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Journal of Spinal Cord Medicine

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https://www.readbyqxmd.com/read/28427305/neuromechanical-adaptations-during-a-robotic-powered-exoskeleton-assisted-walking-session
#1
Arvind Ramanujam, Christopher M Cirnigliaro, Erica Garbarini, Pierre Asselin, Rakesh Pilkar, Gail F Forrest
OBJECTIVE: To evaluate gait parameters and neuromuscular profiles of exoskeleton-assisted walking under Max Assist condition during a single-session for; (i) able bodied (AB) individuals walking assisted with (EXO) and without (non-EXO) a powered exoskeleton, (ii) non-ambulatory SCI individuals walking assisted with a powered exoskeleton. DESIGN: Single-session. SETTING: Motion analysis laboratory. PARTICIPANTS: Four AB individuals and four individuals with SCI...
April 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28424026/walking-ability-following-hybrid-assistive-limb-treatment-for-a-patient-with-chronic-myelopathy-after-surgery-for-cervical-ossification-of-the-posterior-longitudinal-ligament
#2
Shigeki Kubota, Tetsuya Abe, Hideki Kadone, Kengo Fujii, Yukiyo Shimizu, Aiki Marushima, Tomoyuki Ueno, Hiroaki Kawamoto, Yasushi Hada, Akira Matsumura, Yoshiyuki Sankai, Masashi Yamazaki
CONTEXT: The hybrid assistive limb (HAL) (the wearable robot) can assist kinesis during voluntary control of hip and knee joint motion by detecting the wearer's bioelectric signals on the surface of their skin. The purpose of this study was to report on walking ability following the wearable robot treatment in a patient with chronic myelopathy after surgery for cervical ossification of the posterior longitudinal ligament (OPLL). FINDINGS: The patient was a 66-year-old woman with cervical OPLL who was able to ambulate independently with the aid of bilateral crutches...
April 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28417673/research-progress-from-the-sci-model-systems-scims-an-interactive-discussion-on-future-directions
#3
Michael L Boninger, Edelle C Field-Fote, Steven C Kirshblum, Daniel P Lammertse, Trevor A Dyson-Hudson, Lesley Hudson, Allen W Heinemann
CONTEXT/OBJECTIVE: To describe current and future directions in spinal cord injury (SCI) research. DESIGN: The SCI Model Systems (SCIMS) programs funded by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) during the 2011 to 2016 cycle provided abstracts describing findings from current research projects. Discussion among session participants generated ideas for research opportunities. SETTING/PARTICIPANTS: Pre-conference workshop before the 2016 American Spinal Injury Association (ASIA) annual meeting...
April 18, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28414254/lifestyle-intervention-for-adults-with-spinal-cord-injury-results-of-the-usc-rlanrc-pressure-ulcer-prevention-study
#4
Mike Carlson, Cheryl Lp Vigen, Salah Rubayi, Erna Imperatore Blanche, Jeanine Blanchard, Michal Atkins, Barbara Bates-Jensen, Susan L Garber, Elizabeth A Pyatak, Jesus Diaz, Lucia I Florindez, Joel W Hay, Trudy Mallinson, Jennifer B Unger, Stanley Paul Azen, Michael Scott, Alison Cogan, Florence Clark
CONTEXT/OBJECTIVE: Medically serious pressure injuries (MSPrIs), a common complication of spinal cord injury (SCI), have devastating consequences on health and well-being and are extremely expensive to treat. We aimed to test the efficacy of a lifestyle-based intervention designed to reduce incidence of MSPrIs in adults with SCI. DESIGN: A randomized controlled trial (RCT), and a separate study wing involving a nonrandomized standard care control group. SETTING: Rancho Los Amigos National Rehabilitation Center, a large facility serving ethnically diverse, low income residents of Los Angeles County...
April 17, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28406070/an-investigation-of-the-relationship-between-autonomic-dysreflexia-and-intrathecal-baclofen-in-patients-with-spinal-cord-injury
#5
Anna Sophia Del Fabro, Melvin Mejia, Gregory Nemunaitis
OBJECTIVE: To study the relationship between autonomic dysreflexia and intrathecal baclofen in patients with spinal cord injury. DESIGN: Retrospective chart review. SETTING: Inpatient and outpatient acute rehabilitation facility. PARTICIPANTS: Thirty-four subjects. INTERVENTIONS: We reviewed patients' medical records to ascertain the presence of symptomatic autonomic dysreflexia (AD) prior to and after implantation of an intrathecal baclofen (ITB) pump for spasticity in spinal cord injury patients...
April 13, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28402229/-people-who-have-something-better-to-do-don-t-suffer-as-much
#6
Philip M Ullrich
No abstract text is available yet for this article.
April 12, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28402198/ventral-longitudinal-intraspinal-fluid-collection-rare-presentation-as-brachial-amyotrophy-and-intracranial-hypotension
#7
Veeramani Preethish-Kumar, Seena Vengalil, Sarbesh Tiwari, Kiran Polavarapu, M Netravathi, Aravinda Hanumanthapura Ramalingaiah, Atchayaram Nalini
CONTEXT: Ventral longitudinal intraspinal fluid collection (VLISFC) presenting as hand amyotrophy has been described only in a few cases and there are no reports on associated intracranial CSF hypovolemia (ICH). We describe the clinical and imaging findings of a case with combined brachial amyotrophy and ICH secondary to VLISFC. FINDINGS: A 31 year old man presented with severe positional neck discomfort, radiating pain, progressive asymmetrical wasting and weakness of distal upper limbs...
April 12, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28394218/poor-sleep-in-adults-with-pediatric-onset-spinal-cord-injury-associations-with-pain-health-and-activity
#8
Alicia M January, Kathy Zebracki, Kathleen M Chlan, Lawrence C Vogel
OBJECTIVE: To investigate medical complications that increase risk for poor sleep in adults with pediatric-onset spinal cord injury (SCI) and explore the relation of poor sleep to psychosocial outcomes. METHOD: This was a cross-sectional study of individuals with pediatric-onset SCI interviewed between 2011-2015. Participants were recruited from a pediatric specialty hospital and answered questions about demographics, injury characteristics, pain, and medical complications and completed standardized outcome measures, including: Pittsburgh Sleep Quality Index, SF12v2 Health Survey, Craig Handicap Assessment and Recording Technique (CHART), and Subjective Happiness Scale...
April 10, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28387153/breaking-bad-news-in-spinal-cord-injury-a-qualitative-study-assessing-the-perspective-of-spinal-cord-injury-survivors-in-turkey
#9
Ozden Ozyemisci-Taskiran, Ozlem Coskun, Isil Irem Budakoglu, Nesrin Demirsoy
Prior abstract publication: 2(nd) Medical Rehabilitation Congress; Nov 4-7, 2010; Ankara, Turkey Objective: This study aims to investigate the process of breaking bad news from the perspective of spinal cord injury survivors. DESIGN: A cross sectional, qualitative study Setting: Community Participants: Fourteen spinal cord injury survivors Interventions: Subjects participated in a semi-structured interview about 'when', 'where' 'by whom' and 'how' they received and 'would' prefer to receive bad news...
April 7, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28376657/suicide-before-and-after-spinal-cord-injury
#10
Xiulu Ruan, Jin Jun Luo
No abstract text is available yet for this article.
April 4, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28366050/a-safe-and-effective-multi-day-colonoscopy-bowel-preparation-for-individuals-with-spinal-cord-injuries
#11
Shawn H Song, Jelena N Svircev, Brandon J Teng, Jason A Dominitz, Stephen P Burns
CONTEXT/OBJECTIVE: Colonoscopy with polypectomy is associated with a reduced risk of colorectal cancer (CRC), but poor bowel cleansing limits the diagnostic yield of the procedure. Patients with spinal cord injury (SCI) frequently have suboptimal bowel cleansing with standard pre-colonoscopy bowel preparation regimens. We aimed to assess the safety, tolerability, and efficacy of a multi-day inpatient bowel preparation regimen in a population of patients with SCI. DESIGN: Retrospective case series...
April 1, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28359190/availability-and-need-of-home-adaptations-for-personal-mobility-among-individuals-with-spinal-cord-injury
#12
Anneke Hertig-Godeschalk, Armin Gemperli, Ursina Arnet, Timo Hinrichs
OBJECTIVE: To identify the availability and unmet need of home adaptations (HAs) among the Swiss population with spinal cord injury (SCI). DESIGN: Cross-sectional study. SETTING: Swiss Spinal Cord Injury Community Survey 2012. PARTICIPANTS: Individuals aged 16 or older with chronic SCI living in Switzerland. INTERVENTIONS: Not applicable. OUTCOME MEASURES: The availability of ten HAs (self-report) was analyzed by sex, age, living situation, indoor mobility, SCI severity, SCI etiology and time since SCI...
March 30, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28357930/quality-reporting-of-carotid-intima-media-thickness-methodology-current-state-of-the-science-in-the-field-of-spinal-cord-injury
#13
Jordan D Hoskin, Masae Miyatani, B Catharine Craven
OBJECTIVES: Carotid intima-media thickness (cIMT) may be used increasingly as a cardiovascular disease (CVD) screening tool in individuals with spinal cord injury (SCI) as other routine invasive diagnostic tests are often unfeasible. However, variation in cIMT acquisition and analysis methods is an issue in the current published literature. The growth of the field is dependent on cIMT quality acquisition and analysis to ensure accurate reporting of CVD risk. The purpose of this study is to evaluate the quality of the reported methodology used to collect cIMT values in SCI...
March 30, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28355990/active-elbow-flexion-is-possible-in-c4-quadriplegia-using-hybrid-assistive-limb-hal%C3%A2-technology-a-case-study
#14
Yukiyo Shimizu, Hideki Kadone, Shigeki Kubota, Akira Ikumi, Tetsuya Abe, Aiki Marushima, Tomoyuki Ueno, Ayumu Endo, Hiroaki Kawamoto, Kousaku Saotome, Akira Matsushita, Akira Matsumura, Yoshiyuki Sankai, Yasushi Hada, Masashi Yamazaki
CONTEXT: Patients with complete quadriplegia after high cervical spinal cord injury are fully dependent with activities of daily living. Assistive technology can improve their quality of life. We examined the use of a hybrid assistive limb for single joints (HAL-SJ) in a 19-year-old man with complete C4 quadriplegia due to chronic spinal cord injury to restore function of active elbow flexion. This is the first report on the use of the HAL-SJ in a patient with spinal cord injury. FINDINGS: The HAL-SJ intervention for each elbow was administered in 10 sessions...
March 29, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28355958/the-patient-health-questionnaire-depression-screener-in-spinal-cord-injury
#15
Julia M P Poritz, Joseph Mignogna, Aimee J Christie, Sally A Holmes, Herb Ames
CONTEXT: Although depression is not inevitable following spinal cord injury/dysfunction (SCI/D), it can have a negative impact on rehabilitation. Evidence-based assessment of depression utilizing self-report instruments, such as the Patient Health Questionnaire-9 (PHQ-9), is considered good clinical practice. Although the PHQ-9 has been studied in individuals with SCI/D, little is known about the clinical utility of the Patient Health Questionnaire-2 (PHQ-2). Traditional cutoff scores for the PHQ-2 were examined to explore their operating characteristics as related to PHQ-9 results...
March 29, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28325115/recognizing-the-role-of-research-in-improving-care-for-spinal-cord-injury-the-bors-award
#16
Florian P Thomas, Carolann Murphy, Stephen Cavanaugh
No abstract text is available yet for this article.
March 22, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28325112/potential-of-personal-health-record-portals-in-the-care-of-individuals-with-spinal-cord-injuries-and-disorders-provider-perspectives
#17
Jennifer N Hill, Bridget M Smith, Frances M Weaver, Kim M Nazi, Florian P Thomas, Barry Goldstein, Timothy P Hogan
CONTEXT/OBJECTIVE: Although personal health record (PHR) portals are designed for patients, healthcare providers are a key influence in how patients use their features and realize benefits from them. A few studies have examined provider attitudes toward PHR portals, but none have focused on those who care for individuals with spinal cord injuries and disorders (SCI/D). We characterize SCI/D provider perspectives of PHR portals, including perceived advantages and disadvantages of PHR portal use in SCI/D care...
March 21, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28317447/intraspinal-bronchogenic-cyst-series-of-case-reports-and-literature-review
#18
Xueying Ma, Wenfei Li, Chen Niu, Fengli Liang, Liping Guo, Tahir Mehmood Shakir, Ming Zhang
PURPOSE: Spinal bronchogenic cysts (SBCs) are rare congenital lesions. The clinical and imaging characteristics and treatment of SBCs are not well known. We studied three cases of SBCs retrospectively, which were registered in our department and analyzed eight case reports which were all published in English, focusing on providing a deeper knowledge of SBCs. METHODS: Three patients with SBCs registered in our department were retrospectively reviewed. Eight reported SBCs cases published from 1992 to 2015 were enrolled in our study...
March 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28303761/percutaneous-peripheral-nerve-stimulation-for-treatment-of-shoulder-pain-after-spinal-cord-injury-a-case-report
#19
Daniela Mehech, Melvin Mejia, Gregory A Nemunaitis, John Chae, Richard D Wilson
CONTEXT: This describes the first person with spinal cord injury (SCI) treated with percutaneous peripheral nerve stimulation for chronic shoulder pain. FINDINGS: From baseline to one-week after treatment, the subject's worst pain in the last week, rated on a 0-10 numerical rating scale (BPI-SF3), decreased by 44%. Pain interference decreased and remained below baseline 12 weeks after the end of treatment. There was an associated improvement in the mental component of quality of life...
March 17, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28287932/mental-disorder-prevalence-among-u-s-department-of-veterans-affairs-outpatients-with-spinal-cord-injuries
#20
Scott D McDonald, Melody N Mickens, Lisa D Goldberg-Looney, Brian J Mutchler, Michael S Ellwood, Teodoro A Castillo
OBJECTIVES: Depression and other mental disorders are more prevalent among individuals living with spinal cord injury (SCI) than in the community at large, and have a strong association with quality of life. Yet little is known about the prevalence and predictors of mental disorders among U.S. military Veterans living with SCI. The primary aim of this study was to present an estimate of mental disorder point prevalence in this population. The secondary aim was to examine the relationship of mental disorders to demographics, injury characteristics, and other clinically relevant features such as impairment from mental health problems and life satisfaction...
March 13, 2017: Journal of Spinal Cord Medicine
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