Spinal Cord Injury
Chronologically Controlled Developmental Therapy has been used to  treat Spinal Cord Injuries
since the early 1970's by Ed Snapp, PT.  

CCDT is designed to address the nervous system directly rather than trying to teach the SCI
client to use residual ability through great effort and practice.  

Spinal Cord Injury is different from other Central Nervous System injuries primarily because the
cerebral cortex can relate to and communicate with the brain stem.  In teaching/practice/goal
oriented rehabilitation it seems to be true that any improvement appeared to progress downward
from the point of injury through the next adjacent nerve root as the cortex addressed the goal
oriented tasks required to "relearn" the movements and substitute new pathways for even the
simplest of functions.  Unfortunately, The teaching and practice efforts usually result in the
gradual acquisition of the function of each next lower spinal segment.  This seldom seems to
effect more than 2-4 segments below the injury.

Treatment Methods

Treatment methods follow the same format as that used for other CNS injuries because it
follows the design of the genetic sequence of development.  The nervous system reacts to a
specific sequence of sensory stimuli that is recognized as a part of the early development of the
genetic code and in doing so it reestablishes the corrected pattern of function.  

By addressing the nervous system through a sequence of sensory stimuli a different sequence
of relearning seems to take place.  It is then necessary to go back to the point of the
developmental function that is available, apply passive stimulus that relates to that portion of
development and allow the individual to progress at a natural pace. This is truly much faster than
trying to teach around a disability and the result is an automatic, not a relearned response. Our
genetics contain all of the information needed for the recovery of lost function.

But the process of "rebooting the human computer" may require considerable time, depending
on many factors of each individual and each injury.  Improvement can be seen in a short amount
of time and can be defined as miraculous but in most CNS cases miracles occur progressively.

Treatment Responses
Treatment responses vary from client to client. The following responses have been frequently
seen in our clients with Spinal Cord injuries.

> Return of the spinal extensors on both sides of the spinal column.
> Unilateral control of the spinal muscles to move the trunk from side to side
> Adductor muscles of the hips from an abducted position,
> Beginning of hip flexion and abduction form a position of moderate abduction and outward
rotation of the hip.

When these have occurred a sequence of basic movement patterns progresses from prone
mobility to quadruped mobility as a basis for development of muscle strength and endurance.
More Information on Spinal Cord Injuries

Chronologically Controlled Developmental Therapy for Physical Disability
By:
Laurance Johnston, Ph.D.

Body Work Therapies

Spinal Cord Dysfunction: Complementary & Alternative Medicine
Copyrighted 2004                                                     All Rights Reserved
No part of this website or information contained within may be
reproduced or transmitted in any form without written permission
from Futures Unlimited, Inc.
Home / CCDT / Post Polio Syndrome / Autism / Cerebral Palsy / Developmental Delay / Books /
Spinal Cord Injury
Traumatic Brain Injury / Therapy/Diagnosis / ADD / Massage
Counter