Acute Phase of Rehabilitation

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Rehabilitation and management of the person with a SCI requires an interdisciplinary team approach during the acute phase of rehabilitation. The level and classification of the injury is determined and the goals of maintaining range of motion (ROM), improving strength, managing tone, spasticity, and the prevention of secondary complications in order to achieve the person’s maximum functional ability for independent transfers, activities of daily living and mobility are developed (Drolet et al. 1999; Haisma et al. 2006; Sipski & Richards 2006). Clinicians must be knowledgeable about the change in physical capacity based on level of injury as a prerequisite to developing optimal rehabilitation programs and for setting realistic individual rehabilitation goals.