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Journal of Spinal Cord Medicine

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https://www.readbyqxmd.com/read/28614985/stimulation-of-abdominal-and-upper-thoracic-muscles-with-surface-electrodes-for-respiration-and-cough-acute-studies-in-adult-canines
#1
James S Walter, Joseph Posluszny, Raymond Dieter, Robert S Dieter, Scott Sayers, Kiratipath Iamsakul, Christine Staunton, Donald Thomas, Mark Rabbat, Sanjay Singh
OBJECTIVE: To optimize maximal respiratory responses with surface stimulation over abdominal and upper thorax muscles and using a 12-Channel Neuroprosthetic Platform. METHODS: Following instrumentation, six anesthetized adult canines were hyperventilated sufficiently to produce respiratory apnea. Six abdominal tests optimized electrode arrangements and stimulation parameters using bipolar sets of 4.5 cm square electrodes. Tests in the upper thorax optimized electrode locations, and forelimb moment was limited to slight-to-moderate...
June 14, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28610474/trunk-function-and-ischial-pressure-offloading-in-individuals-with-spinal-cord-injury
#2
Sharon Gabison, Sunita Mathur, Ethne L Nussbaum, Milos R Popovic, Mary C Verrier
OBJECTIVE: To determine if there is a relationship between trunk function and offloading of the ischial tuberosities in individuals with Spinal Cord Injury (SCI). DESIGN: Prospective cross-sectional evaluation. SETTING: Sub-acute rehabilitation hospital. PARTICIPANTS: Fifteen non-ambulatory participants with complete or incomplete traumatic and non-traumatic SCI, American Spinal Injury Association Impairment Scale (AIS), Classification A-D...
June 14, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28605990/mir-25-protects-pc-12-cells-from-h2o2-mediated-oxidative-damage-via-wnt-%C3%AE-catenin-pathway
#3
Yi Guo, Shizhen Niu
OBJECTIVE: Spinal cord injury (SCI) is associated with modulation of different microRNAs (miRs). This study aims to explore the role of miR-25 in PC-12 cells to reveal the potential of miR-25 in SCI treatment. METHODS: SCI model was established in C57BL/6 mice, then miR-expression in the injured spinal cords were detected by qRT-PCR. PC-12 cells were exposed to H2O2 conditions to establish an in vitro model of SCI. PC-12 cells were transfected with expressing vector or antisense oligonucleotides (ASO) of miR-25...
June 12, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28580861/factors-associated-with-upper-extremity-contractures-after-cervical-spinal-cord-injury-a-pilot-study
#4
Dustin Hardwick, Anne Bryden, Gina Kubec, Kevin Kilgore
OBJECTIVE: To examine the prevalence of joint contractures in the upper limb and association with voluntary strength, innervation status, functional status, and demographics in a convenience sample of individuals with cervical spinal cord injury to inform future prospective studies. DESIGN: Cross-sectional convenience sampled pilot study. SETTING: Department of Veterans Affairs Research Laboratory. PARTICIPANTS: Thirty-eight participants with cervical level spinal cord injury...
June 5, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28580859/isolated-spinal-cord-compression-syndrome-revealing-delayed-extensive-superficial-siderosis-of-the-central-nervous-system-secondary-to-cervical-root-avulsion
#5
Amina Nasri, Imen Kacem, Youssef Sidhom, Mouna Ben Djebara, Amina Gargouri, Riadh Gouider
CONTEXT: Cervical root avulsion secondary to traumatic plexus injury is a rare etiology of superficial siderosis (SS) of the central nervous system (CNS). We describe the case of an isolated progressive compressive myelopathy revealing this complication and discuss the pathogenesis of such a presentation, its clinical and imaging peculiarities with a literature review. FINDINGS: We report on the case of a 48-year-old man with history of left brachial plexus injury at the age of 2 years...
June 5, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28571529/implementation-and-evaluation-of-an-algorithm-based-order-set-for-the-outpatient-treatment-of-urinary-tract-infections-in-the-spinal-cord-injury-population-in-a-va-medical-center
#6
Clayton Patros, Mirella Sabol, Angela Paniagua, Daniel Lans
BACKGROUND: Treatment of urinary tract infections (UTI) in the spinal cord injury (SCI) population is often difficult due to the lack of symptoms, increased resistance, and increased morbidity and mortality associated with UTIs. OBJECTIVE: To develop an algorithm-based order set for the treatment of UTIs for patients with SCI based on SCI-specific antibiogram data in order to assess and improve current antimicrobial prescribing practices at the Clement J. Zablocki Veterans Affairs Medical Center (ZVAMC)...
June 2, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28571527/assessment-and-management-of-acute-spinal-cord-injury-from-point-of-injury-to-rehabilitation
#7
Laureen D Hachem, Christopher S Ahuja, Michael G Fehlings
CONTEXT: Spinal cord injury (SCI) is a devastating condition that can lead to significant neurological impairment and reduced quality of life. Despite advancements in our understanding of the pathophysiology and secondary injury mechanisms involved in SCI, there are currently very few effective treatments for this condition. The field, however, is rapidly changing as new treatments are developed and key discoveries are made. METHODS: In this review, we outline the pathophysiology, management, and long-term rehabilitation of individuals with traumatic SCI...
June 1, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28552031/the-hybrid-assistive-limb%C3%A2-intervention-for-a-postoperative-patient-with-spinal-dural-arteriovenous-fistula-and-chronic-spinal-cord-injury-a-case-study
#8
Yukiyo Shimizu, Kei Nakai, Hideki Kadone, Shunsuke Yamauchi, Shigeki Kubota, Tomoyuki Ueno, Aiki Marushima, Kayo Hiruta, Ayumu Endo, Hiroaki Kawamoto, Akira Matsumura, Yoshiyuki Sankai, Yasushi Hada, Masashi Yamazaki
CONTEXT: The purpose of this report was to describe the improvement in walking ability using the Hybrid Assistive Limb® (HAL®) intervention in the case of a patient with paraplegia after spinal cord injury whose condition deteriorated because of a spinal dural arteriovenous fistula (SDAVF). FINDINGS: A 48-year-old man started the HAL® intervention twice per week (total 10 sessions), after his neurologic improvement had plateaued from 3 to 6 months postoperatively for an SDAVF...
May 29, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28545340/optimized-methods-for-rapidly-dissecting-spinal-cords-and-harvesting-spinal-motor-neurons-with-high-survival-and-purity-from-rats-at-different-embryonic-stages
#9
Shudong Chen, Ruimin Tian, Hui Li, Meihui Chen, Hu Zhang, Dingkun Lin
STUDY DESIGN: Experimental study, protocol optimization. OBJECTIVES: To investigate and compare the isolation of spinal motor neurons from embryonic rats at different embryonic stages, and develop optimized methods for rapidly dissecting spinal cords and harvesting spinal motor neurons with high survival and purity. SETTING: Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China. METHODS: Embryonic rats at different embryonic stages (12-18 days) were used to isolate spinal motor neurons...
May 25, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28545316/lower-extremity-fractures-in-patients-with-spinal-cord-injury-characteristics-outcome-and-risk-factors-for-non-unions
#10
Lukas Grassner, Barbara Klein, Doris Maier, Volker Bühren, Matthias Vogel
CONTEXT: Sublesional osteoporosis is an important sequel after spinal cord injury (SCI) resulting in a high incidence of fractures and impaired osseous healing due to altered bone metabolism. The following study aims to identify demographic characteristics and outcome of patients with SCI with lower extremity fractures. DESIGN: Retrospective observational study. SETTING: Level-I cross-regional trauma center. PARTICIPANTS: All patients with SCI suffering from osteoporotic/pathologic fractures during an 11-year-period (01/2003-12/2013) at the Center for Spinal Cord Injuries (Trauma Center Murnau) were analyzed via a chart review...
May 25, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28514926/trunk-muscle-activity-patterns-and-motion-patterns-of-patients-with-motor-complete-spinal-cord-injury-at-t8-and-t10-walking-with-different-un-powered-exoskeletons
#11
Xinyu Guan, Shengzheng Kuai, Linhong Ji, Rencheng Wang, Run Ji
OBJECTIVE: The aim of this study was to explore how neurological injured levels of spinal cord affect the performance of patients walking with different un-powered exoskeletons. STUDY DESIGN: Case series observational study. SETTING: Gait and Motion Analysis Laboratory at the National Research Center Rehabilitation Technical Aids. METHODS: Electromyography and motion data from two subjects with complete spinal cord injury at T10 and T8 walking with un-powered exoskeletons were collected simultaneously...
May 17, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28514903/utility-of-the-central-motor-conduction-time-recorded-from-the-abductor-pollicis-brevis-and-the-abductor-digiti-minimi-muscles-in-patients-with-c6-7-myelopathy
#12
Yasuaki Imajo, Tsukasa Kanchiku, Hidenori Suzuki, Masahiro Funaba, Norihiro Nishida, Toshihiko Taguchi
OBJECTIVE: Central motor conduction time (CMCT) recorded from the abductor pollicis brevis (CMCT-APB) and abductor digiti minimi (CMCT-ADM) muscles may enable the evaluation of patients with C6-7 myelopathy. CMCT is more useful for the evaluation of the function of spinal cord than magnetic resonance imaging (MRI) findings. CMCT may be associated with age and height. However, there are few reports regarding CMCT-APB in normal subjects. This study aimed to investigate the relationships between age, height, and conduction parameters in normal subjects to assess the effectiveness of using CMCT-APB and CMCT-ADM for the evaluation of patients with C6-7 and C7-T1 myelopathy...
May 17, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28488465/surgical-management-of-lower-limb-fractures-in-patients-with-spinal-cord-injury-less-associated-with-complications-than-non-operative-management-a-retrospective-series-of-cases
#13
Alban Fouasson-Chailloux, Raphael Gross, Marc Dauty, Guillaume Gadbled, Sophie Touchais, Marc Le Fort, Brigitte Perrouin-Verbe
OBJECTIVES: To evaluate the difference in terms of overall complications between surgical and non-surgical management of lower limb fractures in patients with chronic spinal cord injury (SCI). DESIGN: A 13-year retrospective study including patients with chronic spinal cord lesion admitted for sublesional lower limb fractures. SETTING: University hospital SCI reference departments (Rehabilitation department and orthopedic department). PARTICIPANTS: Forty patients with SCI were included, 24 men and 16 women...
May 10, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28486884/effect-of-intravesical-botulinum-toxin-injection-on-symptoms-of-autonomic-dysreflexia-in-a-patient-with-chronic-spinal-cord-injury-a-case-report
#14
Il-Young Jung, Kyo Ik Mo, Ja-Ho Leigh
CONTEXT: There are few treatment options for managing autonomic dysreflexia in patients with chronic spinal cord injury (SCI). According to some studies, intravesical botulinum toxin for SCI patients with autonomic dysreflexia has a preventive effect on symptoms of autonomic dysreflexia. However, the usefulness of an intravesical botulinum toxin injection has never been reported for autonomic dysreflexia in an adult patient with chronic cervical SCI, although there has been for one pediatric patient...
May 9, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28472894/resting-energy-expenditure-in-male-athletes-with-a-spinal-cord-injury
#15
Fiona E Pelly, Elizabeth M Broad, Natalie Stuart, Mark A Holmes
OBJECTIVE: To investigate whether there are differences in the resting energy expenditure (REE) and body composition of athletes with a spinal cord injury (SCI) compared to active able-bodied controls. DESIGN: In this cross sectional study, male athletes with a SCI were compared to active able-bodied controls matched for age, stretch stature and body mass. In addition, the accuracy of standard REE prediction equations in estimating REE was assessed. PARTICIPANTS: Seven male wheelchair athletes with a SCI and six matched active able-bodied controls volunteered to participate...
May 4, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28466761/can-targeted-job-information-for-adults-with-spinal-cord-dysfunction-be-effectively-delivered-online-a-pilot-study
#16
Diana Dorstyn, Rachel Roberts, Gregory Murphy, Ian Kneebone, Ashley Craig, Anna Chur-Hansen, Christine Migliorini, Elizabeth Potter, Ruth Marshall, Jillian Clark, Sharron Neeson, Peter Stewart
OBJECTIVE: To pilot a novel email-based information package (Work and SCI) for job-seekers with an acquired spinal cord injury (SCI) or spinal cord dysfunction (SCI/D). STUDY DESIGN: Prospective, non-randomized, repeated measures trial. SETTING: Community dwelling cohort in Australia. PARTICIPANTS: Five people with SCI (mean age 46.4 years, SD = 10.2; 4 female) initially reviewed Work and SCI. Twenty-four with SCI/D subsequently enrolled, of whom 16 (mean age 46...
May 3, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28464758/periodic-limb-movements-in-tetraplegia
#17
Annemieke Emma Josina Peters, Lysanne van Silfhout, Marnie Graco, Rachel Schembri, Dick Thijssen, David J Berlowitz
OBJECTIVE: To establish the prevalence of Periodic Limb Movements during Sleep (PLMS) in patients with tetraplegia, controlling for obstructive sleep apnea. To explore whether demographic and injury characteristics affect PLMS. STUDY DESIGN: Retrospective cohorts. SETTING AND PARTICIPANTS: One hundred seventy-three participants with acute (<12 months) and 92 with chronic (>12 months) tetraplegia who underwent full overnight diagnostic sleep studies...
May 2, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28464732/oral-probenecid-improves-sperm-motility-in-men-with-spinal-cord-injury
#18
Emad Ibrahim, Teodoro C Aballa, Charles M Lynne, Nancy L Brackett
STUDY DESIGN: Prospective cohort study (twenty men with spinal cord injury [SCI]). OBJECTIVE: Determine if administration of oral probenecid results in improved sperm motility in men with SCI. SETTING: Major university medical center. METHODS: Twenty men with SCI were administered probenecid for 4 weeks (250 mg twice a day for 1 week, followed by 500 mg twice a day for 3 weeks). Semen quality was assessed at three time points: pre-treatment, post-treatment (immediately after the 4-week treatment), and follow-up (4 weeks after the last pill was ingested)...
May 2, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28464722/variables-affecting-functional-improvement-in-chordoma-patients-admitted-to-an-inpatient-rehabilitation-facility-a-retrospective-review
#19
Sasha E Knowlton, Richard Goldstein, Kevin C O'Connor, Joseph Schwab, Francis Hornicek, Ross Zafonte
STUDY DESIGN: Retrospective chart review of patients after surgical resection of chordoma admitted to an inpatient rehabilitation facility. OBJECTIVE: To evaluate the characteristics associated with improving two or more functional levels and therefore classifying as a substantial responder after an inpatient rehabilitation facility stay in post-resection chordoma patients. SETTING: Acute inpatient rehabilitation facility in the United States...
May 2, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28446059/changes-in-alcohol-use-after-the-onset-of-spinal-cord-injury
#20
Janice F Davis, Yue Cao, James S Krause
OBJECTIVE: Identify the prevalence of alcohol consumption and binge drinking at time of spinal cord injury (SCI) onset, compare these rates to data from the general population, and identify changes in alcohol use at an average of 17 months post-injury. DESIGN: Cross sectional, mailed self-report assessment. SETTING: A specialty hospital in the southeastern United States. PARTICIPANTS: Five hundred sixty-six inpatients completed the baseline measure...
April 26, 2017: Journal of Spinal Cord Medicine
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