Spinal cord injury rehabilitation. 4. Individual experience, personal adaptation, and social perspectives

Arch Phys Med Rehabil. 1997 Mar;78(3 Suppl):S65-72. doi: 10.1016/s0003-9993(97)90412-3.


This learner-directed module highlights contemporary perspectives on personal success in the adjustment and adaptation of patients with spinal cord injury (SCI). It is the fourth in a series of five modules within the chapter on spinal cord injury rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This module explores models of the multisystem effects on a person after SCI, disablement, theories of adjustment, patient autonomy, quality of life, community experience, adaptations enhancing sexuality, and minimization of pain after SCI. Perspectives of the patient's experience in disablement, interdisciplinary person-centered rehabilitation, and success of the individual in chosen life roles are emphasized. The module is designed to update SCI issues reviewed in past syllabi.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Euthanasia, Passive
  • Female
  • Humans
  • Internal-External Control
  • Life Change Events
  • Locomotion
  • Male
  • Mental Competency
  • Pain / physiopathology
  • Quality of Life
  • Respiration, Artificial / psychology
  • Sex Counseling
  • Spinal Cord Injuries / psychology*
  • Spinal Cord Injuries / rehabilitation*
  • Substance-Related Disorders / physiopathology
  • Substance-Related Disorders / prevention & control
  • Wheelchairs