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Canadian SCI Rehabilitation Introduction

Toronto | Site Profiles Brain and Spinal Cord Rehab Program, Toronto Rehabilitation Institute - University Health Network Toronto Rehab is Canada’s oldest rehabilitation program for individuals with SCI and non-traumatic diseases of the spinal cord. With 60 beds in three inpatient units, the program is the largest of its kind in Canada. Members of the interprofessional team include seven physiatrists, 55 nurses, 13 OTs, 15 PTs, a dietitian, five social workers, three psychologists, a chaplain, three pharmacists, a speech-language pathologist, three family physicians, a respiratory therapist and three therapeutic recreation therapists. Strategic partners include Canadian Paraplegic Association (Ontario), several long-term care centres (including the hospital’s lakeside facility), community organizations and other Toronto Rehab programs, such as the acquired brain injury service. The site’s therapy area includes a large, modern gymnasium that provides an after-hours fitness program with a broad selection of equipment. A second gym area focuses on specialized mobility and gait training, a state-of-the-art customized postural assessment and training system, as well as mobility terrain to help wheelchair skills training. Other program features include a post-discharge follow-up program with specialized clinics (seating, assistive technology, bone density, urology, gynaecology, sexuality and fertility), outpatient services, and educational/support groups. Education to maximize independence is a key component of the rehabilitation program. The Spinal Cord Connections Resource Centre (a CPA Ontario partnership) includes resources, onsite and online at www.spinalcordconnections.ca, including rehabilitation and therapies, nutrition, sexuality and relationships; as well as the multimedia SCI-U, which presents educational information in an engaging and interactive format. Toronto Rehab is a centre of best practice in walking assessment and rehabilitation following an incomplete SCI. The team has developed a comprehensive, evidence-based approach to walking assessment and training, which has helped Toronto Rehab understand the characteristics of individuals and create algorithms for walking. Expert clinicians utilize principles of activity-dependent neuroplasticity through body-weight-support treadmill training, functional electrical stimulation walking, with a focus on maximizing postural control and trunk stability to optimize walking recovery. Linking research and clinical practice on a day-to-day basis, in research laboratories and practice areas, is a major feature of the physical-therapy approach. Lyndhurst Centre is home to the multidisciplinary, collaborative Neural Engineering and Therapeutics (NET) Team One of North America’s largest and most diverse SCI rehabilitation research groups – that develops and evaluates novel rehabilitation devices and therapies. The NET Team includes seven scientists, eight adjunct scientists, four postdoctoral fellows, 24 graduate students and 24 research staff. Transferring research innovations into clinical best practices ensures that Toronto Rehab patients benefit from the latest therapeutic and technological advancements in SCI rehabilitation. 28 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


Canadian SCI Rehabilitation Introduction
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