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Caroline Treanor chats with Dr. Michael Fehlings about degenerative cervical myelopathy (DCM) structured rehabilitation approaches as well as the highly anticipated upcoming ReMiDY trial.

Learning objectives:

• What is degenerative cervical myelopathy (DCM) and why is it important?
• Discussed the ReMiDY trial and the importance of evaluating structured rehabilitation for DCM
• Covered enhanced recovery after surgery (ERAS) protocols for DCM and the role of structured rehabilitation

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Dr. Michael Fehlings is joined by Dr. Chester Ho – one of the new Associate Editors at Spinal Cord. The conversation covers Dr. Ho’s perspectives on the current state of spinal cord injury research and opportunities for implementing evidence-based approaches in the clinic.

Learning goals:

• The concept of early surgical intervention for acute spinal cord injury was discussed
• The Canadian knowledge translation efforts to implement Time is Spine were reviewed
• Other key areas in spinal cord injury treatment were discussed

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Dr. Michael Fehlings is joined by Dr. Mohit Arora to discuss his recent publication in Spinal Cord “Evidence-based recommendations for health professionals to improve care of people with spinal cord injury and cognitive impairment: An update to the psychosocial clinical practice guide”. This episode covers the factors contributing cognitive impairment after SCI, cognitive screening approaches, and future directions for the field.

Learning goals:

• Cognitive impairment after spinal cord injury is common, frequently overlooked, can occur immediately after injury, and arises from multiple contributing factors. If not proactively addressed, it can significantly compromise rehabilitation and long-term outcomes.
• Routine, validated cognitive screening should occur early and continue across the lifespan, supported by tailored communication strategies and person-centred care.
• We now have clear, evidence- and consensus-informed recommendations, but meaningful impact depends on system level implementation, including workforce training and supportive clinical environments.

What questions will be raised in this webinar/podcast?

• Introductory remarks from Michael Fehlings
• Michael Fehlings will ask guest(s) to summarize key points from the manuscript
• Michael Fehlings will discuss points with guest(s)
• Michael Fehlings will ask guest(s) about anticipated future directions for this work as well as clinical impact

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The Engagement and Peer Support SIG would like to bring the audience through the story of peer support from a historical perspective to its research implications. Teri, Erik, Shane, and Gill will provide how peer support came to be, what it looks like and how different it is, the magic behind it, and how to transform that magic to measurable outcomes and impacts.

Speakers

• Shane Sweet, Associate Professor, McGill University, Canada
• Gill Hilton, Austin Health, Australia
• Erik Berndtsson, Outreach Development Manager, RG Active Rehabilitation, Sweden
• Teri Thorson, Manager, Peer Coaching and Outreach, SCI British Columbia, Canada

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Key points:

• International collaboration is required to produce research that can be interpreted and applied across different regions
• As outcome measures and collection methods continue to evolve a methodical approach to updating research best practices is required
• A larger focus should be on including the thoughts of persons with lived SCI experience when defining research questions

Speakers

Dr. Fin Biering-Sørensen

Dr Michael Fehlings

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People with the lived experience of SCIs are one of the most vulnerable groups of in the world-both to the extreme heat and weather events which have increased in frequency because of climate change. Although health care professionals have an opportunity to educate their patients about actions they can use to protect themselves during these extreme weather events, many feel unprepared to discuss the topic. Moreover, health care professionals are beginning to experience moral distress about their inability to take action regarding this existential concern. The webinar will include participants from three continents and multiple disciplines. We will use the interactive platform mentimeter to facilitate the interaction of participants, expressing their feelings about climate change and about sharing their actions.

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Key points:

• This podcast summarizes the results of a rigorous evaluation of the evidence for physiotherapy interventions in spinal cord injury using the GRADE methodology
• Muscle strengthening exercises are effective for partially paralyzed muscles with MRC Grade 3 and 4 strength
• Further evidence is required in the optimal management of severely paretic muscles

Speaker:

Dr. Joanne Glinsky is an Associate Professor of Allied Health (Sydney Local Health District/University of Sydney) and a Senior Research fellow at the John Walsh Centre for Rehabilitation (Kolling Institute/University of Sydney). She has a strong interest in physiotherapy management of people with Spinal Cord Injury and has worked for over 25 years as a clinician, educator and researcher in this field.

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Rebuilding a sense of meaning and purpose following trauma is a vital contributor to post-traumatic growth and adapting well to a spinal cord injury (SCI). This webinar shared the co-design process undertaken to develop a course that uses the concept of post-traumatic growth to foster a stronger sense of meaning and purpose after SCI. It presented the course facilitators' reflections on running the program for the last five years, its successes and challenges. Case studies were also used to demonstrate the impact of the course on participants.

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