Clinical Practice Guidelines

Canadian Spinal Cord Injury Practice Guidelines (CAN-SCIP)

Supported by SCIRE, the CAN-SCIP is the first living comprehensive SCI Practice Guidelines providing recommendations in all areas of care.

Site includes a CAN-SCIP Coach App where you can provide specifics on a particular person with SCI to receive tailored recommendations for treatment.

Paralyzed Veterans of America (PVA) Clinical Practice Guidelines page

Registration is required to download individual CPGs.

Available CPGs for SCI include Bone Health, Autonomic Dysreflexia (AD), Mental Health, Neurogenic Bowel Dysfunction (NBD), Acute Management, Prevention of Venous Thromboembolism, Sexual and Reproductive Health, Bladder Management, Upper Limb Function, Respiratory Management, Pressure Ulcer Prevention and Treatment, Outcomes, and Cardiometabolic Risk.

Spanish versions are also available of the AD, Mental Health, and NBD guidelines.

Acute

Guidelines for Spinal Cord Assessment in Adults

Spinal Cord Injury: Assessment and Initial Management

CPG for the Management of Patients with Acute SCI or Central Cord Syndrome: Timing of Decompressive Surgery (<24 Hours versus >24 hours)

CPG for the Management of Patients with Acute SCI: Use of Methylprednisolone Sodium Succinate

CPG for the Management of Patients with Acute SCI: Type and Timing of Anticoagulant Thromboprophylaxis

CPG for the Management of Patients with Acute SCI: Role of Baseline Magnetic Resonance Imaging in Clinical Decision-Making and Outcome Prediction

CPG for the Management of Patients with Acute SCI: Type and Timing of Rehabilitation

Bladder

Urinary Incontinence in Neurological Disease: Management of Lower Urinary Tract Dysfunction in Neurological Disease

Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

Bowel

Guidelines for Neurogenic Bowel Dysfunction in People With SCI

Exercise and Physical Activity

Physical Activity Guidelines for Adults With SCI – English

Physical Activity Guidelines for Adults With SCI – French

Exercise Guidelines for Adults With SCI – Dutch

Exercise Guidelines for Adults With SCI – Farsi

Exercise Guidelines for Adults With SCI – German

Exercise Guidelines for Adults With SCI – Greek

Exercise Guidelines for Adults With SCI – Indonesian

Exercise Guidelines for Adults With SCI – Italian

Exercise Guidelines for Adults With SCI – Japanese

Exercise Guidelines for Adults With SCI – Korean

Exercise Guidelines for Adults With SCI – Spanish

Exercise Guidelines for Adults With SCI – Swedish

Exercise Guidelines for Adults With SCI – Thai

Nutrition

Spinal Cord Injury Evidence-Based Nutrition Practice Guideline (2009)

Pain

Neuropathic Pain after SCI: Screening and Diagnosis Recommendations

Neuropathic Pain after SCI: Recommendations for Treatment

Neuropathic Pain after SCI: Recommendations for Model Systems of Care

Neuropathic pain in adults: Pharmacological management in non-specialist settings

Pressure Ulcers

Canadian Best Practice Guidelines for the Prevention and Management of Pressure Ulcers in People with SCI

Prevention and Management of Pressure Ulcers in Primary and Secondary Care

Best Practices Recommendations for the Prevention and Management of Pressure Injuries

Standing

Clinical Practice Guidelines for Standing in Adults Following SCI

Upper Limb

Guidelines for the Preservation of Upper Limb Function Following Spinal Cord Injury

Venous Thromboembolism

Deep Venous Thrombosis and Thromboembolism in Patients With Cervical SCI

List of SCI Clinical Practice Guidelines (requiring a library subscription for access)

Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries: 2013 update

Urodynamics in patients with spinal cord injury: A clinical review and best practice paper

Management of Acute Combination Fractures of the Atlas and Axis in Adults