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Hello Friends,
A wheelchair user's' day can instantly go from bright to bleak when their wheelchair suddenly breaks down. It is usually difficult to get a repair promptly and even harder to replace a wheelchair whose days are numbered. It is not uncommon for people to go without their wheelchairs for months on end while waiting for repairs. It's a hard business for wheelchair providers, and many will no longer accept Medicare or Medi-Cal because the reimbursement is long in coming and is so low. Read More..

Medical and Health

Pneumonia Preventative Steps

Persons with high level quadriplegia are about 150 times more likely to die from pneumonia than the general population. In addition to seeing a doctor and getting appropriate vaccinations and treatments, the following simple steps can help prevent pneumonia:

  • Drink plenty of liquids
  • Do breathing exercises, with assistance if needed
  • Breathe through your nose, not your mouth
  • Sit right if possible
  • Lose weight, eat healthy foods
  • Sleep on your side, not on your back
  • Limit time in a supine position
  • Change positions at night if possible
  • Wear abdominal binder if diaphragm muscles are weak


Assisted Cough (Quad Cough)

By having someone assist you in coughing, your cough will be more forceful and productive and you will be able to both prevent and treat some respiratory complications by bringing up secretions normally present in the lung.

    Indications for an assisted cough are:
  • Weak or ineffective cough, and/or
  • Excessive secretions
    Reasons to avoid an assisted cough are:
  • Pain
  • Internal problems, such as abdominal complications, where pushing on the abdomen could cause more complications
  • Chest injury ( broken ribs)
  • Flail chest, where the chest has excessive mobility, usually due to paralysis of the muscles which control it.
    Assisted cough photoFollowing is the procedure for an assisted cough:
  • Place the fist of one hand, immediately below the breastbone, and the heel of the other hand on top of the breastbone. The hands need to be over the diaphragm area.
  • The hand position may vary from the illustration, but the hands must be below the ribs.
  • Take a breath and cough as you exhale the air. Your assistant should push inward and upwards as you cough. NOTE: If you are on a ventilator, your assistant should push during inhalation. An ambu-bag may be substituted for the ventilator for a stronger cough.
  • Repeat, as necessary, with rest periods, as needed, between efforts

Assisted coughing can be used while in bed or sitting up. Be sure the brakes of your wheelchair are locked before assisting cough. If lung congestion is present, assisted coughing is more effective when combined with postural drainage.

Article taken from:
Louis Calder Memorial Library


Bladder & Bowel Care Articles Maintaining bowel and bladder health are among the most crucial and challenging issues faced by people with quadriplegia. There are many techniques used to achieve and maintain both bowel and bladder function. There are also many inherent difficulties. The following sites may be of help in addressing some of the issues and choices involved.
Good Catheterization Techniques (for self cath but also can apply to any cath)
Wheelchair Life: Badder & Bowel
New Mobility.Bladder Matters: Ditching Drug Side Effects
New Mobility.Bladder Matters: UTI Update
Sci-Info-Pages Spinal Cord Injury Bowel Management
Apparelyzed Bowel & Bladder forums


Respiratory Management
Cleaning and Caring for Tracheostomy Equipment


Individualized Exercise Based Therapy in the Bay Area

Spinal Cord Injury Functional Integrated Therapy (SCI-FIT) offers a comprehensive, post-traditional, exercise based therapy program for individuals who are living with spinal cord injuries and other neurological conditions to help them achieve their maximum functional outcome. Based in Pleasanton, find out more on their website:


Videos on yoga for quadriplegics

Christopher & Dana Reeve Foundation


Benefits and Other Services

The Social Security and Disability Resource Center is an informational website that provides answers to questions about how to apply for disability, how to appeal a claim in the event of a denial, how to navigate the federal system, and how to avoid certain mistakes that are commonly made by applicants.

Free Service for Speech Disabled
Speech to Speech is a free service to people with speech disabilities. It provides a third-party communication assistance for people with difficulty in being understood over the telephone. It is available for personal, business and medical communications by phone.


SCI Research

Miami Project

Miami Project Research Studies

Reeve-Irvine Research Center The Kessler Foundation supports research in rehabilitation to improve the lives of persons with disabling, paralyzing disorders such as MS, spinal cord injury, stroke and traumatic brain injury.

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