Rehabilitation Hospital of the Pacific (REHAB) Spinal Cord Injury (SCI) program serves patients who are newly injured and patients who experience late onset complications of SCI.
Spinal cord injury is damage to the spine from trauma or disease and results in a loss of motor function and sensation. Effects of SCI depend on the severity and level of the injury. Besides a loss of function and sensation, individuals may experience changes in bowel/bladder function, difficulty regulating blood pressure effectively and difficulty regulating body temperature.
REHAB believes in progressing patients to the best of their abilities with a goal of integrating patients back into society. Team members are highly specialized and experienced in the assessment and treatment of SCI. Team members keep up to date on the latest research in SCI and explore new advances in rehabilitation. REHAB’s patient centered care model approach focuses on patients and their needs and goals. Together with the clinical team, an individualized and comprehensive treatment plan is developed to maximize patient’s potential.
Now Meet Your Team!
What to Expect
Comprehensive Family Training
REHAB’s goal is to assist every patient become as independent as possible using a wide array of programs and services.
Let’s Meet the Recovery Team!
- Patient and patient’s family or caregiver
- Physiatrist (Rehabilitation Doctor)
- Rehabilitation Nurses
- Physical Therapist
- Occupational Therapist
- Speech Therapist
- Recreational Therapist
- Rehabilitation Psychologist
- Case Manager
Team of specialists has the expertise and knowledge to address deficits associated with SCI. REHAB is dedicated to program development to improve the quality of life for patients. REHAB’s team keeps up to date on the latest trends while using the most advanced technology and techniques.
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REHAB’s Spinal Cord Injury program: What to Expect
- 24 hour care by Nurses specialized in rehabilitation
- All of our patients receive intensive therapy 3 hours/day, 5 days/weekof physical, occupational and/or speech therapy
- Comprehensive Assessment by treatment team which includes a medical assessment, physical assessment, swallowing assessment, cognitive/communication assessment, nutritional assessment, a leisure interest assessment and/or a psychological assessment all tailored towards your deficits and needs. Specialized testing may also include a vision assessment by our trained Occupational Therapists.
- Treatment approaches utilize a combination of both traditional therapy techniques as well as the use of advanced techniques and technology based on your needs.
Team Conference/Family Conference
- Team Conference – your team, led by your rehabilitation doctor, will meet weekly to discuss your progress and to adjust your treatment plan to progress you towards meeting your goals.
- Family Conference (as needed)– a family conference may be requested by your team or your family members/caregivers where all team members are present to discuss your progress and answer any questions/address any problem issues regarding your treatment/progress
- Your team will work closely with you and your family to ensure that you have a safe transition back into the home and community, order any necessary equipment (i.e .wheelchair, canes), and identify resources that you may need and to help transition you to outpatient therapy.
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Advanced Techniques and Technology
- Kosasa Gait and Seating Clinic– the only clinic of its kind in the State of Hawaii, dedicated to providing the appropriate gait and seating services with advanced technology to help patients reach their greatest potential
- Biodex Unweighing System – a suspension system used on land or on a treadmill to enable patients to safely improve gait and standing balance
- NESS L300 – neuromuscular electrical stimulation technology used to help patients with foot drop to improve mobility and progress towards a more normal gait
- NESS H200 – neuromuscular electrical stimulation technology used to improve upper extremity movement
- MOTO-med Viva2 – a motor assisted movement therapy trainer which allows patients to work on leg/arm strengthening and range of motion
- X-Sensor Pressure Mapping System – a system to determine optimal wheelchair seating posture to reduce risk of skin breakdown; identify the need for specialized items such as pressure-relieving cushions, back supports and other wheelchair accessories
- Tibion Bionic Leg – a robotic device to improve sit to stand, gait and stair climbing skills
- Myomo- a neuro-robotic device that fits helps to increase movement in the weak or partially paralyzed arm
- Nintendo WII – a system used to improve patient’s flexibility, strength, cognitive function, hand-eye coordination and mobility
- VitalStim Therapy – REHAB speech therapists are certified in the use of the only FDA approved neuromuscular electrical stimulation technology to treat swallowing problems
- SaeboStretch® – a dynamic hand splint that helps prevent joint damage while improving range of motion
- Vision Clinic
- Dynavision – a system designed to improve oculomotor skills, visual perceptual awareness, visual attention, eye-hand coordination, visuomotor reaction time, active upper extremity range of motion and coordination, muscular and physical endurance and motor planning
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- Aquatic Therapy – Open daily for individual or group therapy sessions using a variety of floatation devices and weights to help patients strengthen muscles and improve cardiovascular system function; pool provides an atmosphere conducive to recovery from injury or disability and is equipped with a specially designed hydraulic lift to assist in transporting individuals directly into the pool
- Animal Assisted Therapy – treatment using interaction with animals to promote positive and beneficial changes in the patient’s emotional and social well-being; Simba, REHAB’s 6-year-old Golden Retriever was trained from birth and works 5 days a week for 8 hours a day; recreation therapists use Simba to set therapeutic goals, guide the interaction between patient and animal and evaluate goal progress
- Cooking Therapy – small group cooking classes are scheduled to address areas of deficits in life skills, increase socialization as well as to improve performance during functional tasks
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Community Integration Programs
The programs provide opportunities to apply learned skills from therapy sessions and allow patients to be utilized in a community based setting; target areas include safety awareness, problem solving, money management, community mobility, social skills and community resource awareness for overall executive skill functioning
- Creative Arts Program - provides an inspirational and creative outlet for patients who are learning to physically and emotionally cope with their disabilities; program is a source of inspiration and a testament to the ability of individuals with physical and cognitive challenges, while encouraging them to develop their talents through different art mediums; all patients and former patients have the opportunity to learn how to paint with their disabilities; private art sessions for inpatients provided every Wednesday
- Other patient services include music/karaoke/piano, arts and crafts, DVD movies, books/reading materials, table top games, bowling, miniature golf, leather crafts, basketball, picnicking, holiday celebrations, bingo, casino night and card games
- Home Environment Lab – a clinic for patients to practice functional tasks such as cooking and laundry skills
- Home Visits/Assessments – as determined by patient’s team to ease the transition back into the home setting
- Community Assessments – as determined by patient’s team to ease the transition back into the community
- Psychological counseling assistance in adaptation of life changes including adjustment to disability, sexuality/relationships, pain management, cognitive changes and emotional issues
- Nutritional support and education to help patients work on healthy eating
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Patient and Family Education
- Patient Education Binder – SCI patients are provided with an educational binder containing information from the State of Hawaii, Department of Health with additional information provided by the SCI team
- Patient and Caregiver Education and Training (CET) – REHAB is committed to provide adequate training to patients and caregivers to allow a safe transition back into the home and community settings. Patients and family members/caregivers are scheduled for a 3 hour CET prior to discharge. During this time, patients meet with each of the disciplines involved in his or her care to receive hands-on training to demonstrate to patient’s family/caregivers how to safely assist.
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Spinal Cord Injury Support Groups
- Inpatient Support Group this group is led by Rehabilitation Psychologist to discuss spinal cord injury deficits and rehabilitation
- Spinal Cord Injury Support Group is open to the public and meets the first Thursday of each month from 2pm to 3pm in foyer/lanai area at REHAB.
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