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The International Spinal Cord Injury Survey (InSCI) found that sleep problems rank among the top six most common and debilitating health issues for people with SCI — and are the second most likely to go untreated.

While rehabilitation centres routinely manage issues like pain, spasticity, and bladder, bowel, and sexual dysfunction, sleep is often overlooked.

Risk screening for sleep disorders is inconsistent and typically ad-hoc, and most centres refer suspected cases to sleep specialists for assessment and ongoing management.

However, recent research shows it is feasible for rehabilitation centres to manage common, uncomplicated sleep disorders "in-house". In this podcast, we explore why sleep deserves more attention in SCI care— and how rehabilitation centres can take a more active approach.

Speakers

Marnie Graco, PhD

Implementation Scientist | Institute for Breathing and Sleep, Austin Health, Melbourne, Australia

Nancy Gray MND Research Post-Doctoral Fellow (MNDRA)

Senior Fellow | Melbourne School of Health Sciences, The University of Melbourne, Australia

Hardeep Singh Kainth, MD, FAAPMR, Dip. SCI Medicine

Associate Clinical Professor, Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Alberta, Edmonton, Canada

Medical Lead, Spinal Cord Injury Rehabilitation, Edmonton, Canada

The opinions of our host and guests are their own; ISCoS does not endorse any individual viewpoints, given products or companies.

You can follow us on Twitter and LinkedIn

The SCI Care: What Really Matters podcast aims to provide valuable insights and the most up-to-date information for those providing care to people with spinal cord injury (SCI) worldwide. The vision of the International Spinal Cord Society (ISCoS) is to "facilitate healthy and inclusive lives for people with spinal cord injury or dysfunction globally".

Contact us directly with any questions or comments at iscos@associationsltd.co.uk

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Key points:

1. Key sensory afferent pathways from the urinary bladder to the spinal cord often remain intact in spinal cord injuries above the level of the conus medullaris.

b) The urinary bladder wall urothelial cells, sensory nerves, interstitial cells, smooth muscle cells and the chemo/mechanosensors in the urethral paraneurons or “brush cells” play a key role in bladder neurophysiology.

c) Knowledge regarding the sensory afferent pathways from the bladder could guide future neuromodulation therapeutic options for the neurogenic bladder after SCI.

Spinal Cord Journal

The opinions of our host and guests are their own; ISCoS does not endorse any individual viewpoints, given products or companies.

You can follow us on Twitter and LinkedIn

The SCI Care: What Really Matters podcast aims to provide valuable insights and the most up-to-date information for those providing care to people with spinal cord injury (SCI) worldwide. The vision of the International Spinal Cord Society (ISCoS) is to "facilitate healthy and inclusive lives for people with spinal cord injury or dysfunction globally".

Contact us directly with any questions or comments at iscos@associationsltd.co.uk

Send us a text

Dr. Michael Fehlings - Professor of Neurosurgery, Robert Campeau Family Foundation-Dr. CH Tator Chair in Brain and Spinal Cord Research, Vice Chairman Research), Co-Director Spine Program, Department of Surgery, University of Toronto and Editor in Chief of Spinal Cord.

Dr Carlotte Kiekens - Head of the Physical and Rehabilitation Medicine Unit at Ospedale San Giuseppe, IRCCS MultiMedica in Milan, Italy

The opinions of our host and guests are their own; ISCoS does not endorse any individual viewpoints, given products or companies.

You can follow us on Twitter and LinkedIn

The SCI Care: What Really Matters podcast aims to provide valuable insights and the most up-to-date information for those providing care to people with spinal cord injury (SCI) worldwide. The vision of the International Spinal Cord Society (ISCoS) is to "facilitate healthy and inclusive lives for people with spinal cord injury or dysfunction globally".

Contact us directly with any questions or comments at iscos@associationsltd.co.uk