Psychiatric Diagnosis and Treatment Following Spinal Cord Injury

Stewart, T. D.

doi:10.1016/s0033-3182(88)72400-7

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…Although the initial injury is only the first of many traumata in the life of these patients, there are other factors that are related to increase mental illness; intermittent catheterization, sphincterotomy, continuous bed shift among others insults that endure for the rest of their life [145]. Though these procedures are for the patients benefit, they often chose to protect themselves from being oppressed by these disruptions, some patients retrieve themselves into the conservationwithdrawal response until they become uncooperative, express of wanting to be left in loneliness and passively acquire depressive signs [146].…”

Section: Mental Health After Scimentioning

confidence: 99%

The Role of Supraspinal Structures for Recovery after SCI: From Motor Dysfunction to Mental Health

Torre-Valdovinos¹,

Osuna-Carrasco²,

Ramos³

2021

Paraplegia

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Neural circuitry controlling limbed locomotion is located in the spinal cord, known as Central Pattern Generators (CPGs). After a traumatic Spinal Cord Injury (SCI), ascending and descending tracts are damaged, interrupting the communication between CPGs and supraspinal structures that are fundamental to initiate, control and adapt movement to the environment. Although low vertebrates and some mammals regain some physiological functions after a spinal insult, the capacity to recover in hominids is rather limited. The consequences after SCI include physiological (sensory, autonomic and motor) and mental dysfunctions, which causes a profound impact in social and economic aspects of patients and their relatives Despite the recent progress in the development of therapeutic strategies for SCI, there is no satisfactory agreement for choosing the best treatment that restores the affected functions of people suffering the devastating consequences after SCI. Studies have described that patients with chronic SCI can achieve some degree of neurorestoration with strategies that include physical rehabilitation, neuroprosthesis, electrical stimulation or cell therapies. Particularly in the human, the contribution of supraspinal structures to the clinical manifestations of gait deficits in people with SCI and its potential role as therapeutic targets is not well known. Additionally, mental health is considered fundamental as it represents the first step to overcome daily adversities and to face progression of this unfortunate condition. This chapter focuses on the consequences of spinal cord disconnection from supraspinal structures, from motor dysfunction to mental health. Recent advancements on the study of supraspinal structures and combination of different approaches to promote recovery after SCI are discussed. Promising strategies are used alone or in combination and include drugs, physical exercise, robotic devices, and electrical stimulation.

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Section: Mental Health After Scimentioning

confidence: 99%

The Role of Supraspinal Structures for Recovery after SCI: From Motor Dysfunction to Mental Health

Torre-Valdovinos¹,

Osuna-Carrasco²,

Ramos³

2021

Paraplegia

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Clinical experience in rehabilitation of spinal cord injury associated with schizophrenia

Liang

Wang

et al. 1996

Archives of Physical Medicine and Rehabilitation

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Psychiatric Consultation in a Spinal Injuries Unit

Judd

Brown

1992

Aust N Z J Psychiatry

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The function of a consultation liaison service to a spinal injuries unit is described. Within this context, a study was conducted in which sociodemographic and clinical data were collected over a 4 year period for consecutive admissions to the unit. Data are presented for 227 patients admitted during this period. Forty-seven patients were found to have discrete psychiatric disorders (DSM III) which required treatment during the course of their inpatient care. For forty-two of these patients the psychiatric disorder first developed following spinal cord injury.

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Psychiatric Diagnosis and Treatment Following Spinal Cord Injury

Cited by 4 publications

References 27 publications

The Role of Supraspinal Structures for Recovery after SCI: From Motor Dysfunction to Mental Health

The Role of Supraspinal Structures for Recovery after SCI: From Motor Dysfunction to Mental Health

Clinical experience in rehabilitation of spinal cord injury associated with schizophrenia

Psychiatric Consultation in a Spinal Injuries Unit

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