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Transverse myelitis (TM) is a rare neurological condition wherein the spinal cord is inflamed. The adjective transverse implies that the spinal inflammation (myelitis) extends horizontally throughout the cross section of the spinal cord; the terms partial transverse myelitis and partial myelitis are sometimes used to specify inflammation that affects only part of the width of the spinal cord. TM is characterized by weakness and numbness of the limbs, deficits in sensation and motor skills, dysfunctional urethral and anal sphincter activities, and dysfunction of the autonomic nervous system that can lead to episodes of high blood pressure. Signs and symptoms vary according to the affected level of the spinal cord. The underlying cause of TM is unknown. The spinal cord inflammation seen in TM has been associated with various infections, immune system disorders, or damage to nerve fibers, by loss of myelin. As opposed to leukomyelitis which affects only the white matter, it affects the entire cross-section of the spinal cord. Decreased electrical conductivity in the nervous system can result.
Tetraplegia, also known as quadriplegia, is defined as the dysfunction or loss of motor and/or sensory function in the cervical area of the spinal cord. A loss of motor function can present as either weakness or paralysis leading to partial or total loss of function in the arms, legs, trunk, and pelvis; paraplegia is similar but affects the thoracic, lumbar, and sacral segments of the spinal cord and arm function is spared. The paralysis may be flaccid or spastic. A loss of sensory function can present as an impairment or complete inability to sense light touch, pressure, heat, pinprick/pain, and proprioception. In these types of spinal cord injury, it is common to have a loss of both sensation and motor control.
Stoke Mandeville Hospital is a large National Health Service (NHS) hospital located on the parish borders of Aylesbury and Stoke Mandeville, Buckinghamshire, England. It is managed by Buckinghamshire Healthcare NHS Trust.
Paraplegia, or paraparesis, is an impairment in motor or sensory function of the lower extremities. The word comes from Ionic Greek (παραπληγίη) "half-stricken". It is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. If four limbs are affected by paralysis, tetraplegia or quadriplegia is the correct term. If only one limb is affected, the correct term is monoplegia. Spastic paraplegia is a form of paraplegia defined by spasticity of the affected muscles, rather than flaccid paralysis.
Richard Marvin Hansen is a Canadian track and field athlete, activist, and philanthropist for people with disabilities. Following a pickup truck crash at the age of 15, Hansen sustained a spinal cord injury and became a paraplegic. Hansen is most famous for his Man in Motion World Tour, in which he circled the globe in a wheelchair to raise funds for charity. He was inducted into Canada's Sports Hall of Fame in 2006. He was one of the final torchbearers in the 1988 Winter Olympics and the 2010 Winter Olympics. He was profiled and spoke during the 2010 Winter Paralympics opening ceremony.
A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Injury can occur at any level of the spinal cord and can be complete, with a total loss of sensation and muscle function at lower sacral segments, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord up to the Sacral S4-5 spinal cord segments. Depending on the location and severity of damage, the symptoms vary, from numbness to paralysis, including bowel or bladder incontinence. Long term outcomes also range widely, from full recovery to permanent tetraplegia or paraplegia. Complications can include muscle atrophy, loss of voluntary motor control, spasticity, pressure sores, infections, and breathing problems.
The Prince's Trust is a United Kingdom-based charity founded in 1976 by King Charles III to help vulnerable young people get their lives on track. It supports 11-to-30-year-olds who are unemployed or struggling at school and at risk of exclusion. Many of the young people helped by the trust face issues such as homelessness, disability, mental health problems, or trouble with the law.
WheelPower is the national organisation for wheelchair sports in the United Kingdom, and aims to help people with disabilities improve their quality of life.
Wheelchair racing is the racing of wheelchairs in track and road races. Wheelchair racing is open to athletes with any qualifying type of disability, including leg amputees, spinal cord injuries, and cerebral palsy. Athletes are classified in accordance with the nature and severity of their disability or combinations of disabilities. Like running, it can take place on a track or as a road race. The main competitions take place at the Summer Paralympics which wheelchair racing and athletics has been a part of since 1960. Competitors compete in specialized wheelchairs which allow the athletes to reach speeds of 30 km/h (18.6 mph) or more. It is one of the most prominent forms of Paralympic athletics.
Philip Packer is a British charity activist who suffered serious injuries while serving with the British military in Iraq in 2008 and has since engaged in numerous publicised physical challenges in support of his charity, the British Inspiration Trust (BRIT), and other causes.
Magee Rehabilitation Hospital, part of Jefferson Health, founded in 1958, is a 96-bed specialty medical rehabilitation hospital providing physical and cognitive rehabilitation services. Magee's flagship facility is located in Center City Philadelphia. In addition to the main campus that offers comprehensive services for spinal cord injury, brain injury, stroke, orthopaedic replacement, amputation, pain management and work injury, Magee provides an expanding outpatient network serving the surrounding communities. In 1985, Magee's brain injury rehabilitation program became the first in the nation to be accredited by the Commission on the Accreditation of Rehabilitation Facilities. Magee partnered with Jefferson Hospital to create one of the nation's 14 federally designated centers for spinal cord injury rehabilitation. Magee has been rated one of America's leading rehabilitation hospitals by U.S. News & World Report. Magee provides treatment to more than 5,000 individuals annually. Magee is authorized to treat wounded military personnel returning from war. Magee is not an Obligated Group Affiliate.
T54 is a disability sport classification for disability athletics in the track and jump events. The class includes people with spinal cord injuries who compete using a wheelchair in track events. They have paraplegia, but have normal hand and arm function, normal or limited trunk function, and no leg function. This class includes CP-ISRA classes CP3 and CP4, and some athletes in ISOD classes A1, A2 and A3.
The Grand Shaftesbury Run, previously known as the Great Shaftesbury Run, is an off-road, rural half marathon and 10k course that takes place on the 2,200 hectares historic Shaftesbury Estate in Wimborne St Giles, Dorset, England. Both courses start and finish in the park at St Giles House, the historic home of the Earls of Shaftesbury. The inaugural event, held on 12 June 2011, opened the family estate to the public for the first time in 60 years.
When treating a person with a spinal cord injury, repairing the damage created by injury is the ultimate goal. By using a variety of treatments, greater improvements are achieved, and, therefore, treatment should not be limited to one method. Furthermore, increasing activity will increase his/her chances of recovery.
Claire Lomas is a British campaigner, fundraiser and former event rider. She became a paraplegic as a result of a riding accident in 2007. In 2012, she finished the 32nd Virgin London Marathon in 17 days using the ReWalk robotic suit.
Sophie Morgan is a British television presenter and disability advocate who is paraplegic. She is a viral social media influencer, with over 100k followers on instagram. She became a presenter after appearing on reality television. In 2021, she was a lead presenter for Channel 4's TV coverage of the Summer Paralympics in Tokyo. She has been voted one of the most influential disabled people in the UK as part of the Shaw Trust's Disability Power 100. Morgan has been working on television for almost twenty years, following the first generation of disabled television presenters such as Ade Adepitan, Mik Scarlet, Tanni Grey-Thompson, Cerrie Burnell and Julie Fernandez.
Mary Puthisseril Verghese (1925–1986) was a physician in India who was among the earliest pioneers of Physical medicine and rehabilitation in the country. Mary Verghese was instilled in a home where love and respect were two main factors in their close knit family. She was caring of others and wanted to give back to her community in any way that she could. In 1963, she took charge of what was the first department of Physical Medicine and Rehabilitation with an inpatient facility in India at the Christian Medical College, Vellore. She was instrumental in expanding the services of the department with the establishment of the first inpatient rehabilitation institute of the country in 1966. In recognition of her contributions to the field of medicine, she was awarded the Padma Shri by the Government of India in 1972.
Although spinal cord injury (SCI) often causes sexual dysfunction, many people with SCI are able to have satisfying sex lives. Physical limitations acquired from SCI affect sexual function and sexuality in broader areas, which in turn has important effects on quality of life. Damage to the spinal cord impairs its ability to transmit messages between the brain and parts of the body below the level of the lesion. This results in lost or reduced sensation and muscle motion, and affects orgasm, erection, ejaculation, and vaginal lubrication. More indirect causes of sexual dysfunction include pain, weakness, and side effects of medications. Psycho-social causes include depression and altered self-image. Many people with SCI have satisfying sex lives, and many experience sexual arousal and orgasm. People with SCI may employ a variety of adaptations to help carry on their sex lives healthily, by focusing on different areas of the body and types of sexual acts. Neural plasticity may account for increases in sensitivity in parts of the body that have not lost sensation, so people often find newly sensitive erotic areas of the skin in erogenous zones or near borders between areas of preserved and lost sensation.
Wheelchair sport classification is a system designed to allow fair competition between people of different disabilities, and minimize the impact of a person's specific disability on the outcome of a competition. Wheelchair sports is associated with spinal cord injuries, and includes a number of different types of disabilities including paraplegia, quadriplegia, muscular dystrophy, post-polio syndrome and spina bifida. The disability must meet minimal body function impairment requirements. Wheelchair sport and sport for people with spinal cord injuries is often based on the location of lesions on the spinal cord and their association with physical disability and functionality.
Elizabeth O. V. Ferris BEM is a former Scotland Wheelchair Rugby League international and medical doctor. She is the founder of Dundee Dragons Wheelchair Sports Club SCIO in Dundee, Scotland.
References
- ↑ Nicholson, Colin (14 March 2010). "All you need on the slopes is a bit of back-up". Independent on Sunday. Retrieved 8 February 2018.
- ↑ Rushby-Smith, Tim (3 May 2011). "How wheelchair skills can give you independence". The Guardian . Retrieved 9 February 2018.
- ↑ Isaacson, Maureen (25 May 2003). "Back to the future". Independent on Sunday. Retrieved 8 February 2018.
- ↑ "The Back-Up Trust". Charity Commission for England and Wales . Retrieved 8 February 2018.