In the first article in this series, we described how the lifespan of our general population increased on average as we moved through the first half of the 20th century. This was largely due to improved public health measures and the arrival of antibiotics. At present, we no longer see lifespan increasing and what is worse, many of us spend the last years of life in poor health and subject to chronic conditions that are associated with ageing. These conditions are:-

Heart disease

Cancer

Neurodegenerative disease

Type 2 diabetes and related metabolic dysfunction

These conditions are highly correlated with age and approximately 80% of the population will succumb to them. To some extent, they may have common causes that we would need to dig deep to uncover. In particular, metabolic dysfunction seems to be a precursor to all these other diseases.

Welcome to the first of a series of articles that will tackle the topic of improving life expectancy after a spinal cord injury. The goal of these articles is to provide valuable information on how to not just live longer, but healthier. We all want to age "gracefully", and that's why we need to start thinking about healthspan rather than just lifespan. Research suggests that the life expectancy of persons following a traumatic spinal cord injury has been improving since the 1950's but remains shorter compared with the general population. We will discuss why the length of life is not the only thing that counts.

In this first article, we will discuss the importance of healthspan and what we can do to achieve it. Living longer is great, but what's even better is having the physical ability to perform daily activities and participate fully in the life we want. Subsequent articles will delve into how spinal cord injuries affect lifespan and provide insights on creating a plan to live healthier.

So, let's take charge of our health and work towards enjoying a fulfilling life. Let's start by looking at the population at large and introduce the concepts of lifespan and "healthspan" and see why we don't want to have a long life unless it is also a healthy life.

A spinal cord injury is a life-altering event that can happen to anyone, anywhere, and at any time. It can occur due to a wide variety of reasons, such as accidents, falls, sports injuries, or medical conditions.

The severity of a spinal cord injury varies greatly and each person, even with what can seem to be similar injuries, can have different symptoms and functional outcomes. As part of the clinical approach to understanding and managing such injuries, a system of classification has been developed.

When people are injured, they are often told that they have damage to specific bony vertebrae and the cord itself at a given level, along with a further qualifier suggesting the severity of the injury, typically as a ‘complete’ or ‘incomplete’ injury. But what do these terms mean, and what is their significance?

So, let's dive in and discover what you need to know about complete vs. incomplete spinal cord injury and its effects on the nervous system.

We should shortly see the emergence of new spinal cord stimulation products that can assist rehabilitation, as the first examples are approaching commercialisation. Although not a cure for spinal cord injury, these devices have been shown to assist in the recovery of function in situations where this seemed lost for ever.

Spinal cord stimulation (SCS) has a rich history that dates back to the 1960s, when it was first introduced as a potential treatment for chronic pain management. Pioneered by Dr. Norman Shealy (1967) this innovative method was initially developed to alleviate intractable pain by delivering mild electrical pulse trains to the spinal cord via implantation of electrodes.

Over the years, the field of SCS has witnessed significant advancements in both technology and research, broadening its potential applications to include functional recovery following spinal cord injury (SCI).

This article looks briefly at the state of the art.

Combining a passive/active exercise bike with synchronised FES (Functional Electrical Stimulation) is a well-researched and well-known exercise modality for persons to use after a spinal cord injury or other neurological condition.  One of the benefits often sought by our spinal cord injured clients is preservation of bone density and we will look at the evidence for this in this article. Bone is a dynamic tissue - it responds to the needs placed upon it - getting stronger under load and weaker in the absence of load. Paralysis after a spinal cord injury and lack of activity that loads the bones results in a loss of bone strength and increased risk of fractures.. FES Cycing is one way of helping to prevent this.

Company director Derek Jones has a few years (actually decades) of experience working face to face with people following a spinal cord injury. His new book is aimed at newly injured persons and titled “Dont Back Down: Your guide to living well with a spinal cord injury”. It’s now available on Amazon as a paperback and Kindle book.
The content is a broad ranging and empowering guide to getting life back on track after a spinal cord injury.