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Journal of Spinal Cord Medicine

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
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
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
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
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
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
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
Gillian Mayman, Marisa Perera, Michelle A Meade, Joanna Jennie, Eric Maslowski
OBJECTIVE: To describe use of several electronic devices among individuals with traumatic spinal cord injury (SCI). STUDY DESIGN: Cross-sectional survey. SETTING: Community. METHODS: Potential participants consisted of all individuals with traumatic SCI, ages 7 and older, who had received care through a large academic medical center in the Midwest between January 1, 2003, and January 2, 2013. All eligible individuals received the survey as part of a four-stage mailing that asked questions about electronic device use in addition to questions about demographic and injury-related characteristics...
November 14, 2016: Journal of Spinal Cord Medicine
Francesco Cavallieri, Nicola Fini, Sara Contardi, Massimo Fiorini, Elena Corradini, Franco Valzania
CONTEXT: Acquired copper deficiency represents a rare cause of progressive myelopathy presenting with sensory ataxia and spastic gait. The time interval from neurological symptoms onset to diagnosis of myelopathy ranges from 2 months to several years in almost all cases, mimicking the clinical course of subacute combined degeneration due to vitamin B12 deficiency. FINDINGS: A 60-year-old man, without any gastrointestinal symptoms, developed over the course of one week rapidly progressive gait imbalance, tingling and numbness in his feet and ascending lower limb weakness...
November 14, 2016: Journal of Spinal Cord Medicine
Mahesh Krishna Pillai
CONTEXT: Spinal arachnoid cysts are usually asymptomatic and discovered incidentally. Expansion of the cyst, whether acute, subacute or chronic, leads to neural compression resulting in radicuopathy and/or myelopathy. FINDINGS: This case report is of a patient who presented primarily with posterior column dysfunction,subacute in onset and rapidly progressing. Images of the cervical spine showed a dorsal arachnoid cyst, causing significant cord compression and signal changes in the cord, with no scalloping of the vertebrae...
November 9, 2016: Journal of Spinal Cord Medicine
Ozden Ozyemisci-Taskiran, Isil Irem Budakoglu, Ozlem Coskun, Nesrin Demirsoy
OBJECTIVE: To explore Turkish physiatrists' experiences and opinions about breaking bad news (BBN) to patients with spinal cord injury (SCI). DESIGN: A cross sectional study. SETTING: Turkey. PARTICIPANTS: Sixty-nine physiatrists completed a questionnaire about experiences and opinions regarding BBN and self-assessment of communication skills (CS). RESULTS: Eleven percent of specialists and 53% of residents were trained on basic CS...
November 7, 2016: Journal of Spinal Cord Medicine
Liang-Feng Wei, Shou-Sen Wang, Zhao-Cong Zheng, Jun Tian, Liang Xue
BACKGROUND: Diffusion tensor imaging (DTI) shows great advantage in the diagnosis of brain diseases, including cervical spinal cord (CSC) disease. This study aims to obtain the normal values of the DTI parameters for a healthy population and to establish a baseline for CSC disease diagnosis using DTI. METHODS: A total of 36 healthy adults were subjected to magnetic resonance imaging (MRI) for the entire CSC using the Siemens 3.0 T MR System. Sagittal DTI acquisition was carried out with a single-shot spin-echo echo-planar imaging (EPI) sequence along 12 non-collinear directions...
November 4, 2016: Journal of Spinal Cord Medicine
Derry L Dance, Amit Chopra, Kent Campbell, David S Ditor, Magdy Hassouna, B Catharine Craven
BACKGROUND: Clinically silent autonomic dysfunction with bowel and bladder care, are postulated to contribute to cardiovascular disease after chronic spinal cord injury (SCI). OBJECTIVE: We describe the frequency and severity of dysreflexic episodes, termed transient blood pressure elevations (T-BPE) over 48 hours in adults with cervical or high-thoracic motor-complete SCI. SETTING: Tertiary SCI Rehabilitation Centre in Toronto, Canada. PARTICIPANTS: Individuals with chronic SCI, C1-T3 AIS A or B, >1 year post-injury, living in the community (n=19)...
November 4, 2016: Journal of Spinal Cord Medicine
Gregory J Schilero, Joshua C Hobson, Kamaldeep Singh, Ann M Spungen, William A Bauman, Miroslav Radulovic
OBJECTIVE: In addition to lung volume restriction, persons with chronic tetraplegia demonstrate obstructive airway physiology evinced by pharmacologically-induced bronchodilation. We previously found independent evidence that anticholinergic agents (ipratropium bromide; IB) and beta-2 adrenergic agonists (albuterol sulfate; AS) were associated with significant bronchodilation in subjects with tetraplegia as determined via spirometry or body plethysmography. Direct comparison of these two classes of agents has received little attention...
November 3, 2016: Journal of Spinal Cord Medicine
Todd A Astorino, Jacob S Thum
BACKGROUND: High intensity interval training (HIIT) is a robust and time-efficient approach to improve multiple health indices including maximal oxygen uptake (VO2max). Despite the intense nature of HIIT, data in untrained adults report greater enjoyment of HIIT versus continuous exercise (CEX). However, this has yet to be investigated in persons with spinal cord injury (SCI). OBJECTIVE: To examine differences in enjoyment in response to CEX and HIIT in persons with SCI...
November 3, 2016: Journal of Spinal Cord Medicine
David R Dolbow, Ashraf S Gorgey, Refka K Khalil, David R Gater
BACKGROUND: Functional electrical stimulation cycling is a common clinical treatment for individuals with spinal cord injury and other paralytic conditions, however, the long term effects of home-based functional electrical stimulation cycling remains unreported. OBJECTIVE: To determine the effectiveness of a long-term home-based functional electrical stimulation lower extremities cycling (FES-LEC) program on body composition. PARTICIPANT: An adult male 52...
November 3, 2016: Journal of Spinal Cord Medicine
Florian Thomas, Carolann Murphy, Stephen Cavanaugh
No abstract text is available yet for this article.
November 2016: Journal of Spinal Cord Medicine
Thomas M Dixon
No abstract text is available yet for this article.
November 2016: Journal of Spinal Cord Medicine
Jian Tang, Jun Ma, Lei Yang, Xinpeng Huang, Yingbin Ge, Tao Sui, Zhongqing Wei, Xiaojian Cao
OBJECTIVE: Intradural nerve anastomosis for bladder innervation has been demonstrated to be useful. However, its clinical application remains limited because of the complex surgery, its complications and extensive bony destruction. The purpose of the current study was to demonstrate the feasibility of extradural spinal root anastomosis for bladder innervation in canines. METHODS: Ten beagle dogs were used. The length of the extradural segment of the nerve root, upper nerve root outlet (the point at which it emerges from the spinal dura mater) to S2 (dS2), the S3 (dS3) nerve root outlet distance, and the diameters of the extradural spinal roots were measured...
November 2016: Journal of Spinal Cord Medicine
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No abstract text is available yet for this article.
November 2016: Journal of Spinal Cord Medicine
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