Occupational therapist John Cobb discusses supporting people with new spinal cord injuries and changes in practice over his career.
Rehabilitation develops function, independence, and skills for living after injury.
Care may be inpatient, outpatient, home-based, or community-based. The setting reflects care needs and local services.
Examinations and testing monitor recovery and identify health concerns.
Shared, measurable goals keep rehabilitation focused on personal priorities. Goals are developed with the team and family.
Activities address health, adjustment, mobility, daily living, and community return.
Care combines treatment with skills for managing ongoing health needs.
Psychological and peer support can help people navigate varied emotional responses. There is no single emotional response or predictable adjustment sequence.
Practice builds movement, transfers, wheelchair use, and everyday living skills.
Planning addresses housing, equipment, services, and return to meaningful activities. Home modifications or alternative arrangements may be necessary.
A multidisciplinary team works with the person and their family.
Duration depends on injury, complications, services, and personal circumstances. Unexpected health problems may change the plan.
Discharge destinations depend on accessibility, care needs, and available support.
