Narrative Review of Clinical Practice Guidelines for Rehabilitation of People With Spinal Cord Injury: 2010-2020

Lynn H. Gerber, Rati Deshpande, Shruthi Prabhakar, Cindy Cai, Steven Garfinkel, Leslie Morse, Amanda L. Harrington

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Clinical practice guidelines provide reliable, vetted, and critical information to bring research to practice. Some medical specialties (e.g., physical medicine and rehabilitation) provide multidomain treatment for various conditions. This presents challenges because physical medicine and rehabilitation is a small specialty, a diverse patient base in terms sociodemographics and diagnosis, treatments are difficult to standardize, and rehabilitation research is underfunded. We wished to identify quality and applicability of clinical practice guidelines and searched "Spinal Cord Injury AND Clinical Practice Guidelines AND Rehabilitation"and vetting process. Three hundred fifty-nine articles were identified of which 58 met all criteria for full-text review of which 13 were included in the final selection. Additional publications were accessed from a nondatabase search. Five articles addressed postacute care, community treatment. Nine articles had no recorded vetting process but addressed rehabilitation as an outcome and were included separately. Many of the clinical practice guidelines were developed without evidence from randomized controlled trials, one had input from stakeholders, and some are out of date and do not address important aspects of changes in demographics of the affected population and the use of newer technologies such as sensors and robotics and devices. Identification of these gaps may help stimulate treatment that is clinically relevant, accessible, and current.

Original languageEnglish (US)
Pages (from-to)501-512
Number of pages12
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number5
StatePublished - Nov 6 2020

Bibliographical note

Funding Information:
This study was funded through a subcontract to Inova Health System from the American Institutes for Research, supported by National Institute of Disability, Independent Living and Rehabilitation Research (NIDILRR) Federal Grants #90DP0082, #90DPBU0001, and #90DPBU0004.

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.


  • Clinical Practice Guidelines
  • Function
  • Rehabilitation
  • Spinal Cord Injury


Dive into the research topics of 'Narrative Review of Clinical Practice Guidelines for Rehabilitation of People With Spinal Cord Injury: 2010-2020'. Together they form a unique fingerprint.

Cite this