Importance de la phase de réadaptation aigue dans la récupération fonctionnelle après une lésion traumatique de la moelle épinière

 

Andréane Richard-Denis

CIUSSS du Nord-de-l'Île-de-Montréal

 

Domaine : appareil locomoteur et arthrite

Programme Chercheurs-boursiers cliniciens - Junior 1

Concours 2018-2019

Partenaire :

Consortium pour le développement de la recherche en traumatologie

 

Importance of the acute rehabilitation phase in the functional recovery after a traumatic spinal cord injury

Traumatic spinal cord injury can lead to serious sequelae, such as paraplegia or quadriplegia. The rehabilitation process following a spinal cord injury aims at resuming activities of daily living autonomously and is subdivided into three phases: 1) acute care, 2) hospitalization in a rehabilitation institution, 3) and the return to the community. While the acute care phase includes significant medical and surgical care, one of the greatest challenges during acute care is to promote the functional recovery, by optimizing the prevention of complications and optimizing the effectiveness of rehabilitation. However, the process by which the acute rehabilitation team can optimize their contribution to the recovery process remains completely unknown. The main objective of this research program is to clarify the objectives of rehabilitation during the acute care hospitalization in order to optimize the functional outcome following a traumatic spinal cord injury. As a first step, we will evaluate the effectiveness of the acute rehabilitation phase in optimizing the long-term functional outcome. Next, we will investigate the circumstances of the occurrence of medical complications in order to propose specific protocols for acute care settings.

This four-year research program will be led by Dr. Richard-Denis, rehabilitation physician specialized in spinal cord injury rehabilitation and clinical-scientist at Hôpital du Sacré-Cœur de Montréal, designated as the tertiary trauma center specialized in spinal cord injury care for the western part of Quebec. At the end of this program, we will be able to better define the objectives of the acute rehabilitation phase, which will improve the organization of care and the synergy between the various stages of the continuum of care following a spinal cord injury.