#30: OT for Spinal Cord Injury with Simon Carson (CE Course)

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Full Course Details: Public course page
Learn more about our guest: Simon Carson, OT/L, MBA

Read the article and discussion upon which this podcast is based.

Course Description

Released April 18, 2022 from Aurora, NE

Our spinal cord injury clients stay in our hearts and minds. After all, we help them and their families navigate tremendous life changes.

This week’s article gives us a solid big-picture review of what we know (and don’t know) about spinal cord injury rehab. You’ll learn about commonly used assessments, as well as which treatments are gaining traction (and which ones aren’t.)

And, most importantly, this article serves as a good reminder that there are simply no magical, straightforward answers in this area of rehab. Instead, these patients benefit most from your occupational therapy lens and your commitment to staying on top of evidence-based care.

To help guide us through this article, and pull out actionable takeaways for your practice, we are excited to welcome Simon Carson, OT/L, MBA. Simon serves as the chief of occupational therapy at the University of Rochester Medical Center.

Primary Journal Article Explored

When you log in, be sure to check out the OT Potential Club’s written breakdown of the following research article. Then, share your questions and thoughts with fellow practitioners.

Burns, A. S., Marino, R. J., Kalsi-Ryan, S., Middleton, J. W., Tetreault, L. A., Dettori, J. R., Mihalovich, K. E., &; Fehlings, M. G. (2017). Type and timing of rehabilitation following acute and Subacute Spinal Cord Injury: A systematic review . Global Spine Journal, 7(3_suppl).

Supporting Research and Journal Articles

Musselman, K., Walden, K., Noonan, V., Jervis-Rademeyer, H., Thorogood, N., Bouyer, L., Chan, B., Donkers, S., Ho, C., Jeji, T., Kaiser, A., Klassen, T., Zariffa, J., Grant, C., Masani, K., Zbogar, D., &; Athanasopoulous, P. (2021). Development of priorities for a Canadian strategy to advance activity-based therapies after spinal cord injury . Spinal Cord, 59(8), 874–884.

Nikbakht-Nasrabadi, A., Mohammadi, N., Yazdanshenas, M., &; Shabany, M. (2019). Toward overcoming physical disability in Spinal Cord Injury: A qualitative inquiry of the experiences of injured individuals and their families . BMC Neurology, 19(1).

Additional OT and Spinal Cord Injury (SCI) Resources

Here are more resources for you to explore about OT and SCI after listening!

Article from rapid fire questions: Higher Hospital Spending on Occupational Therapy Is Associated With Lower Readmission Rates

Learning Objectives

  • You will be able to identify commonly used OT assessments for spinal cord injury (SCI) rehab.
  • You will be able to identify the SCI treatments with the strongest evidence behind them.

Agenda

Intro (5 minutes)

Breakdown and analysis of journal article (5 minutes)

  • Introduction to SCI rehab
  • Why was this systematic review completed?
  • What were the authors’ methods?
  • What were the results?
  • Conclusions and Discussion
  • Takeaways for OT Practitioners

Discussion on practical implications for OTs (with guest Simon Carson) (50 minutes)

  • Can you tell us about how you found OT—and how you found SCI rehab as an area of interest?
  • Can you tell us about SCI rehab in your current work setting?
  • What were your initial impressions of the article?
  • The authors mention the principles of motor control and activity dependent neuro-plascticiy. Are there guiding frameworks/theories you draw on for SCI rehab?
  • During an SCI eval, what are some top of mind things you consider?
  • What are your favorite SCI assessments to use?
  • The categories of treatments felt pretty broad to me. Can you paint a picture of a typical SCI treatment session in your facility?
  • Do you have any experience with FES and SCI rehab?
  • There are so many things you can document about SCI rehab—any tips for doing so efficiently?
  • SCI rehab is so multi-faceted, how would you recommend we learn more about it? Any specific resources?

Contact Hours

1 hour (0.1 AOTA CEUs)

Target Audience/Educational Level

Our target audience is occupational therapy practitioners who are looking to learn about OT for Spinal Cord Injury. The educational level is introductory.

Instructional Methods/Registration/Special Needs Requests/Cancellation Policy

This course is an independent/self-study course delivered via podcast on iTunes, Spotify and Google Play. Explore your listening options on the OT Potential Podcast page.

If you need accommodations to take this course, please contact us and we will address your needs on an individual basis.

If this course were to be canceled, please see our cancellation policy on our terms page.

Course Completion Requirements

In order to receive a certificate for this course, you must first listen to the podcast in its entirety. Then, you will need to take the test (found at the top of this page) and earn 75% or higher. If you pass, a certificate will be automatically generated and sent to your email.

Financial and Non-financial Disclosures

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

We here at OT Potential have no financial stake in this topic. Our guest, Simon Carson, has no financial interest in this topic to disclose.

Speakers

Simon Carson, OT/L, MBA:

Simon-Photo

Simon received his Masters in Occupational Therapy from Ithaca College and his MBA and Masters in Medical Management from the University of Rochester’s School of Business. His areas of interest include SCI and cognitive rehabilitation, as well as operations management, quality assurance and leadership. Simon currently serves as the chief of occupational therapy at the University of Rochester Medical Center.

Sarah Lyon, OTR/L:

Sarah Lyon, OTR/L headshot

Sarah’s passion is helping fellow OT practitioners translate evidence into daily practice. Sarah earned her BA in religion from St. Olaf College, then earned her master’s degree in occupational therapy from New York University in 2011. Since then, she’s worked in numerous facilities, including a critical access hospital, an acute trauma hospital, and a state inpatient psychiatric hospital.

In 2011, Sarah launched OT Potential because she realized we needed a reliable source of quality occupational therapy-related content and resources. She has also had the opportunity to create content for brands like WebPT, MedBridge, Saebo, and NeuroLutions.

She launched the OT Potential Club in 2019 to marry her love of simplifying complex topics with her desire to help therapists access the most important OT-related research released each year.

Sarah is a prairie girl at heart, which is why she returned to her hometown to raise her children in Aurora, Nebraska (home of the strobe light).

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Please share any other feedback below! Including, ideas for future programming, and most importantly, how you feel this podcast will impact your practice!

1 Like

@SarahLyon Thanks for having me on your podcast! It was a pleasure speaking with you about OT for SCI. I look forward to seeing some of the comments and hearing from others. I’m more than happy to continue the conversation in the comment section!

4 Likes

What an amazing course. Thanx again for all your input and assistance. Really appreciate it.
Regards

1 Like

@sonja Thank you so much!

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Thank you for this great overview of SCI Rehab. I appreciate you encouraging us all to jump in with our learning!

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Thank you for strengthening, encouraging and educating others on the challenges of SCI. Great podcast.

@veronica5 Thanks Veronica!

@gloria1 Thanks Gloria!

I am a COTA in a SNF and WE are getting more younger people lately that have SCI, so I appreciate this course and will look up the wrist extension so they may be able to dress their LB, if possible. Thanks

1 Like

Hey @carol! I’m so thankful this was helpful to you! I’m not sure if this is the case around you, but unfortunately high gun violence in parts of our country is definitely linked to more spinal cord injuries…

I’d be curious to hear from @simon if he has any go-to lower-body dressing resources… I’m doing a Google Search- and they all look pretty dated to me…

1 Like

Hi @carol and @SarahLyon , thanks for your comments! Sarah, I would certainly agree that with increased gun violence in our community, we have seen an increase in SCI. Our local chapter of the United Spinal Association has even begun a specialized support group for SCI victims of violence to address the different needs of this population.

Regarding lower body dressing resources, my first suggestion would be to work with a mentor or take a reputable multi-day course in SCI. However if you are looking for simple ways to improve your clinical reasoning, there are quite a few decent youtube videos out there, where people are demonstrating how they get dressed. If you watch a few of these, you start to see some themes emerge regarding position and technique. My suggestion would be to watch a few of these videos and then break down the core structures/functions needed to complete dressing as shown by some of these people. You’ll then be better able to target specific interventions to help your patients improve in those areas (such as balance, strength, flexibility, control, etc).
You’ll need to know your patient’s level of injury and what is reasonably possible to achieve.

In some cases, you’ll also pick up on some of the techniques that make it easier to dress, such as the wrist extension that I mentioned. This approach would be used for a person with tetraplegia, who is unable to grasp their leg using a traditional grasp, therefore relying on wrist extension to ‘hook’ their leg.

Thanks

4 Likes

Thankyou for this podcast. I found it very helpful. Its as if i was back i physic dusfunction class in uni. Cant wait to go through the resources.
Awesome .

1 Like

Thank you for the feedback, I will check things out in utube

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Hi! I loved listening to this podcast. I work in Acute care at a level 1 trauama hospital and also float to inpatient rehab. I get to work with SCI patients and it is so important for repetive practice of functional activities and education. This patient population can be a tougher population due to the medical complexity but its so rewarding to see patients progress during therapy sessions and gain independence!

1 Like

Excellent podcast with clear strategies and assessment options presented. I listened twice! Thank you!

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I’m so glad you found it helpful, @Bonnie66! I’m so lucky because I get to listen to the episodes multiple times as we prep them—and I always catch something new with each listen!