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Journal of Spinal Cord Medicine

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https://www.readbyqxmd.com/read/28198662/changes-in-bacterial-epidemiology-and-antibiotic-resistance-among-veterans-with-spinal-cord-injury-disorder-over-the-past-9-years
#1
Margaret A Fitzpatrick, Katie J Suda, Nasia Safdar, Stephen P Burns, Makoto M Jones, Linda Poggensee, Swetha Ramanathan, Charlesnika T Evans
OBJECTIVE: Patients with spinal cord injury and disorder (SCI/D) have an increased risk of infection with multidrug-resistant (MDR) bacteria. We described bacterial epidemiology and resistance in patients with SCI/D at Veterans Affairs Medical Centers (VAMCs) for the past 9 years. DESIGN: Retrospective cohort Setting: One hundred thirty VAMCs. PARTICIPANTS: Veterans with SCI/D and bacterial cultures with antibiotic susceptibility testing performed between 1/1/2005-12/31/2013...
February 15, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28198660/prediction-of-functional-recovery-six-months-following-traumatic-spinal-cord-injury-during-acute-care-hospitalization
#2
Andréane Richard-Denis, Debbie Feldman, Cynthia Thompson, Jean-Marc Mac-Thiong
OBJECTIVES: To determine factors associated with functional status six months following a traumatic cervical and thoracic spinal cord injury (SCI), with a particular interest in factors related to the acute care hospitalization stay. DESIGN: This is a prospective cohort study. Sixteen potential predictive variables were studied. Univariate regression analyses were first performed to determine the strength of association of each variable independently with the total Spinal Cord Independence Measure (SCIM) score...
February 15, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28198657/genital-nerve-stimulation-increases-bladder-capacity-after-sci-a-meta-analysis
#3
Dennis J Bourbeau, Graham H Creasey, Steven Sidik, Steven W Brose, Kenneth J Gustafson
BACKGROUND: Neurogenic detrusor overactivity (NDO) often results in decreased bladder capacity, urinary incontinence, and vesico-ureteral reflux. NDO can trigger autonomic dysreflexia and can impair quality of life. Electrical stimulation of the genital nerves (GNS) acutely inhibits reflex bladder contractions and can increase bladder capacity. Quantifying the effect of GNS on bladder capacity and determining what study factors and subject factors influence bladder capacity improvements will inform the design of clinical GNS interventions...
February 15, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28185483/genital-nerve-stimulation-is-tolerable-and-effective-for-bladder-inhibition-in-sensate-individuals-with-incomplete-sci
#4
Steven W Brose, Dennis J Bourbeau, Kenneth J Gustafson
BACKGROUND: Neurogenic detrusor overactivity after spinal cord injury (SCI) causes urinary incontinence and reduces bladder capacity. Surface electrical genital nerve stimulation (GNS) acutely inhibits reflex bladder contractions. The stimulation amplitude selected for GNS is typically twice the amplitude that is required to evoke the pudendal-anal reflex. There is concern about the ability of persons with sensation to comfortably tolerate effective levels of GNS. The objective of this work is to determine if persons with incomplete SCI are able to tolerate acute GNS for bladder inhibition...
February 10, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28185477/measuring-pain-phenomena-after-spinal-cord-injury-development-and-psychometric-properties-of-the-sci-qol-pain-interference-and-pain-behavior-assessment-tools
#5
Matthew L Cohen, Pamela A Kisala, Trevor A Dyson-Hudson, David S Tulsky
OBJECTIVE: To develop modern patient-reported outcome measures that assess pain interference and pain behavior after spinal cord injury (SCI). DESIGN: Grounded-theory based qualitative item development; large-scale item calibration field-testing; confirmatory factor analyses; graded response model item response theory analyses; statistical linking techniques to transform scores to the Patient Reported Outcome Measurement Information System (PROMIS) metric. SETTING: Five SCI Model Systems centers and one Department of Veterans Affairs medical center in the United States...
February 10, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28155591/impact-of-an-implanted-neuroprosthesis-on-community-ambulation-in-incomplete-sci
#6
Lisa M Lombardo, Rudolf Kobetic, Gilles Pinault, Kevin M Foglyano, Stephanie N Bailey, Stephen Selkirk, Ronald J Triolo
OBJECTIVE: Test the effect of a multi-joint control with implanted electrical stimulation on walking after spinal cord injury (SCI). DESIGN: Single subject research design with repeated measures Setting: Hospital-based biomechanics laboratory and user assessment of community use. PARTICIPANTS: Female with C6 AIS C SCI 30 years post injury. INTERVENTIONS: Lower extremity muscle activation with an implanted pulse generator and gait training...
February 3, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28134033/response-to-letter
#7
Chester H Ho
No abstract text is available yet for this article.
January 30, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28134030/recovery-from-spinal-cord-infarction-associated-with-cannabis-use
#8
Tamer Akel
CONTEXT: Cerebrovascular and cardiovascular accidents have been associated with illicit drug use. The most commonly used substance worldwide is cannabis. It has been related to acute ischemic cerebral stroke in multiple reports, with different mechanisms suggested. FINDINGS: This is a case of Acute Spinal Cord Ischemia Syndrome (ASCIS) in a 25-year-old male who presented 20 minutes after smoking cannabis. Although a direct causal relationship between cannabis and cerebrovascular accidents is difficult to establish, there might be an association...
January 30, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28114866/refractory-orthostatic-hypotension-in-a-patient-with-a-spinal-cord-injury-treatment-with-droxidopa
#9
Eva Canosa-Hermida, Cristina Mondelo-García, María Elena Ferreiro-Velasco, Sebastián Salvador-de la Barrera, Antonio Montoto-Marqués, Antonio Rodríguez-Sotillo, José Ramón Vizoso-Hermida
CONTEXT: Orthostatic hypotension (OH) is a common complication in patients with a spinal cord injury, mainly affecting complete injuries above neurological level T6. It is generally more severe during the acute phase but can remain symptomatic for several years. FINDINGS: A 65-year-old male with a grade ASIA A post-traumatic cervical spinal cord injury, at neurological level C4, presenting with symptomatic refractory OH. Increased blood pressure (BP) levels and an overall clinical improvement was observed after administering an increasing dose of droxidopa...
January 24, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28112600/on-primary-care-and-spinal-cord-injury
#10
Michael D Stillman, Steve R Williams
No abstract text is available yet for this article.
January 23, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28112598/acute-effects-of-glossopharyngeal-insufflation-in-people-with-cervical-spinal-cord-injury
#11
Malin Nygren-Bonnier, Tomas A Schiffer, Peter Lindholm
OBJECTIVES: To evaluate acute effects of glossopharyngeal insufflation (GI) on lung function, airway pressure (Paw), blood pressure and heart rate (HR) in people with cervical spinal cord injury (CSCI). DESIGN: Case-control design. SETTING: Karolinska Institutet, Stockholm, Sweden. PARTICIPANTS: Ten participants with CSCI suffering from lesions between C4 and C8, and ASIA classification of A or B were recruited. Ten healthy particpants familiar with GI were recruited as a reference group...
January 23, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28102106/comparison-of-disability-and-quality-of-life-between-patients-with-pediatric-and-adult-onset-paraplegia
#12
Hanife Duzgun Celik, Ayla Cagliyan Turk, Fusun Sahin, Figen Yilmaz, Banu Kuran
OBJECTIVE: To investigate the factors that affect disability and quality of life in patients with spinal cord injuries (SCIs) and to compare the degree of disability and quality of life in patients with SCI according to over and under 18 years of age when their injury occurred. DESIGN: Cohort study. SETTING: Two academic hospitals in Istanbul, Turkey. PARTICIPANTS: Forty patients with SCI were included in this study...
January 19, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27917700/posterior-reversible-encephalopathy-syndrome-following-elevated-mean-arterial-pressures-for-cervical-spinal-cord-injury
#13
Jeffrey H Zimering, Addisu Mesfin
BACKGROUND: Increasing the mean arterial pressure (MAP) is an accepted treatment modality to minimize the risk for irreversible neurologic damage secondary to spinal cord ischemia. Posterior reversible encephalopathy syndrome (PRES) is a rare complication occurring after transplantation surgery, in persons having an autoimmune disorder or after abrupt increases in blood pressure of various etiologies. STUDY DESIGN: Case report. METHODS: Retrospective evaluation of medical records...
December 5, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28225324/editors-note
#14
Florian P Thomas, Carolann Murphy, Stephen Cavanaugh
No abstract text is available yet for this article.
January 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28225323/sci-facts-and-figures
#15
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27852160/predictors-of-functional-outcomes-in-adults-with-traumatic-spinal-cord-injury-following-inpatient-rehabilitation-a-systematic-review
#16
Faisal AlHuthaifi, Joseph Krzak, Timothy Hanke, Lawrence C Vogel
CONTEXT: Despite functional improvements during rehabilitation, variable functional outcomes were reported when patients with Spinal Cord Injury (SCI) return to society. Higher functioning individuals at discharge can experience a decrease in independent mobility (i.e. Motor Functional Independence Measure (mFIM) Score) by one-year follow-up. However, functional gains after discharge have also been reported and associated with recovery. OBJECTIVE: To identify, categorize and rank predictors of mFIM score for patients with SCI following inpatient rehabilitation, both at the time of discharge and at one-year follow-up...
November 17, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27844565/depressive-symptomatology-after-spinal-cord-injury-a-multi-center-investigation-of-multiple-racial-ethnic-groups
#17
Yue Cao, Chao Li, Anne Gregory, Susan Charlifue, James S Krause
OBJECTIVE: To identify (1) racial-ethnic differences in depressive symptomatology after spinal cord injury (SCI) and (2) the relationship of multiple additional factors to depressive symptoms, including health behaviors, employment, fatigue, and pain interference. DESIGN: Cross-sectional Setting: Data were collected at 3 specialty hospitals in different regions of the USA (Southeastern, Mountain, Western). PARTICIPANTS: Participants (N = 1,063) were identified from outpatient records of the 3 hospitals with oversampling of racial-ethnic minority groups...
November 15, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27841101/some-people-move-it-move-it%C3%A2-for-pressure-injury-prevention
#18
Sharon E Sonenblum, Stephen H Sprigle
OBJECTIVE: To describe differences in in-seat behavior observed between individuals with a spinal cord injury (SCI) with and without a history of recurrent pressure injuries. DESIGN: Cross-sectional cohort study. SETTING: General community. PARTICIPANTS: Twenty-nine adults more than 2 years post SCI, who used a wheelchair as their primary mobility device and had the ability to independently perform weight shift maneuvers...
November 14, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27841095/antispasmodic-medications-may-be-associated-with-reduced-recovery-during-inpatient-rehabilitation-after-traumatic-spinal-cord-injury
#19
Eric R Theriault, Vincent Huang, Gale Whiteneck, Marcel P Dijkers, Noam Y Harel
OBJECTIVE: To determine whether antispasmodic medications are associated with neurological and functional outcomes during the first year after traumatic spinal cord injury (SCI). DESIGN/METHODS: Retrospective analysis of prospectively collected data from six inpatient SCI rehabilitation centers. Baseline-adjusted outcomes at discharge and one-year follow-up were compared using analysis of covariance between patients who received antispasmodic medication on at least 5 days during inpatient rehabilitation and patients who did not...
November 14, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27841091/passive-cycling-in-neurorehabilitation-after-spinal-cord-injury-a-review
#20
Raffaele Nardone, Andrea Orioli, Stefan Golaszewski, Francesco Brigo, Luca Sebastianelli, Yvonne Höller, Vanessa Frey, Eugen Trinka
CONTEXT/OBJECTIVE: Passive cycling (PC) may represent a potential alternative neurorehabilitation program for patients who are too weak or medically unstable to repeatedly practice active movements. We review here the most important animal and human studies addressing PC after spinal cord injury (SCI). METHODS: A MEDLINE search was performed using following terms: "passive", "cycling", "pedaling", "pedalling","spinal cord injury". RESULTS: Experimental studies revealed that PC modulated spinal reflex and reduced spasticity...
November 14, 2016: Journal of Spinal Cord Medicine
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