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Spinal Cord Injury

Questions families ask

The questions that come up in the first conversation, answered plainly.

Can we come more than once?

Yes, and many people do. A block of four to eight weeks, several months at home working the programme, then a second block for reassessment and a new set of goals is a common and sensible pattern. It usually achieves more than one very long stay.

What if my relative cannot sit up yet?

Then that is the first goal. Early mobilisation equipment exists precisely for people who cannot yet tolerate being upright, and building sitting tolerance is a legitimate reason to admit someone rather than a reason to refuse them.

Do you accept ventilated patients?

This depends on the centre and the level of support required. It is one of the questions the physician answers when the records are reviewed, before travel is arranged — not after.

What language will we be spoken to in?

Interpreting during therapy sessions and physician review is arranged where it is needed. Which languages are available at which centre is confirmed in writing before you travel, because a therapy hour conducted through guesswork is not a therapy hour.

Who decides when we go home?

Discharge is against criteria set at the start, not against a date. The criteria include what the patient can do and what the companion can do — and if the companion training is not finished, the criteria are not met.

Sources

  1. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019 — American Spinal Injury Association (2021)
  2. Autonomic Dysreflexia — StatPearls, National Library of Medicine (2023)
  3. Autonomic Dysreflexia in Spinal Cord Injury — American Academy of Physical Medicine and Rehabilitation — PM&R KnowledgeNow (2023)
  4. Effectiveness of Body Weight-Supported Gait Training on Gait and Balance for Motor-Incomplete Spinal Cord Injuries: A Systematic Review with Meta-Analysis — Journal of Clinical Medicine (2024)
  5. Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials — Spinal Cord (2007)

Where to next

Talk to someone before you decide

Four ways to reach the international office, depending on where you are. Nothing here commits you to treatment — a second opinion, a video consultation and a written plan are all free, and you can start with a question.