Developing a spinal cord injury rehabilitation service in Madagascar

Rehabilitation for people with spinal cord injury in many low- and middle-income countries is not avail-able or is in the early stages of development. However, rehabilitation is recognized as crucial in order to optimize functional recovery and outcomes for patients with spinal cord injury. With an...

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Main Authors: Rakotonirainy Renaud, Helen N. Locke, Ramaswamy Hariharan, M. Anne Chamberlain, Rory J. O’Connor
Format: Article
Language:English
Published: Medical Journals Sweden 2018-03-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access: https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2323
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author Rakotonirainy Renaud
Helen N. Locke
Ramaswamy Hariharan
M. Anne Chamberlain
Rory J. O’Connor
author_facet Rakotonirainy Renaud
Helen N. Locke
Ramaswamy Hariharan
M. Anne Chamberlain
Rory J. O’Connor
author_sort Rakotonirainy Renaud
collection DOAJ
description Rehabilitation for people with spinal cord injury in many low- and middle-income countries is not avail-able or is in the early stages of development. However, rehabilitation is recognized as crucial in order to optimize functional recovery and outcomes for patients with spinal cord injury. With an increasing incidence of spinal cord injury, the unmet need for rehabilitation is huge. This report describes the early development of a specialist rehabilitation service for spinal cord injury in Madagascar, one of the poorest countries in the world. The sustained input to an expanding rehabilitation team has led to reductions in avoidable complications. The input of the rehabilitation team has been welcomed by the neurosurgery department, which has recognized fewer delays in patients undergoing surgical treatments. Cost, lack of resources and trained staff, and poor understanding of disability continue to provide challenges. However, the development of the rehabilitation service using low technology, but with a high level of knowledge and systematic management, is a source of considerable pride. This development in Madagascar can be regarded as a model for spinal cord injury rehabilitation in other low-resource settings.
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spelling doaj.art-69cb68738c2343b392b0fb168215d2c92022-12-21T19:34:43ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812018-03-0150540240510.2340/16501977-23232402Developing a spinal cord injury rehabilitation service in MadagascarRakotonirainy Renaud0Helen N. LockeRamaswamy HariharanM. Anne ChamberlainRory J. O’Connor Rehabilitation Medicine, Hôpital Joseph Ravoahangy Andrianavalona, , Madagascar. Rehabilitation for people with spinal cord injury in many low- and middle-income countries is not avail-able or is in the early stages of development. However, rehabilitation is recognized as crucial in order to optimize functional recovery and outcomes for patients with spinal cord injury. With an increasing incidence of spinal cord injury, the unmet need for rehabilitation is huge. This report describes the early development of a specialist rehabilitation service for spinal cord injury in Madagascar, one of the poorest countries in the world. The sustained input to an expanding rehabilitation team has led to reductions in avoidable complications. The input of the rehabilitation team has been welcomed by the neurosurgery department, which has recognized fewer delays in patients undergoing surgical treatments. Cost, lack of resources and trained staff, and poor understanding of disability continue to provide challenges. However, the development of the rehabilitation service using low technology, but with a high level of knowledge and systematic management, is a source of considerable pride. This development in Madagascar can be regarded as a model for spinal cord injury rehabilitation in other low-resource settings. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2323 rehabilitationspinalcordinjuriespersonswithdisabilitiespressureulcer
spellingShingle Rakotonirainy Renaud
Helen N. Locke
Ramaswamy Hariharan
M. Anne Chamberlain
Rory J. O’Connor
Developing a spinal cord injury rehabilitation service in Madagascar
Journal of Rehabilitation Medicine
rehabilitation
spinalcordinjuries
personswithdisabilities
pressureulcer
title Developing a spinal cord injury rehabilitation service in Madagascar
title_full Developing a spinal cord injury rehabilitation service in Madagascar
title_fullStr Developing a spinal cord injury rehabilitation service in Madagascar
title_full_unstemmed Developing a spinal cord injury rehabilitation service in Madagascar
title_short Developing a spinal cord injury rehabilitation service in Madagascar
title_sort developing a spinal cord injury rehabilitation service in madagascar
topic rehabilitation
spinalcordinjuries
personswithdisabilities
pressureulcer
url https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2323
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