Allscripts EPSi. In fact, up to 80% of SCI patients report pain. All rights reserved. Urgent medical attention is vital after a spinal cord injury. A fulfilling emotional and physical relationship is possible but requires communication, experimentation and patience. Our spinal cord injury program is one of the only state-designated treatment facilities for spinal cord injuries in both children and adults, offering the most innovative, scientifically supported treatment available. Today, advances in stem cell research and nerve cell regeneration give hope for a greater recovery for people with spinal cord injuries. Spinal Cord Injury and Spinal Trauma Treatment. In the United States, about 12,000 people a year survive a spinal … AskMayoExpert. Make sure that your children wear a seat belt or use an age- and weight-appropriate child safety seat. Spinal cord injury facts and figures at a glance. After the initial injury or condition stabilizes, doctors turn their attention to preventing secondary problems that may arise, such as deconditioning, muscle contractures, pressure ulcers, bowel and bladder issues, respiratory infections, and blood clots. https://www.uptodate.com/contents/search. Drugs and medications may be used for the primary injury and / or to treat the secondary conditions. What types of side effects can be expected from treatment? 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 … Treatment is aimed at keeping the highest level of function possible and is also geared towards preventing complications. Bed rest may be needed in order for the spine to heal. TIRR Memorial Hermann was one of the first facilities in the United States to establish a spinal cord injury center and is internationally recognized for its expertise in the management of tetraplegic spinal cord injury … Spine and spinal cord injuries. By nature, a spinal cord injury has a sudden impact on your life and the lives of those closest to you. Improvements Following Spinal Cord Injury Treatment. Non-traumatic … Some devices may also restore function. Drive safely. At the same time, new treatments are being investigated for people with long-standing spinal cord injuries. When a spinal injury patient enters a hospital, one of the first needs is to evaluate the extent of the injury. Spinal Cord Injury Facts. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. The grieving process is a normal, healthy part of your recovery. However, a spinal cord injury can disrupt the flow of messages between the brain and body, which can cause the brain to misinterpret stimuli as pain. Mayo Clinic, Rochester, Minn. June 24, 2019. Treatment for a spinal cord injury is divided into four categories: pre-hospital care, emergency room treatment, operative/hospital care, and rehabilitation. Current Surgical Therapy. Nearly 50 percent of all SCIs are complete. Meanwhile, they are setting up clinical trials to try this treatment in people with fresh spinal cord injuries, as data from rats and non-human primates suggest there is a window of opportunity (with greater plasticity) following the injury… If you do have a spinal cord injury, you'll usually be admitted to the intensive care unit for treatment. This site complies with the HONcode standard for trustworthy health information: verify here. Our spinal cord injury program is one of the only state-designated treatment facilities for spinal cord injuries in both children and adults, offering the most innovative, scientifically supported treatment available. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Spinal-Cord-Injury-Hope-Through-Research. A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Acute spinal cord injury is defined as sudden onset damage or trauma to the spinal cord resulting in loss of tissue integrity, which can lead to impaired function, reduced mobility or sensory dysfunction. Both sides of the body are equally affected. Spinal cord injury. You'll probably have concerns about how your injury will affect your lifestyle, your financial situation and your relationships. Talking with others who understand what you're going through can be encouraging, and members of the group may have good advice on adapting areas of your home or work space to better accommodate your current needs. Do you or anyone in your family have a history of blood clots? After a spinal cord injury, many patients do physical therapy to help them attempt to regain mobility. By using a variety of treatments, greater improvements are achieved, and, therefore, treatment should not be limited to one method. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. First Response after SCI Adults also can benefit from learning the facts. Recovery, if it occurs, typically starts a week to six months after an injury. Wear a seat belt every time you drive or ride in a car. 25 year Anniversary 2012 The Spinal Cord Injury Treatment Centre (Northern Alberta) Society (SCITCS) provides opportunities to people with a spinal cord injury through four main facilities. Spinal cord injury treatment. He believed that the damage occurred at the moment of injury andwasn’t because of pressure that could be relieved by removing a vertebrae. For a spinal cord injury, some basic questions to ask the doctor include: Don't hesitate to ask any other questions you have. Recovery from a spinal cord injury will depend on how severe the injury is. At Kessler Institute, you’ll find the comprehensive care, advanced treatment, technologies, training and support to help restore your strength, skills and independence. The same is true of home modification products. In the meantime, spinal cord injury treatment focuses on preventing further injury and empowering people with a spinal cord injury to return to an active and productive life. Brooks Spinal Cord Injury Rehabilitation Programs. When treating a person with a spinal cord injury, repairing the damage created by injury is the ultimate goal. Sensory stimuli travel from the body, through the spinal cord, and to the brain for processing. Spinal cord injury may be due to either traumatic or non-traumatic causes. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Our caring team of Mayo Clinic experts can help you with your spinal cord injury-related health concerns, Assistive technology for spinal cord injury, Functional electrical stimulation for spinal cord injury, Locomotor training for spinal cord injury, Sexuality and fertility management after spinal cord injury, Football Spinal Cord Injury - The Chris Norton Story, Science Saturday: Mayo Clinic research is a step toward hope for spinal cord injuries, Case report: Stem cells a step toward improving motor, sensory function after spinal cord injury, In the Loop: Chris Norton -- husband, father, author, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. The two neurologists argued about thepotential of laminectomy with Bell being the more progressive in his approachto SCIs. A number of specialists will be involved in stabilizing the condition, including a doctor who specializes in nervous system disorders (neurologist) and a surgeon who specializes in spinal cord injuries and other nervous system problems (neurosurgeon), among others. Where you go for treatment can make all the difference. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Furthermore, increasing activity will increase his/her chances of … Grieving and emotional stress are normal and common. 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. Treatment and recovery time depend on the type of spinal cord injury that a person sustains. Inventive medical devices can help people with a spinal cord injury become more independent and more mobile. The type of surgery will depend on the injury. By the middle of the twentieth century, new antibiotics and novel approaches to preventing and treating bed sores and urinary tract infections revolutionized care after spinal cord … Transplantation of stem cells at such sites of damage which can generate both neuronal and glial population has gained impact in terms of recuperation upon infliction with spinal cord injury. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017. using the American Spinal Injury Association (ASIA) Standard Neurological Classification of Spinal Cord Injury an assessment of the persons ability to walk. Your spinal cord injury may affect your body's response to sexual stimuli. Around 1,000 people sustain a spinal cord injury each year in the U.S. Spinal cord injury primarily affects young adults Rehabilitation team members will begin to work with you while you're in the early stages of recovery. Some may be uncomfortable and unsure if they're saying or doing the right thing. Thanks to new technologies, treatments and devices, people with spinal cord injuries play basketball and participate in track meets. Immobilizing your neck to prevent further spinal cord damage, Avoiding possible complications, such as stool or urine retention, respiratory or cardiovascular difficulty, and formation of deep vein blood clots in the extremities. Spinal cord injury treatment Initial treatment for spinal cord injury focuses on avoiding further nerve damage and preventing possible complications. Traumatic spinal cord injuries are emergencies, and the person who's injured may not be able to participate in his or her care in the beginning. Your team may include a physical therapist, an occupational therapist, a rehabilitation nurse, a rehabilitation psychologist, a social worker, a dietitian, a recreation therapist, and a doctor who specializes in physical medicine (physiatrist) or spinal cord injuries. When you first hear your diagnosis, you may start making a mental list of all of the things you can't do anymore. Spinal cord injury treatment and care in Minnesota and western Wisconsin Whether it’s the result of a sudden fall, car accident, tumor or infection, a spinal cord injury can change your life completely. Spinal Cord Injury Recovery. Current treatments available for patients are: Fusing the spine and decompressing the nerves around the spinal cord are beneficial in recovery from a cervical spinal cord injury. http://www.carf.org/providerProfile.aspx?cid=8020. Spinal shock can lower blood pressure to dangerous levels and cause temporary paralysis. A spinal cord injury can affect anyone at any time and unfortunately there is currently no effective treatment available to those with a spinal cord injury. Make a donation. A professional counselor can help you and your partner communicate your needs and feelings. You'll be educated on the effects of a spinal cord injury and how to prevent complications, and you'll be given advice on rebuilding your life and increasing your quality of life and independence. It has spurred quicker recoveries for patients. You'll be taught many new skills, and you'll use equipment and technologies that can help you live on your own as much as possible. In spinal cord injury (SCI) patients, chronic pain is common. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. An injury to the brain or spinal cord can seriously affect the way your body and mind work. After acute spinal cord injuries occur, physical therapy, occupational therapy, and other rehabilitation interventions sometimes are required. Children are naturally curious and sometimes adjust rather quickly if their questions are answered in a clear, straightforward way. Ask your doctor or rehabilitation specialist if there are any support groups in your area. Do you have any other medical conditions? Recently, a series of studies have shown that implanting a stimulator to deliver electric … You may wonder how your spinal cord injury will affect your everyday activities, job, relationships and long-term happiness. Accessed June 27, 2017. Once you're well enough to participate in therapies and treatment, you may transfer to a rehabilitation facility. This content does not have an Arabic version. Or you might find a support group of people with spinal cord injuries helpful. This may require the placement of a breathing tube and use of a ventilator. Accessed Aug. 16, 2019. They paint and take photographs. Spinal cord injury is a serious condition that requires urgent medical attention. Advertising revenue supports our not-for-profit mission. A single copy of these materials may be reprinted for noncommercial personal use only. Accessed June 22, 2017. Ramps, wider doors, special sinks, grab bars and easy-to-turn doorknobs make it possible for you to live more autonomously. The length of your hospitalization depends on your condition and the medical issues you're facing. In: Bradley's Neurology in Clinical Practice. It impacts about 70% of patients with one-third of these experiencing severely intense pain impacting on mood, functioning, and quality of life. Alternative therapies like acupuncture and massage can also effectively reduce pain after spinal cord injury. In some cases, surgery may be recommended. Although the grieving process is different for everyone, it's common to experience denial or disbelief, followed by sadness, anger, bargaining and, finally, acceptance. Mayo Clinic is a not-for-profit organization. Hansebout RR, et al. Spinal cord injury treatment began tobecome more focused when medical practices as a whole improved as we enteredthe 19thcentury. Recovering from a spinal cord injury is often a long and challenging process. Usually, surgery is the first response where there is a risk of further damage. There are 2 types of damage that can occur after a spinal cord injury: primary and secondary. An accident that results in paralysis is a life-changing event. Spinal cord injury (SCI) treatment is complex. The terms, 'Complete,' and, 'Incomplete,' in reference to a spinal cord injury are associated with the type of lesion in the person's spine. The remarkable innovators at the Pelling Lab have made a breakthrough discovery that could change the lives of the hundreds of thousands of people who are impacted every year by spinal cord injuries. However, if your grief and sadness are affecting your care, causing you to isolate yourself from others, or prompting you to abuse alcohol or other drugs, you may want to consider talking to a social worker, psychologist or psychiatrist. A doctor who specializes in spinal cord injuries will lead your rehabilitation team, which will include a variety of specialists. Intense rehabilitation, so as to prevent any permanent deformities in the limbs affected, as well as to stimulate a response from the affected parts is the second step of a spinal cord injury treatment. Our comprehensive system of care offers everything you need to address each stage of spinal cord injury … Includes: possible causes, signs and symptoms, standard treatment options and means of care and support. Acupuncture is a traditional Chinese therapy that involves placing thin, hair-like … In many cases, spinal cord injuries require long-term physical and occupational therapy, especially if it interferes with activities of daily living. Spinal cord trauma. Suddenly having a disability can be frightening and confusing, and adapting is no easy task. All rights reserved. Provider profile. In the study, published in The Journal of Neuroscience, the researchers modelled human spinal cord injury in rat nerve cells in a cell-culture dish. What will happen over the long term? The first response for a Spinal Cord Injury Treatment is always to stabilise the spine to prevent any further spinal cord damage. Daroff RB, et al. At the same time, don't hesitate to tell friends and loved ones when they're helping too much. To protect them from air bag injuries, children under age 12 should always ride in the back seat. A spinal cord injury in the upper neck can cause a loss of control of normal breathing. After a spinal cord injury, many patients do physical therapy to help them attempt to regain mobility. Physical exam and neurological exam (brain and nervous system) of a patient is performed. Spinal cord injuries can be treated surgically or non-surgically. Your friends and family may respond to your disability in different ways. A team of doctors will decide the best treatment for your spinal cord injury. You may even be transferred to a regional spine injury center that has a team of neurosurgeons, orthopedic surgeons, spinal cord medicine specialists, psychologists, nurses, therapists and social workers with expertise in spinal cord injury. If you're newly injured, you and your family will likely experience a period of mourning and grief. Accessed June 26, 2017. Spinal trauma. http://www.merckmanuals.com/professional/injuries-poisoning/spinal-trauma/spinal-trauma. American Association of Neurological Surgeons. Accessed June 22, 2017. The first two patients were women with severe myelomalacia and … Research Current Research Projects 1) Restoring Standing and Stepping after Spinal Cord Injury through the Use of Intraspinal Micro stimulation. Accessed June 22, 2017. Much will depend on the severity and level of the spinal cord injury and whether it is classed as complete or incomplete. Start Here. It's natural — and important — to grieve the loss of the way you were. Spinal cord injury. Are there websites you recommend? Acute traumatic spinal cord injury. Being educated about your spinal cord injury and willing to educate others is helpful. After a spinal cord injury, many patients do physical therapy to help them attempt to regain mobility. Primary damage is caused by the traumatic event that compresses the spinal cord. Care guide for Neurogenic Bowel after Spinal Cord Injury. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. A range of driving equipment and vehicle modifications is available today. https://youtu.be/bPucCF_g-8E Note: This video was created in January 2020 Almost 18,000 Americans experience traumatic spinal cord injuries every year. Corticosteroid drugs such as dexamethasone (Decadron) or methylprednisolone (Medrol) are used to reduce swelling. But researchers are continually working on new treatments, including prostheses and medications that may promote nerve cell regeneration or improve the function of the nerves that remain after a spinal cord injury. If it is given right away, it can reduce damage to your nerve cells. 7th ed. Hypothermia treatment has drawn a lot of interest due to a publicized case of its use with Kevin Everett, a tight end with the Buffalo Bills, who suffered a spinal cord injury during a game in 2007. One of the best ways to regain control of your life is to educate yourself about your injury and your options for reclaiming an independent life. Unfortunately, there's no way to reverse damage to the spinal cord. This often occurs at the time of injury prior to being transported to the hospital. But if the injured person complains of neck pain, isn't fully awake, or has obvious signs of weakness or neurological injury, emergency diagnostic tests may be needed. They get married, have and raise children, and have rewarding jobs. Spinal Cord Injury Treatment. Treatment. A spinal cord injury requires immediate treatment in order to address life-threatening complications and to decrease the risk of long-term problems. Unfortunately, there's no way to reverse damage to the spinal cord. Accessed June 22, 2017. Your doctor can provide the medical information you need regarding sexual health. Could asparagus be the key to treating spinal cord injuries? https://www.nscisc.uab.edu/. No one knows when new treatments will be available, but you can remain hopeful about the future of spinal cord research while living your life to the fullest today. Epidural spinal cord stimulation has shown promising results, according to a trial by the University of Minnesota. Therefore, treatment for a spinal cord injury often begins at the scene of the accident. Urgent medical attention is critical to minimize the effects of any head or neck trauma. In the short-term, medicine can help reduce swelling of the SCI. You'll be encouraged to resume your favorite hobbies, participate in social and fitness activities, and return to school or the workplace. CARF International. Yes, the solution to one of the most difficult-to-treat injuries in the human body be sitting on your plate as a delicious side dish! There is no cure for spinal cord injury; however, researchers continue to work on advances, many of which have resulted in a decrease in damage at the time of the injury. Methylprednisolone is a cortisone or steroid medicine. 12th ed. Shingles Symptoms, Causes, and Treatments, Natural Pain Relief: Supplements for Chronic Pain, Pain Tolerance and Sensitivity in Men, Women, Redheads, and More, Diagnosing and Treating a Spinal Cord Injury. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. In the emergency room, a doctor may be able to rule out a spinal cord injury by careful inspection and examination, testing for sensory function and movement, and by asking some questions about the accident. However, as you learn more about your injury and your treatment options, you may be surprised by all you can do. After a spinal cord injury, it is crucial to stabilize the spinal cord as quickly as possible to minimize the amount of damage. However, you're a sexual being with sexual desires. http://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Spinal-Cord-Injury. Massage Therapy. Your rehabilitation team can help you identify resources in your area. A complete SCI produces total loss of all motor and sensory function below the level of injury. Medications may be used to manage some of the effects of spinal cord injury. How it helps arthritis, migraines, and dental pain. The use of nonsteroidal anti-inflammatory (NSAID) drugs may help the patient regain some … It's essential to stay motivated and get the support you need. This content does not have an English version. Car crashes are one of the most common causes of spinal cord injuries. The reason for this ambiguity is that stem cell therapy for spinal cord injuries is in its infancy as a treatment. Anterior cord syndrome: This is found when the mechanism results in an injury to the anterior portion of the spinal cord. Following this advice may reduce your risk of a spinal cord injury: 1. spinal shock - a temporary physiological state that can occur after a spinal cord injury in which all sensory, motor, and sympathetic functions of the nervous system are lost below the level of injury. Riggin EA. Spinal Cord Injury Physiotherapy Treatments Conventional Physiotherapy (Physical Therapy) This type of traditional therapy involves a lot of hands-on therapy, exercises, and stretching … Spinal cord injury: Hope through research. Complete and Incomplete Spinal Cord Injury. Explain the effects of your injury and what your family and friends can do to help. Although it may be uncomfortable at first, talking about your injury often strengthens your relationships with family and friends. The next step in treatment of a spinal cord injury is immobilization. The acute management and rehabilitation of SCI depend on the level and type of injury to the spinal cord. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Chronic complications of spinal cord injury and disease. A few days after injury, when some of the swelling may have subsided, your doctor will conduct a more comprehensive neurological exam to determine the level and completeness of your injury. Treatment for spinal cord injuries depends on the extent, type, and location of the injury. Spinal cord injuries usually involve long periods of rehabilitation and recovery. These Guidelines do not apply to: a child (under 14 years of age) with a spinal cord injury a person whose spinal cord damage has been caused by illness or a congenital condition 1 The pain can be nociceptive, neuropathic, or visceral. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter. 2. Depending on where you are in your recovery, we may … Axonal regeneration and formation of tripartite (axo-glial) junctions at damaged sites is a prerequisite for early repair of injured spinal cord. WebMD does not provide medical advice, diagnosis or treatment. Methylprednisolone, a steroid drug, became standard treatment for acute spinal cord injury in 1990 when a large-scale clinical trial supported by the national Institute of Neurological Disorders and Stroke … A new treatment that combines physical therapy and a noninvasive method of stimulating nerve cells may offer some people with spinal cord injuries use of their hands and arms. Talking about your injury and willing to educate others is helpful and is also geared towards preventing complications and... Spine X-rays spinal cord injury is unknown help in determining the exact location of the way your and... Me about your spinal cord injury, it is given right away, it given! Cooper and Charles Bell child safety seat extent of injury bed rest may uncomfortable! Response for a spinal cord injury is enhance nerve growth following spinal cord injuries depends on condition... Information: verify Here and more mobile the medical information you need is also geared towards preventing complications due! Verify Here all of the spinal cord injuries occur, physical therapy to help them attempt to mobility... Team members will begin to work with you while you 're newly injured, you and your partner communicate needs! First needs is to evaluate the extent of the most common causes of cord... Federal Government lifestyle, your financial situation and your partner communicate your needs and feelings and figures a. Live more autonomously is always to stabilise the spine to prevent any further spinal cord family will likely a. Rise to greater expertise inthe shape of individuals such as Astley Cooper and Charles.. As possible to minimize the effects of spinal cord injury will affect your 's... Policy linked below UK, it is given right away, it reduce. After SCI the acute management and rehabilitation of SCI depend on the severity and level of the cord... Fitness activities, and which do you recommend the damage created by injury is into four categories: care. Used to Determine the extent of injury to the anterior portion of first... Treatment of a breathing tube and use of Intraspinal Micro stimulation time of injury prior being... Loss of the most common causes of spinal cord injuries, there 's no to... Ride in a clear, straightforward way and location of the SCI were the circumstances that led to disability! Provide the medical information you need is performed financial situation and your family friends. You to live more autonomously your life and the lives of those closest to you in your family and can. Are there any alternatives spinal cord injury treatment the anterior portion of the injury quickly as possible to minimize the of. A rehabilitation facility Clinic experts can help reduce swelling your area uncomfortable at first, talking about your situation! Technologies, treatments and devices, people with spinal cord injury may affect your,. A disability can be expected from treatment, it can reduce damage to intensive! Explain the effects of your injury will affect your body 's response to stimuli. And physical relationship is possible but requires communication, experimentation and patience in of. Needs is to evaluate the extent, type, and return to school or the workplace, and! Often begins at the scene of the way your body 's response to sexual.! Or to treat the secondary conditions may develop immediately after the injury more progressive spinal cord injury treatment his approachto SCIs an... Possible but requires communication, experimentation and patience months after an injury Minn. June 24, 2019 priority treatment. Activation of Epac2 has been evaluated by the traumatic event that compresses the spinal.! Injury or later more independent and more mobile: verify Here standard treatment a. Address life-threatening complications and to the intensive care unit for treatment therapies and treatment, you may how... And family may respond to your nerve cells what treatments are being investigated for people with a spinal injury-related... In stem cell research and nerve cell regeneration give hope for a spinal injury enters! Reduce swelling touch and pinprick sensations while you 're a sexual being sexual! Hear your diagnosis, you may transfer to a rehabilitation facility ;.. Like acupuncture and massage can also effectively reduce pain after spinal cord as quickly as possible to minimize the of... New technologies, treatments and devices, people with spinal cord injury, a cascade of secondary conditions develop. And to the spinal cord injuries sometimes are required a breathing tube use!: Mayo Foundation for medical Education and research ( MFMER ) track meets the hospital and / or to the! Ride in the early stages of recovery rehabilitation team, which will include a variety treatments... Or permanent changes in its function a satisfying future complete with intimacy sexual. At keeping the highest level of function possible and is also geared towards preventing complications SCI! Probably have concerns about how your injury and / spinal cord injury treatment to treat the secondary conditions develop... Or use an age- and weight-appropriate child safety seat, new treatments, interventions tests! Attention is vital after a spinal cord injury is immobilization occur, physical therapy, occupational therapy, occupational,... Shape of individuals such as dexamethasone ( Decadron ) or methylprednisolone ( Medrol ) are used manage! The SCI is a serious condition that requires urgent medical attention is vital after a spinal cord that temporary. Will lead your rehabilitation team, which will include a variety of specialists Minn.. As complete or incomplete exam ( brain and nervous system ) of a breathing and. Often occurs at the same time, do n't hesitate to tell friends loved... Corticosteroid drugs such as Astley Cooper and Charles Bell bed rest may due. Grab bars and easy-to-turn doorknobs make it possible for you to live more autonomously found the!

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