Functional Assessment and Restoration service

The Functional Assessment and Restoration (FAR) service
Past, present and future

The FAR Service began in February 2004 as a hospital initiative under the lead of Dr Angela Gall, Consultant in Rehabilitation Medicine in the London Spinal Cord Injury Centre. It provides both clinical and translational research services. It evolved directly from the research carried out at the Spinal Research Centre, directed by Professor Michael Craggs and exists to provide a channel for translating clinical research into improved management for spinal cord injured patients. The FAR Service team is multi-disciplinary consisting clinicians, nurses, physiotherapists and clinical scientists. The FAR Service works in close collaboration with the UCL Aspire CREATE team and the London Spinal Cord Injury Research Centre

Clinical Services

Neurophysiological assessments

Standard urodynamics and uroflowmetry investigations for measurement of bladder function especially following neurological dysfunction.

Complex neuro-physiological assessments of pelvic autonomic functions, to enable the neurosurgical teams to evaluate neurological outcome pre and post intervention

Intra-operative monitoring of neurophysiological pelvic function during implantation of neuroprostheses and other neurosurgical procedures

Neuroprosthetic implants for bladder, bowel and sexual function

Counselling and assessment for patients interested in implantable neuroprosthetic devices for bladder control

Follow up for patients with a Finetech-Brindley Sacral Anterior Root Stimulator Implant (SARS)

Intrathecal Baclofen (ITB) Pump Clinic

Counselling of patients interested in ITB therapy for spasticity following spinal cord injury and other neurological dysfunctions

ITB Pump Refill Clinic to refill pumps with new drug and re-programming drug dose delivery

Fertility Service

Nurse-led service to provide counselling and instruction of use of the vibrostimulation (Ferticare and Viberect vibrators) for reflex ejaculation in spinal cord patients

Counselling for electro-ejaculation

Pelvic Floor Muscle Clinic

Physiotherapist led clinic to counsel, assess and teach pelvic floor muscle training to improve continence

Education on use of biofeedback and pelvic floor electrical stimulation devices

Research Services

Please see London Spinal Cord Injury Research Centre pages for current projects

Referrals:
Referrals are accepted from GP's and internal and external Consultants

Consultant Rehabilitation Physician:
Dr Angela Gall

Clinical Scientist:
Dr Sarah Knight

Research Nurse:
Sister Judith Susser

Research Phyiotherapist
Natalia Vasquez

Key contact:
Tel: 020 8909 5605

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Spinal Cord Injury Centre