[Verticalization as a factor of early rehabilitation in the patients with a spinal cord injury]

The number of days from the spinal cord injury to rehabilitation of the victim has significantly decreased. It means that the rehabilitative treatment begins when the risk of secondary trophic lesions, cardiovascular and respiratory complications is especially high. Training with the use of a tilt-table equipped with the dynamic foot support is considered to be the highly effective method for the prevention or reduction of orthostatic hypotension, impaired ventilation, and pressure sores. This approach makes it possible to influence the patient's motivation for further recovery, decrease the duration of hospitalization in the intensive therapy ward, accelerate adaptation of the patients to the vertical posture, decrease hypotension and hypoxia, reduce to a minimum the occurrence of secondary neurologic disorders. Dynamic tilt-table training is considered to be a more effective modality for the adaptation of the patient to the vertical position than standing with the assistance of a simple table.