Preservation of Upper Limb Function Following Spinal Cord Injury - 29
CLINICAL PRACTICE GUIDELINE
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Recommendations for Future Research
As stated in the foreword, this evidence-based clinical practice guideline is but a start. Additional research is needed in three key areas: First, we need to understand more about the basic mechanisms of musculoskeletal injury of the upper limb in spinal cord injury. In particular, researchers need to clearly establish the most efficacious method of preserving upper limb function. This work should include investigation of technique, equipment, exercise, and treatment. Second, we need to understand more about the area of transfers. In particular, researchers need to clearly define the best transfer technique and to identify the best strengthening and stretching exercises that promote strong, flexible upper limbs that can withstand the rigors of transfers. At the same time, new and better equipment needs to be designed to assist with transfers. Third, we need more research to determine the most appropriate and effective treatments to use after pain has developed. Treatment modalities should include the medical, physical therapeutic, surgical, and psychological. Although the compiled research citations for this guideline provide solid scientific backing for the panel’s recommendations, each recommendation would be strengthened by additional research. Although difficult to accomplish, it is important for the field of rehabilitation that well-designed and randomized controlled trials be conducted to strengthen the available evidence. Because the population with spinal cord injury is relatively small, these trials will likely need to be multisite, requiring interested researchers to collaborate and plan together how to achieve this goal. As a follow-up to this guideline, the development panel is preparing an evidence-based monograph to elucidate specific areas for future investigation. This collaborative effort by the American Journal of Physical Medicine and Rehabilitation, the Association of Academic Physiatrists, and the Consortium for Spinal Cord Medicine will be published in a future edition of the Journal. The monograph is the result of extensive study of the currently available literature that framed these guideline recommendations and of the knowledge gaps in that literature that need future scientific investigation.
Preservation of Upper Limb Function Following Spinal Cord Injury
Table of Contents for the Digital Edition of Preservation of Upper Limb Function Following Spinal Cord Injury
Preservation of Upper Limb Function Following Spinal Cord Injury
Table of Contents
Foreword
Preface
Acknowledgements
Panel Members
Contributors
Summary of Recommendations
The Consortium for Spinal Cord Medicine
Introduction
Recommendations
Recommendations for Future Research
References
Index
Preservation of Upper Limb Function Following Spinal Cord Injury - Preservation of Upper Limb Function Following Spinal Cord Injury
Preservation of Upper Limb Function Following Spinal Cord Injury - Cover2
Preservation of Upper Limb Function Following Spinal Cord Injury - i
Preservation of Upper Limb Function Following Spinal Cord Injury - ii
Preservation of Upper Limb Function Following Spinal Cord Injury - Table of Contents
Preservation of Upper Limb Function Following Spinal Cord Injury - iv
Preservation of Upper Limb Function Following Spinal Cord Injury - Foreword
Preservation of Upper Limb Function Following Spinal Cord Injury - Preface
Preservation of Upper Limb Function Following Spinal Cord Injury - Acknowledgements
Preservation of Upper Limb Function Following Spinal Cord Injury - Panel Members
Preservation of Upper Limb Function Following Spinal Cord Injury - Contributors
Preservation of Upper Limb Function Following Spinal Cord Injury - x
Preservation of Upper Limb Function Following Spinal Cord Injury - Summary of Recommendations
Preservation of Upper Limb Function Following Spinal Cord Injury - 2
Preservation of Upper Limb Function Following Spinal Cord Injury - The Consortium for Spinal Cord Medicine
Preservation of Upper Limb Function Following Spinal Cord Injury - 4
Preservation of Upper Limb Function Following Spinal Cord Injury - 5
Preservation of Upper Limb Function Following Spinal Cord Injury - 6
Preservation of Upper Limb Function Following Spinal Cord Injury - Introduction
Preservation of Upper Limb Function Following Spinal Cord Injury - 8
Preservation of Upper Limb Function Following Spinal Cord Injury - 9
Preservation of Upper Limb Function Following Spinal Cord Injury - Recommendations
Preservation of Upper Limb Function Following Spinal Cord Injury - 11
Preservation of Upper Limb Function Following Spinal Cord Injury - 12
Preservation of Upper Limb Function Following Spinal Cord Injury - 13
Preservation of Upper Limb Function Following Spinal Cord Injury - 14
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Preservation of Upper Limb Function Following Spinal Cord Injury - 26
Preservation of Upper Limb Function Following Spinal Cord Injury - 27
Preservation of Upper Limb Function Following Spinal Cord Injury - 28
Preservation of Upper Limb Function Following Spinal Cord Injury - Recommendations for Future Research
Preservation of Upper Limb Function Following Spinal Cord Injury - References
Preservation of Upper Limb Function Following Spinal Cord Injury - 31
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Preservation of Upper Limb Function Following Spinal Cord Injury - Index
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Preservation of Upper Limb Function Following Spinal Cord Injury - 38
Preservation of Upper Limb Function Following Spinal Cord Injury - Cover3
Preservation of Upper Limb Function Following Spinal Cord Injury - Cover4
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