Turkish Journal of Physical Medicine and Rehabilitation 2010 , Vol 56 , Num 2

Nutrition in Spinal Cord Injured Patients

Belgin Erhan 1
1 İstanbul Fiziksel Tedavi Rehabilitasyon Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye DOI : 10.4274/tftr.56.s64

In recent years, nutritional support has become very important in patients who sustained majör trauma such as spinal cord injury (SCI). Some metabolic changes take place immediately after the majör trauma: hypermetabolism is observed, especially, an increase in the catabolic rate and excessive nitrogen losses occur. This results in depletion of the body energy stores, loss of lean muscle mass, reduction in protein synthesis and deterioration of immune competence. Inherent denervation, immobility, and consequent muscle atrophy are present in SCI. When the above-mentioned posttraumatic metabolic changes are added to these inherent problems, an increase in secondary complications and morbidity is perceived in SCI patients. In this report, the importance of nutritional support in SCI patients will be discussed.

Keywords : Spinal cord injury, nutrition, indirect calorimetry