Abstract
Spinal cord injury (SCI) results in catastrophic and lifelong neurologic and functional changes. This article discusses recent innovations in the management of individuals with SCI, such as: (1) cost-effective health services via 'clinical pathways' and 'case management' approaches over the continuum of care; (2) recent clinical research into key prognostic indicators for neurological recovery after SCI; (3) innovations in the care and treatment of medical complications resulting from SCI; (4) recent and future advances in electrical stimulation to muscles and nerves to assist movement and functional control; and (5) ongoing basic science and clinical research dealing with the repair and cure of SCI. Exciting innovations are expected to continue in the research and in the management of individuals with SCI which will enhance the delivery of coordinated, comprehensive and cost-efficient care for this population. © 1998 Elsevier Science Ireland Ltd.
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