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

 

Andréane Richard-Denis

Centre de recherche de l'Hôpital du Sacré-Coeur de Montréal

 

Domaine : appareil locomoteur et arthrite

Programme consortium pour le développement de la recherche en traumatologie - Volet 1

Concours 2017-2018

Traumatic spinal cord injuries lead to significant neurological deficits and functional impairments in the long term and imply an important economic burden for society. Rehabilitation during acute care and intensive functional rehabilitation aim at optimizing recovery of patients. However, the impact of acute rehabilitation on functional recovery remains unclear. Overall, this research project aims to optimize functional recovery in the short and long term following a traumatic spinal cord injury. To do this, this project proposes to study how the acute rehabilitation team can optimize functional recovery during acute hospitalization.

Then, to determine whether the functional status at the end of acute hospitalization influences the efficiency of intensive functional rehabilitation and long-term functional recovery. A three-year prospective observational study involving 110 patients with traumatic spinal cord injury will be performed. Multivariate linear regression studies will be used to investigate the relationship between various interventions performed during acute hospitalization and functional recovery during acute care, and then to examine its impact on the efficiency of intensive functional rehabilitation and long term functional recovery. This project will improve early functioning of patients with spinal cord injury for whom functional recovery is paramount. In addition to modifying current practices that tend to neglect the importance of acute rehabilitation, this project will promote optimal resources utilization, collaboration and synergy between rehabilitation centers following spinal cord injury.