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Daily Archives: September 16, 2004

What is the prognosis?

Published: September 16, 2004

The types of disability associated with SCI vary greatly depending on the severity of the injury, the segment of the spinal cord at which the injury occurs, and which nerve fibers are damaged.

Most people with SCI regain some functions between a week and 6 months after injury, but the likelihood of spontaneous recovery diminishes after 6 months. Rehabilitation strategies can minimize long-term disability.

Does recovery occur after spinal cord injury?

Published: September 16, 2004

Many doctors tell patients and families that recovery does not occur after spinal cord injury. This is not true. Recovery is the rule, not the exception after spinal cord injury.

Segmental recovery. Most patients recover 1-2 segments below the injury site, even after so-called “complete” spinal cord injuries. For example, a person with a C4/5 injury may have deltoid function on admission and then recover biceps (C5), wrist extensors (C6), and perhaps even triceps (C7) after several months, and the associated dermatomes.

How is sexuality affected by spinal cord injury?

Published: September 16, 2004

Sexual function, as in all other human bodily systems, is controlled by the central nervous system. Thus, any injury to the central nervous system will affect sexual function.

The question is to what extent function and sensation will be affected with injuries at various levels and degrees of severity. Also, in what ways do the symptoms manifest themselves in males v. females.

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