes You Can - Fourth Edition - 3.i Brain Injury
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Yes You Can - Fourth Edition - Section 4. Staying Healthy after SCI
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Yes You Can - Fourth Edition - 4.a Recreation
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Yes You Can - Fourth Edition - 4.b Nutrition and Weight
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Yes You Can - Fourth Edition - 4.c Exercise
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Yes You Can - Fourth Edition - 4.d Medications
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Yes You Can - Fourth Edition - 4.e Alcohol and Substance Abuse
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Yes You Can - Fourth Edition - 4.f Health Care
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Yes You Can - Fourth Edition - 4.g Aging
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Yes You Can - Fourth Edition - 4.h Disasters
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Yes You Can - Fourth Edition - Appendix A: Range-of-Motion Exercises
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Yes You Can - Fourth Edition - Appendix B: Resource Organizations
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Yes You Can - Fourth Edition - Glossary
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Yes You Can - Fourth Edition - Index
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