SCI: Role of the Registered Dietitian (2007)
What is the benefit of nutrition care provided by a Registered Dietitian for Spinal Cord Injury patients in the acute care, rehabilitation, and community settings?
Studies suggest that nutrition care provided by a Registered Dietitian as part of a multidisciplinary team results in improved SCI patient nutrition-related outcomes in the acute care, rehabilitation, and community settings. SCI patients experienced improvements in nutrient deficiencies, nutrition problems associated with social isolation and mobility issues, overweight and obesity, bowel management, swallowing, and nutrition-related chronic diseases. Additional research is needed to further define the benefits of nutrition care and the role of the Registered Dietitian for SCI patients.
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
Evidence Summary: Role of the Dietitian in SCI
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Abel R, Ruf S, Spahn B. Cervical spinal cord injury and deglutition disorders. Dysphagia. 2004; 19 (2): 87-94.
- Badiali D, Bracci F, Castellano V, Corazziari E, Fuoco U, Habib FI, Scivoletto G. Sequential treatment of chronic constipation in paraplegic subjects. Spinal Cord. 1997 Feb;35 (2): 116-20.
- Barber D, Foster D, and Rogers S. The importance of nutrition in the care of persons with spinal cord injury. The Journal of Spinal Cord Medicine, 26:2; Summer 2003. Commentary.
- Block P, Skeels SE, Keys CB, Rimmer JH. Shake-It-Up: Health promotion and capacity building for people with spinal cord injuries and related neurological disabilities. Disabil Rehabil. 2005 Feb 18; 27(4): 185-190.
- Chen Y, Henson S, Jackson AB, Richards JS. Obesity intervention in persons with spinal cord injury. Spinal Cord. 2006;44:82-91.
- Croes-Barone SJ, Rolnick RH, Durante D, Zaunbrecher MM, Hackell V, Farias Y. Medical nutrition therapy is recognized as an important element in complete rehabilitation. Rehab Manag. 1998;56, 59-60, 63.
- Galea M, Tumminia J, Garback LM. Telerehabilitation in spinal cord injury persons: a novel approach. Telemedicine and e-Health. 2006;12:160-162.
- Mitcho K, Yanko JR. Acute care management of spinal cord injuries. Critical Care Nursing Quarterly, 1999; 22(2), 60-79.
- Moussavi RM, Ribas-Cardus F, Rintala DH, Rodriguez GP. Dietary and serum lipids in individuals with spinal cord injury living in the community. J Rehabil Res Dev. 2001;38(2):225-233.
- Murphy M. Traumatic spinal cord injury: an acute care rehabilitation perspective. Crit Care Nurs Q. 1999 Aug;22(2):51-9. Review.
- Szlachic Y, Adkins R, Adal T, Yee F, Bauman W, Waters RL. The effects of dietary intervention on lipid profiles in individuals with spinal cord injury. The Journal of Spinal Cord Injury. 2001; 24 (1): 26-29. [#82]
- Tomey KM, Chen DM, Wang X, Braunschweig CL. Dietary intake and nutritional status of urban community-dwelling men with paraplegia. Arch Phys Med Rehabil; 2005 Apr; 86(4): 664-71.
- Vitaz TW, McIlvoy L, Raque GH, Spain DA, Shields CB. Development and implementation of a clinical pathway for spinal cord injuries. J Spinal Disord. 2001 Jun;14(3):271-6.
- Zemper ED, Tate DG, Roller S, Forchmeimer M, Chiodo A, Nelson VS, Scelza W. Assessment of a holistic wellness program for persons with spinal cord injury. Am J Phys Med Rehabil. 2003 Dec; 82(12): 957-68.
Search Plan and Results: Role of the registered dietitian 2007