Which of the following is a secondary prevention measure for spinal cord injury rehabilitation?

• A. Deep breathing
• B. Nutrition counseling
• C. Extended bed rest
• D. Limiting physical therapy

Answer: (A)

When considering preventing problems after a spinal cord injury during rehabilitation, the focus is on secondary prevention—stopping complications from arising or worsening. Deep breathing helps keep the lungs well inflated, promotes clearance of secretions, and reduces the risk of atelectasis and pneumonia in someone who is immobile or has limited chest wall movement. That direct benefit to respiratory health in the rehab phase makes it the best choice.

Nutrition counseling is important for overall healing and health, but it doesn’t specifically target preventing pulmonary complications in rehabilitation. Extended bed rest raises the risk of deconditioning, pressure injuries, and other problems, so it’s not a preventive strategy. Limiting physical therapy would hinder recovery and doesn’t prevent complications; active mobilization and therapy are part of reducing secondary problems like joint stiffness and muscle atrophy.