Clinical Practice Guidelines

picture of can scip logo

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.

PVA CPGs

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

picture of spinal cord injury pressure ulcer guideline
Guidelines for Spinal Cord Assessment in Adults
SCIRE Project thumbnail for NICE guidelines on spinal injury assessment and management
Spinal Cord Injury: Assessment and Initial Management
SCIRE Project thumbnail for AO Spine guidelines on timing of decompressive surgery in spinal cord injury management
CPG for the Management of Patients with Acute SCI or Central Cord Syndrome: Timing of Decompressive Surgery (<24 Hours versus >24 hours)
SCIRE Project thumbnail for AO Spine guidelines on methylprednisolone sodium succinate use in spinal cord injury treatment
CPG for the Management of Patients with Acute SCI: Use of Methylprednisolone Sodium Succinate
SCIRE Project thumbnail for AO Spine guidelines on anticoagulant use in spinal cord injury management
CPG for the Management of Patients with Acute SCI: Type and Timing of Anticoagulant Thromboprophylaxis
AO Spine MRI thumbnail – spinal cord imaging for injury diagnosis and research
CPG for the Management of Patients with Acute SCI: Role of Baseline Magnetic Resonance Imaging in Clinical Decision-Making and Outcome Prediction
AO Spine rehabilitation thumbnail – spinal cord injury recovery and therapy resources
CPG for the Management of Patients with Acute SCI: Type and Timing of Rehabilitation

Bladder

SCIRE Project thumbnail for NICE guidelines on urinary incontinence management in individuals with spinal cord injury
Urinary Incontinence in Neurological Disease: Management of Lower Urinary Tract Dysfunction in Neurological Disease
SCIRE Project thumbnail for CUA guidelines on urological care and management after spinal cord injury
Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

Bowel

SCIRE Project thumbnail for MASCIP resource on managing neurogenic bowel after spinal cord injury
Guidelines for Neurogenic Bowel Dysfunction in People With SCI

Exercise and Physical Activity

Thumbnail for SCIRE Project exercise guidelines supporting spinal cord injury rehabilitation and physical activity
Physical Activity Guidelines for Adults With SCI – English
French-language thumbnail for SCIRE Project exercise guidelines supporting spinal cord injury rehabilitation
Physical Activity Guidelines for Adults With SCI – French
SCI Exercise Guidelines Netherlands
Exercise Guidelines for Adults With SCI – Dutch
SCI Exercise Guidelines Farsi
Exercise Guidelines for Adults With SCI – Farsi
German-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation.
Exercise Guidelines for Adults With SCI – German
Greek-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Greek
Indonesian-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Indonesian
Italian-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Italian
Japanese-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Japanese
Korean-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Korean
Spanish-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
Exercise Guidelines for Adults With SCI – Spanish
Swedish-language thumbnail for SCIRE Project exercise guidelines promoting spinal cord injury rehabilitation
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
SCIRE Project thumbnail for NICE guidelines on managing neuropathic pain in individuals with spinal cord injury
Neuropathic pain in adults: Pharmacological management in non-specialist settings

Pressure Ulcers

Canadian Best Practice Guidelines for Prevention and Management of 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

Respiratory Management

Clinical Practice Guidelines for Physiotherapy Interventions for Respiratory Management in People With SCI

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

SCIRE Project thumbnail for CNS guidelines on deep vein thrombosis (DVT) prevention and management in spinal cord injury
Deep Venous Thrombosis and Thromboembolism in Patients With Cervical SCI

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

SCIRE Project resource on acute management of spinal cord injury, featuring CNS clinical guidelines
Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries: 2013 update
SCIRE Project thumbnail for ICS guidelines on bladder management and continence care after spinal cord injury
Urodynamics in patients with spinal cord injury: A clinical review and best practice paper
SCIRE Project thumbnail for AANS guidelines on spinal cord injury management and neurosurgical care
AASNS Guidelines on Management of Acute Combination Fractures of the Atlas and Axis in Adults

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