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independent exercise follows therapist clearance."},"final_result_months":{"min":6,"max":24,"unit":"months","qualifier":"Most recovery occurs in the first 6-12 months; smaller gains possible up to 2 years, depending on injury level."},"fly_home_after_days":{"min":28,"max":90,"unit":"days","qualifier":"Flight follows inpatient discharge; needs medical stability, skin integrity and medically escorted or accessible travel."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Interim neurological and functional reassessment during inpatient stay."},"requirement":"routine"},{"purpose":"result_review","after":{"min":28,"max":90,"unit":"days","qualifier":"Discharge review of functional gains and home program."},"requirement":"routine"},{"purpose":"rehabilitation","after":{"min":90,"max":180,"unit":"days","qualifier":"Outpatient or remote therapy review after returning home."},"requirement":"conditional"}],"indications":["Traumatic spinal cord injury after medical and surgical stabilization","Non-traumatic spinal cord injury (e.g., tumor, infection, vascular, degenerative myelopathy)","Tetraplegia or paraplegia, complete or incomplete","Need to restore mobility, self-care and independence","Preventing and managing pressure injuries, spasticity, bladder and bowel dysfunction"],"main_risks":["Pressure injuries","Autonomic dysreflexia","Orthostatic hypotension","Urinary tract infections","Venous thromboembolism","Spasticity and contractures","Overuse shoulder pain or injury","Falls during mobilization","Fractures from osteoporosis"],"pain":"Therapy itself is usually mild to moderate discomfort or fatigue; neuropathic or musculoskeletal pain and spasticity are common and managed by the rehabilitation team.","preparation":["Medical and spinal stability clearance by the treating team","Baseline neurological assessment (e.g., ASIA/ISNCSCI classification) and functional evaluation","Review of medical records and imaging","Setting individual goals with the multidisciplinary team","Bladder, bowel and skin care planning"],"recovery_timeline":[{"phase":"Early inpatient rehabilitation (first weeks)","description":"Medical stabilization continues alongside positioning, passive range of motion, sitting tolerance, respiratory training, and bladder/bowel and skin care training.","restrictions":["Spinal precautions as instructed","Gradual upright progression to manage blood pressure"]},{"phase":"Active inpatient rehabilitation (about 1-3 months)","description":"Intensive physiotherapy and occupational therapy: strengthening, transfers, wheelchair skills, gait training if possible, self-care training, psychological support.","restrictions":["Activity progressed under supervision","Skin and pressure-relief routine"]},{"phase":"Community reintegration and outpatient therapy (months)","description":"Home and workplace adaptation, equipment, outpatient therapy and continued gains in function.","restrictions":["Individualized by injury level and function"]},{"phase":"Long-term follow-up (1-2 years and beyond)","description":"Plateau of neurological recovery, ongoing fitness and lifelong monitoring of skin, bladder, bone and cardiovascular health.","restrictions":[]}],"rehabilitation_days":{"min":60,"max":180,"unit":"days","qualifier":"Typical intensive structured rehabilitation phase (inpatient plus early outpatient); ongoing therapy may continue longer and varies with injury level."},"result_longevity":"Functional gains are maintained with ongoing exercise, equipment and health surveillance; the underlying injury is permanent in many cases and long-term outcome depends on injury level and completeness.","revision_rate_pct":null,"scars":"None; therapy involves no incisions or surgical wounds.","sessions_or_stages":{"sessions":{"min":20,"max":70,"unit":"visits","qualifier":"Daily therapy days over inpatient stay, typically five to six days weekly."},"stages":[{"code":"early_rehab","label":"Early inpatient rehabilitation and stabilization","after":{"min":0,"max":28,"unit":"days","qualifier":"First weeks after admission."}},{"code":"active_rehab","label":"Intensive active multidisciplinary rehabilitation","after":{"min":28,"max":90,"unit":"days","qualifier":"Roughly weeks four to twelve of admission."}},{"code":"discharge_planning","label":"Discharge planning and home program training","after":{"min":60,"max":90,"unit":"days","qualifier":"Final inpatient weeks."}}],"qualifier":"One continuous inpatient course; length depends on injury level and completeness."},"success":{"metric":"Patients discharged home to community after inpatient rehabilitation","value":85,"unit":"percent","horizon":"At discharge, about 1-3 months","population":"Adults after traumatic spinal cord injury completing inpatient rehabilitation","evidence_status":"limited"},"techniques":[{"name":"Comprehensive inpatient multidisciplinary rehabilitation","suits_whom":"Most patients after acute spinal cord injury, especially with significant deficits","recovery":"Several weeks to months of daily therapy"},{"name":"Task-specific and locomotor training (including body-weight-supported or robotic-assisted gait training)","suits_whom":"Patients with incomplete injury and residual motor function","recovery":"Gradual gains over months"},{"name":"Functional electrical stimulation and adaptive equipment training","suits_whom":"Selected patients to support muscle activation, mobility and independence","recovery":"Used throughout the rehabilitation course"},{"name":"Outpatient or community-based rehabilitation","suits_whom":"Patients with milder deficits or after inpatient discharge","recovery":"Ongoing sessions over months"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Per day of therapy during inpatient rehabilitation (combined physiotherapy, occupational therapy and other disciplines)."},"initial_assessment_documents":["Acute spinal cord injury discharge summary","Spine MRI report and images","ISNCSCI neurological examination report","Recent rehabilitation progress report","Spinal stabilization surgical report","Current complications and pressure injury list"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One continuous inpatient stay; an optional later follow-up stay is possible."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=reabilitacia-posle-travmy-pozvonocnika/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquía","alias":"turkey","iso_code":"TR"},{"id":203,"name":"China","alias":"china","iso_code":"CN"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}