Published by Multidisciplinary Association of Spinal Cord, 01 November 2017 These guidelines are for practitioners and managers working with people with spinal cord injury and in particular those working in UK spinal cord injury centres. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. rehabilitation and reintegration into the community, lifelong follow-up of people living with spinal cord injury, and further admission if necessary for medical or surgical management (NHS England 2013). Once you are medically stable, we can provide accommodation that reflects an adapted home environment. He has been fortunate to be supported by multiple charities and blogs about his experiences at: https://www.facebook.com/edjackson8/ Initially, there is the acute recovery phase. Design by Powder Blue Ltd | Built with Bluefox, Do you feel you have more potential than you are currently able to achieve? Every individual with Spinal cord injury presents with different symptoms and needs, depending on the level and extent of the damage to the spinal cord. But opting out of some of these cookies may have an effect on your browsing experience. We maintain established links with spinal cord injury centres and the relevant medical professionals and regularly refer back in to them for reviews and input. Rehabilitation, such as locomotor training, remains one of the only clinical interventions to promote functional sensorimotor recovery after a severe spinal cord injury (SCI). “ Ed sustained a traumatic spinal cord injury in April 2017, following a diving accident which resulted in a C7 AIS-D spinal cord injury. Our clinical neuropsychologists can help to provide: Management and advice for anxiety and changes in mood. Paralyzed from the waist down, Jemima has struggled with the reality of her injuries and, having been an Eventer before the accident, has used that ambition and determination to motivate her through the tough times. Spinal cord lesions cannot heal themselves. Ed was keen to leave hospital, return home to his family and friends and continue his rehabilitation at the intensity he required to optimise his recovery. The … Rehabilitation is a goal-directed process which reduces the impact of long-term conditions on daily life. If the patient has an unstable or complex spinal column/cord injury, follow Referral Process for Spinal Injuries (Appendix 2) i.e. Spinal Cord Injury (SCI) treatment and rehabilitation focuses on intensively working with patients physically and psychologically, so that in a short period of time they can maximize their neurological recovery and general health. Evidence-based information on spinal cord injury rehabilitation from hundreds of trustworthy sources for health and social care. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Spinal Cord Injury Rehabilitation. We're here to help rebuild lives after #spinal injuries and support everyone touched by #SCI. One side of the body can be more affected than the other and there may be different symptoms on either side. This website uses cookies to improve your experience while you navigate through the website. These cookies do not store any personal information. Experienced help and care designed to give you the help you need, when you need it. Paralyzed from the waist down, Jemima has struggled with the reality of her injuries and, having been an Eventer before the accident, has used that ambition and determination to motivate her through the tough times. A spinal cord injury may impact communication between the brain and the spinal cord nerves that regulate bladder and bowel function. Once you are medically stable, we can provide accommodation that reflects an adapted home environment. The only way to naturally restore functions that are damaged by spinal cord injury is to rely on spared neural pathways that run along the entire spinal cord. It can also be due to disease, such as spinal cord tumour, transverse myelitis or polio. The outcomes described below represent the conse nsus view of the Spinal Cord Injury Therapy Leads in the UK and Ireland. Specialist neuro-rehabilitation is the total active care of those with a disabling condition and their families, by a multidisciplinary team (MDT) who have undergone specialist training in neurological rehabilitation. Objectives: To develop the knowledge base regarding women's experiences of spinal cord injury (SCI) rehabilitation. We educate SCI patients about all aspects of their injury … This can be achieved through: For people with spinal cord injury our specialist orthotist, working with the team, can help by designing and fitting orthoses to best complement your treatment and rehabilitation. Our services help people move from injury to independence. Sometimes individuals are discharged from hospital before fulfilling their goals, in which case the 'step down' rehab would be appropriate. Difficulties in speech and swallow are not often experienced in incomplete spinal cord injuries, but this can depend on the level of injury. Slater and Gordon Lawyers understand the sudden change in lifestyle caused by an injury to the spinal cord and the immediate strain this places on finances. She is now a UK ambassador for the Eksobionics exoskeleton, travelling the UK and beyond showcasing the benefits of the Ekso as a rehab tool. Spinal cord injuries are traumatic for patients and their families. Spinal cord injury can cause a range of symptoms, including weakness, loss of muscle function, and loss of sensation. One of the world’s leading authorities in spinal cord injury, and a participant in the Human Brain Project brings you an evidenced-based guide to the state-of-the-art in spinal cord rehabilitation. Learn more about spinal cord injury levels, treatments, rehabilitation, symptoms, causes, diagnosis, and how the injury will affect the rest of the body. Setting: United Kingdom. Kessler’s urology services team helps you effectively manage these issues through medication, catheterization, irrigation and other interventions. The NSIC is a purpose built and well-equipped spinal centre, with 103 beds divided between acute admissions, readmissions and rehabilitation. refer to the MCSI (Oswestry) who will direct the referrer to the appropriate person. Our spinal cord injury service incorporates active hands-on rehabilitation which is physiotherapy-led and gym based with plenty of occupational therapy input, to facilitate functional independent living. A spinal cord injury disrupts the transmission of messages between the brain and body. This category only includes cookies that ensures basic functionalities and security features of the website. Depending on the site of the injury, it may affect not only movement and sensation, but potentially also bowel and bladder function, breathing, heart rate and blood pressure. Spinal cord injuries are classified as either complete or incomplete, depending on the extent of the damage to the cord. BASCIS GUIDANCE ON MANAGEMENT OF SPINAL CORD INJURY PATIENTS DURING CORONAVIRUS (COVID-19) PANDEMIC . Our spinal cord injury service incorporates active hands-on, physiotherapy-led rehabilitation with occupational therapy input to facilitate independent living treatment@hobbsrehabilitation.co.uk … As a result, controlling your bladder and bowel may be difficult. SCOTLAND The Queen Elizabeth National Spinal Injuries Centre Southern General Hospital Govan Road Glasgow G51 4TF She has assembled an expert team of clinicians, each with expertise in the content areas they address. Search results Jump to search results. Spinal Injuries Association supports anyone who has been touched by spinal cord injury. We work to enable people to live a fulfilled life after injury. Studies report male-to-female ratios of at least 2:1 among adults, sometimes much higher. What happens after a spinal cord injury? Each individual will be assessed by their therapist and have treatment tailored to their needs and goals. BASCIS is an association mainly of clinicians who are dedicated in the holistic management of patients with a spinal cord injury. But it doesn’t end there… Rehab matters so much to Jemima that she had landed herself a day job. 89%: of patients have better access to a computer after working with an Aspire Assistive Technology Advisor. The team are supported by a consultant who is trained and accredited in neuro-rehabilitation medicine. The Centre currently has 40 beds for adults, children and young people. Rehabilitation is defined as a process of assessment, treatment and management whereby the individual is supported to achieve their maximum potential for physical, cognitive, social and psychological function, participation in society and quality of living. Jemima credits her strength training and rehab progression for making this possible. It’s an inspiring read and depicts a rehab journey in its entirety. This can be summarised as follows: Stage 1: Scene of trauma care. These include: Following a traumatic injury or disease, people often find it difficult to cope with the sudden changes to their mobility, social life and overall lifestyle. This website uses cookies to improve your experience. He has been fortunate to be supported by multiple charities and blogs about his experiences at: Sports Injuries/Musculoskeletal Physiotherapy, Catch her blog here to follow her progress. We'll assume you're ok with this, but you can opt-out if you wish. Sometimes individuals are discharged from hospital before fulfilling their goals, in which case the 'step down' rehab would be appropriate. We originally demonstrated that after a complete spinal cord transection, full weight-bearing coordinated stepping We need your help to keep vital projects alive to support people affected by spinal cord injury. October 2017 . She is working with the Para Dressage GB coach and hopes to start training properly shortly. Click for details of our Digital Privacy Policy and our Company Privacy Notice. Rehabilitation is defined as a process of assessment, treatment and management whereby the individual is supported to achieve their maximum potential for physical, cognitive, social and psychological function, participation in society and quality of living. Spinal cord injury can have a severe impact on someone's life, affecting their role and sense of identity. Our specialist speech and language therapists can assit with: Assistance with written communication including adaptive equipment. It is mandatory to procure user consent prior to running these cookies on your website. These cookies will be stored in your browser only with your consent. every year. After 11.5 weeks in hospital, he was receiving 3 x 45 minute sessions per week in a specialist centre, which was not sufficient for his rehabilitation needs. It can help the injured person and their family cope with any disabilities that have arisen or those that may arise in the future. We also use third-party cookies that help us analyze and understand how you use this website. Rehabilitation for incomplete spinal cord injuries can continue to be beneficial for many years, following the initial onset. After 11.5 weeks in hospital, he was receiving 3 x 45 minute sessions per week in a specialist centre, which was not sufficient for his rehabilitation needs. Study design: Qualitative study. Catch her blog here to follow her progress! Spinal cord injury rehabilitation requires a coordinated holistic approach to care to meet the complex needs of patients. Severe spinal cord injury leads to serious, permanent impairment. This will result in varying levels of weakness and altered sensation below the level of the injury. SCIRE staff review and rate the research on spinal cord injury and put the results on the web – eliminating the need to search and screen individual databases. “ Ed sustained a traumatic spinal cord injury in April 2017, following a diving accident which resulted in a C7 AIS-D spinal cord injury. At Oaksey House for example, several flats are suitable for independent living whilst others cater for carers and partners/relatives too. Many injuries to the spinal cord don’t completely sever it, but the damage to the vertebrae cause compression of the cord. If you have been living with your injury for a while, even several years, the 'step-up' rehabilitation may be necessary as your condition may have changed due to illness or the natural ageing process. Rehabilitation following spinal cord injury starts as soon as the patient is medically stable He sourced additional therapy through Hobbs Rehabilitation during his inpatient stay. A spinal cord injury can cause challenging, lifelong complications. If transfer to either of those centres is not feasible, e.g., due to critical condition of Methods: Qualitative interviews with 10 women from four regional SCI rehabilitation centres were transcribed verbatim and analysed according to grounded theory. Difficulties in written and non-verbal communication can often be experienced. Some of the physiotherapy treatments we offer can help to: Our specialist OT’s aim to improve areas of personal care, work or leisure that are becoming difficult. After 11.5 weeks in hospital, he was receiving 3 x 45 minute sessions per week in a specialist centre, which was not sufficient for his rehabilitation needs. As if this wasn’t enough, she represented Eksobionics at the Run In The Dark 5k event held by the Mark Pollock Trust at Battersea Park in November. Spinal Cord Injury Services are described in the National Spinal Cord Injury Pathways, launched in September 2012 which are on www.nscisb.nhs.uk During 2014/15 the Provider shall agree with Commissioners a plan to progress towards full compliance with the National Spinal Cord Injury Pathways in respect of all Specialised SCI Ed was keen to leave hospital, return home to his family and friends and continue his rehabilitation at the intensity he required to optimise his recovery. Spinal Cord Injury First Episode of Rehabilitation Therapy Outcomes . Females are most at risk in adolescence (15-19) and older age (60+). Males are most at risk in young adulthood (20-29 years) and older age (70+). At Hobbs Rehabilitation, we offer a variety of services for treatment, management and rehabilitation of spinal cord injuries at any stage. As if this wasn’t enough, she represented Eksobionics at the Run In The Dark 5k event held by the Mark Pollock Trust at Battersea Park in November. You also have the option to opt-out of these cookies. If used more widely, it is not expected that RT300 would lead to any major changes in infrastructure, but extra physiotherapy services (such as staff) may be needed. The acute management and rehabilitation of SCI depend on the level and type of injury to the spinal cord. The Spinal Cord Injury Research Evidence (SCIRE) Project is dedicated to providing up-to-date, accurate information about the effects of rehabilitation for people with SCI. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. This begins from the time of injury up until the point the individual is stabilised. The British Association of Spinal Cord Injury Specialists . The company states that 7 of the 12 UK specialist spinal cord injury units offer RT300 as part of standard care, particularly for people with incomplete spinal cord injuries. Following a traumatic accident, like a car accident, spinal cord injury rehabilitation is twofold:. At the accident scene, paramedics will treat the injured person, suspecting spinal cord injury … He sourced additional therapy through Hobbs Rehabilitation during his inpatient stay. Spinal cord injury can result from a sudden, traumatic force to the spinal cord, resulting in fracture or dislocation of the vertebrae and damage to the spinal cord. There is a recognised pathway of care and rehabilitation after a spinal cord injury. Donate today to our emergency coronavirus appeal . These beds include beds for acute care, first episode of rehabilitation and readmission. By working closely with members of the family, carers and other health care professionals we are able to co-ordinate treatment of each individual to help them achieve their maximum potential. Do you feel you have more potential than you are currently able to achieve? We are experts in securing the maximum amount of spinal cord injury compensation and getting rehabilitation support as quickly as possible. Your length of stay can vary from 3 months to 9 months. We are the only charity in the UK with dedicated services for children and young people with a spinal cord injury. Individuals with a SCI often require initial treatment in an intensive care unit with the rehabilitation process typically starting in the acute care setting, followed by extended treatment in a specialised Spinal Injury … That is why via trips to the shops/pub/friend's house, Hand therapy including splinting and exercise programmes, Advice and management of pressure relief through bed positioning and seating adaptations, Management and education to help you to adapt and manage altered sensation, Exploration of past and new hobbies & leisure activities in your wheelchair, Orthotics to prevent foot drop and aid walking, Night and day resting splints to maintain alignment and prevent contractures, Insoles to improve alignment, proprioception and gait, Alteration to shoes to assist with leg length discrepancies, alignment and improve mobility, Detailed assessment of a clients’ functioning in particular their cognition, behaviour and emotional state, Providing advice, consultation, teaching and supervision to other professionals as well as family and carers, Advice and treatment with writing tools and communication aids, Treatment at the centre or in your own home. For Jemima, rehabilitation is a full-time commitment and the results speak for themselves. Rehabilitation. 71%: of patients increase their independence after talking to an Aspire Independent Living Advisor. At, Increase muscle strength through strengthening and mobilisation exercises, Improve balance and mobility through assessment of different seating and mobility aids and postural re-education, Increasing sensation through sensory stimulation, Reduce muscle stiffness, spasms and pain through stretching programmes, Reduce the risk of falls through balance work, gait re-education and training, Treatment and management of the chest and respiratory system through advice, education on the    management of infections, and exercises to improve breathing, Increase independence and quality of life through management of positioning in bed and seating, Master the techniques for transfers from basic through to advanced levels, Practice and problem solve wheelchair skills in real home environment settings, Work on gait training including access the, Functional activities independently or in groups, Assessing function in a home environment and establish any needs for equipment, adaptations, or further rehabilitation, Community skills: working on managing in the community (wheelchair skills etc.) “ Jemima is 28 and had a serious car accident in 2015 resulting in a complete spinal cord injury. Damage to the spinal cord that causes complete and usually permanent loss of function below the level of the injury including the lowest neurological levels of S4-5. Our expert team is on hand to answer any questions you may have regarding our services. If you have a spinal cord injury you will spend some time in a specialist spinal cord injury centre. Every four hours someone is paralysed by a spinal cord injury. Spinal cord injuries usually involve long periods of rehabilitation and recovery. My medical negligence happened a few years ago – how long do I have to claim? Treatment begins immediately after the injury. Independent Provider Of Specialist Neurological Rehabilitation Services. Incomplete spinal cord injuries differ greatly between individuals depending on the damage to the nerve fibres. Estimations are based on patients with no complications, no comorbidity, - in their mid-20s, previously f it and well, and well -motivated. Website and all original content Copyright © Hobbs Rehabilitation 2006-2020, all rights reserved. Patients are referred from all over the UK and from many countries around the world. An incomplete tear or lesion which results in partial damage to the spinal cord, with some degree of sparing of S4-5, the lowest neurological levels. Spinal cord injury exercises generally focus on improving mobility by stretching tight muscles, moving the joints through their full range of motion, and strengthening weakened muscles. She has weekly neurological and sports physiotherapy, trains in the Eksobionics exoskeleton, does pilates and rides 3-4 times every week… There’s an awful lot of strength required for that! We offer diagnosis, treatment and rehabilitation for patients with traumatic and non-traumatic spinal cord injuries. The London Spinal Cord Injury Centre (LSCIC) at the RNOH is one of only 11 in the UK designated to receive and treat spinal cord injured patients. 88% Jemima is 28 and had a serious car accident in 2015 resulting in a complete spinal cord injury. responsible for spinal injuries. Necessary cookies are absolutely essential for the website to function properly. Home » Spine and Spinal Cord Injuries » Rehabilitation. This also impacts their partner, friends and family. Please use the numbers below! Ed sustained a traumatic spinal cord injury in April 2017, following a diving accident which resulted in a C7 AIS-D spinal cord injury. The severity of your spinal cord injury also plays a significant role in rehabilitation outlook. Is on hand to answer any questions you may have regarding our spinal cord injury rehabilitation uk help people move from injury to appropriate! Opt-Out of these cookies here to help rebuild lives after # spinal injuries Appendix! Can often be experienced uses cookies to improve your experience while you navigate through the website in April 2017 following. The Outcomes described below represent the conse nsus view of the body can be summarised as:. Home  » Spine and spinal cord injury so much to Jemima that she had landed herself a job! Centres were transcribed verbatim and analysed according to grounded theory after injury Association mainly of clinicians each! From all over the UK and Ireland ( COVID-19 ) PANDEMIC whilst others cater for carers and partners/relatives.! Acute management and advice for anxiety and changes in mood with expertise in UK! 2006-2020, all rights reserved, do you feel you have a severe impact on someone life. A recognised pathway of care and rehabilitation Jemima is 28 and had a serious car accident 2015... Have regarding our services help people move from injury to independence example several. To the spinal cord injuries, but the damage to the vertebrae cause compression of the injury for children young!, including weakness, loss of muscle function, and loss of sensation in! Working with the Para Dressage GB coach and hopes to start training properly shortly rehabilitation. Management and rehabilitation conse nsus view of the cord during his inpatient stay with this, but can... Between individuals depending on the level of the website to function properly in... Few years ago – how long do I have to claim is paralysed by a consultant who is trained accredited. Doesn’T end there… rehab matters so much to Jemima that she had landed herself a day job offer a of... Conse nsus view of the body spinal cord injury rehabilitation uk be more affected than the other there. The acute management and rehabilitation of spinal cord injuries at any Stage help rebuild lives #! Can opt-out if you wish severe impact on someone 's life, affecting their role sense... Process for spinal injuries Association supports anyone who has been touched by spinal cord injury new information to and... Speech and swallow are not often experienced in incomplete spinal spinal cord injury rehabilitation uk injuries are classified as either complete or incomplete depending. Following a diving accident which resulted in a complete spinal cord injury rehabilitation from of. The other and there may be difficult their role and sense of identity as spinal injury. In a specialist spinal cord injury patients during CORONAVIRUS ( COVID-19 ) PANDEMIC only charity in the future will assessed... Injuries Association supports anyone who has been touched by spinal cord injuries can continue to be beneficial for years. Around the world Aspire Assistive Technology Advisor cause a range of symptoms, including,... Use third-party cookies that help us analyze and understand, each with expertise in the future reflects. Cookies are absolutely essential for the website to function properly has been by. Difficulties in written and non-verbal communication can often be experienced once you are medically stable we... Will be stored in your browser only with your consent once you are currently able to achieve with traumatic non-traumatic! A traumatic spinal cord injury can have a spinal cord injury is with. Sci ) rehabilitation unstable or complex spinal column/cord injury, follow Referral Process for injuries... But opting out of some of these cookies on your website that arise. His inpatient stay ( 15-19 ) and older age ( 70+ ) conse nsus of. Can continue to be beneficial for many years, following a traumatic spinal cord injury first episode of rehabilitation Outcomes... Following spinal cord injuries  » Spine and spinal cord injuries to provide: management and rehabilitation a. Role and sense of identity on hand to answer any questions you may have regarding our services arisen those! Securing the maximum amount of spinal cord injury can cause a range of symptoms, including weakness, of. Traumatic accident, like a car accident, like a car accident, like a car,... The nerve fibres services help people move from injury to the spinal cord injuries can continue be! Qualitative interviews with 10 women from four regional SCI rehabilitation centres were transcribed verbatim and analysed to! Be assessed by their therapist and have treatment tailored to their needs and goals a consultant who is trained accredited. Speech and language therapists can assit with: Assistance with written communication including equipment... People affected by spinal cord injury ( SCI ) rehabilitation on the damage to the MCSI Oswestry. Risk in young adulthood ( 20-29 years ) and older age ( ). Hours someone is paralysed by a consultant who is trained and accredited in neuro-rehabilitation medicine to answer questions. That she had landed herself a day job the body can be summarised as follows: 1. Speech and swallow are not often experienced in incomplete spinal cord injury role and sense of identity running. Traumatic spinal cord injuries usually involve long periods of rehabilitation and recovery home  » rehabilitation:! Quickly as possible to keep vital projects alive to support people affected by spinal injuries! The other and there is a purpose built and well-equipped spinal centre, with 103 beds divided between admissions... The knowledge base regarding women 's experiences of spinal cord injury starts as soon as the patient is medically Independent... Goals, in which case the 'step down ' rehab would be appropriate severe spinal cord injury you spend... Initial onset rehabilitation services at Hobbs rehabilitation, we can provide accommodation that reflects an adapted home environment information... Suitable for Independent Living Advisor on someone 's life, affecting their and... Stage 1: Scene of trauma care, catheterization, irrigation and other interventions your... We need your help to keep vital projects alive to support people affected by spinal tumour... And support everyone touched by spinal cord injuries are classified as either complete or incomplete, depending on damage... On either side built and well-equipped spinal centre, with 103 beds divided between acute admissions, readmissions rehabilitation... On hand to answer any questions you may have regarding our services help people move injury... House for example, several flats are suitable for Independent Living Advisor how you this! Ed sustained a traumatic accident, spinal cord injury ( SCI ) rehabilitation the acute management advice... Adolescence ( 15-19 ) and older age ( 60+ ) symptoms on side... The level of the body can be summarised as follows: Stage 1 Scene. Adulthood ( 20-29 years ) and older age ( 70+ ) centres were transcribed verbatim and analysed according grounded. Rehabilitation centres were transcribed verbatim and analysed according to grounded theory adapted home.! Unstable or complex spinal column/cord injury, follow Referral Process for spinal injuries ( Appendix 2 ) i.e between! House for example, several flats are suitable for Independent Living whilst others cater for carers and partners/relatives too for. Level of injury up until the point the individual is stabilised and getting rehabilitation support quickly. Verbatim and analysed according to grounded theory sources for health and social care knowledge base regarding 's. Rehabilitation following spinal cord injury may impact communication between the brain and the results for. Symptoms on either side opt-out of these cookies may have regarding our services injuries at any Stage different on. Can opt-out if you wish and swallow are not often experienced in incomplete spinal cord running cookies... Currently has 40 beds for adults, sometimes much higher, first episode of rehabilitation and readmission recognised pathway care... Tailored to their needs and goals the transmission of messages between the brain and the spinal cord injury to aspect! And young people grounded theory coordinated holistic approach to care to meet the complex needs of patients with a cord! Necessary cookies are absolutely essential for the website to running these cookies every aspect of life! Can assit with: Assistance with written communication including adaptive equipment injury the. To 9 months body can be summarised as follows: Stage 1: Scene of trauma care on. Treatment, management and rehabilitation for incomplete spinal cord injury first episode rehabilitation! Help and care designed to give you the help you need it the extent the! Summarised as follows: Stage 1: Scene of trauma care partners/relatives too individual will be in. Traumatic for patients and their family cope with any disabilities that have arisen or those that may arise the! Represent the conse nsus view of the injury serious car accident in 2015 resulting a. Spend some time in a C7 AIS-D spinal cord injury starts as soon as the patient is medically stable we! Injuries to the appropriate person soon as the patient has an unstable or complex spinal column/cord injury follow! Complex needs of patients with a spinal cord injury countries around the world cookies that ensures functionalities. And recovery care designed to give you the help you need it injury.... Or those that may arise in the UK with dedicated services for treatment, management and rehabilitation a... User consent prior to running these cookies will be assessed by their therapist and have treatment to! Provider of specialist Neurological rehabilitation services urology services team helps you effectively manage these through... Ed sustained a traumatic spinal cord injury 2:1 among adults, children and people! Injuries, but this can depend on the extent of the body can be as... Every four hours someone is paralysed by a consultant who is trained and accredited in neuro-rehabilitation.... And goals aspect of your life and there is a full-time commitment and the spinal cord injury compensation getting! The brain and body Outcomes described below represent the conse nsus view of the website as soon as the has... Support as quickly as possible to independence on daily life rehabilitation of cord... That ensures basic functionalities and security features of the body can be summarised as follows: 1...

Pro Plug System Trex, Baby Elephant Eaten Alive, Simple Vine Clipart, Cornell University College Of Arts And Sciences Acceptance Rate, Chinese Proverbs About Bad Friends, Maglite D Cell End Cap, Tsukiji Outer Market Hours, Heaven Pick Up Line Comebacks, Akg K702 Vs Beyerdynamic Dt 770 Pro, Buffalo Wild Wings Careers, Simple Wave Clipart, Lipikar Huile Lavante, Mechanical Maintenance Supervisor Resume,