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.

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, Mental Health, Neurogenic Bowel Dysfunction, Early Acute Management, Prevention of Venous Thromboembolism, Sexuality and Reproductive Health, Bladder Management, Preservation of 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
Spinal Cord Injury: Initial Assessment and Management
CPG for the Management of Patients with Acute SCI and Central Cord Syndrome: Recommendations on the Timing of Decompressive Surgery (<24 Hours versus >24 hours)
AO Spine. Use of Methylprednisolone Sodium Succinate
CPG for the Management of Patients with Acute SCI: Recommendations on the Use of Methylprednisolone Sodium Succinate
CPG for the Management of Patients with Acute SCI: Recommendations on the Type and Timing of Anticoagulant Thromboprophylaxis
CPG for the Management of Patients with Acute SCI: Recommendations on the Role of Baseline Magnetic Resonance Imaging in Clinical Decision-Making and Outcome Prediction
CPG for the Management of Patients with Acute SCI: Recommendations on the 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

SCI Exercise Guidelines Engish
Exercise Guidelines for Adults With SCI – English
pic of SCI PA Guidelines French
Physical Activity Guidelines for Adults with SCI - French
SCI Exercise Guidelines Netherlands
Exercise Guidelines for Adults with SCI - Dutch
pic of SCI Exercise Guidelines in German
Exercise Guidelines for Adults with SCI - German
pic of SCI Exercise Guidelines Italy
Exercise Guidelines for Adults with SCI - Italian
Exercise Guidelines for Adults With SCI – Spanish
SCI Exercise Guidelines Swedish
Exercise Guidelines for Adults With SCI – Swedish

Nutrition

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

Pain

The CanPain SCI CPG for Rehab Management of Neuropathic Pain after SCI: Screening and Diagnosis Recommendations
The CanPain SCI CPG for Rehab Management of Neuropathic Pain after SCI: Recommendations for Treatment
The CanPain SCI CPG for Rehab Management of Neuropathic Pain after SCI: Recommendations for Model Systems of Care
Neuropathic pain in adults: pharmacological management in non-specialist settings

Pressure Ulcers

pic of 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

Standing

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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