ASIA A — Reeve Connect
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ASIA A

jeanie1
jeanie1 Member Posts: 7
First Comment
I don’t know if this has been asked before but I can’t find the answer anywhere I look…across every platform .  

What does an ASIA A score mean in terms of rehab and recovery?  Any chance for recovery of walking? Any chance of recovery of hand function?  Every likes to skirt the question and say every case is unique but it would be helpful to be align expectations with reality. 

Thank you!

Comments

  • AskNurseLinda
    AskNurseLinda Moderator, Information Specialist Posts: 170 Information Specialist
    100 Comments 25 Likes First Answer Name Dropper
    Hi, Jeanie1, ASIA A indicates that  messages are not transmitted in the last segments of the spinal cord. Some individuals might have  recovery one level below their original injury level in a years time. You can encourage recovery even further by keeping up with your rehabiliation therapy even after your official therapy time concludes. Learn all of your therapies, take videos, so you can do them or have them done to your body. Movement helps with recovery. 
    In the meantime, progress is rapidly moving forward with electrical stimulation both from surface stimulation and implantable devices. As you are particularly interested in hand and arm function, there is a recent study that was done at the University of Washington in Seattle to improve upper extremity function in tetraplegia (quadriplegia). Their contact information is at the bottom of the article.  https://www.ece.uw.edu/spotlight/spinal-stimulation/ This is something that you can try now.
    Research is rapidly moving forward with implants. Some are already on the market. 
    Also available are robotics and other clinical studies for movement for arms, legs, bowel and bladder. These devices are expensive and a challenge to find payment. There are organizations that will help you fund raise if your payor does not cover these devices and you are interested in them. Nurse Linda

    I'm online in this community every Wednesday from 8-9 PM ET to answer your SCI and paralysis related questions.

    Leave a comment any time below. Let's get the discussion going!

    Nurse Linda

    Register for my next webchat! Sign up here!

  • jeanie1
    jeanie1 Member Posts: 7
    First Comment
    thank you for reply.  We are hopeful that some recovery is still possible although my husband has been sidelined by a pressure wound for most of this first year🙁. Hoping Medicare will allow a second inpatient rehab stay.  Thanks for the link to UW, I think Shirley Ryan is studying stimulation in an attempt to allow walking. 
  • AskNurseLinda
    AskNurseLinda Moderator, Information Specialist Posts: 170 Information Specialist
    100 Comments 25 Likes First Answer Name Dropper
    Yes, Shirley Ryan is on top of all of this.  A fabulous place. Nurse Linda

    I'm online in this community every Wednesday from 8-9 PM ET to answer your SCI and paralysis related questions.

    Leave a comment any time below. Let's get the discussion going!

    Nurse Linda

    Register for my next webchat! Sign up here!