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Journal of Spinal Cord Medicine

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https://www.readbyqxmd.com/read/29781783/clinical-and-radiological-outcome-of-non-surgical-management-of-thoracic-and-lumbar-spinal-fracture-dislocations-a-historical-analysis-in-the-era-of-modern-spinal-surgery
#1
Andrei Fernandes Joaquim, Gregory D Schroeder, Alpesh A Patel, Alexander R Vaccaro
CONTEXT: It is well established that traumatic spinal dislocations (AO Type C injuries) should be surgically treated. However, no recent comparative study of surgical versus non-surgical management of type C injuries was found attesting the superiority of surgical treatment. OBJECTIVE: Due to the lack of information about the natural history of non-surgical management of type C injuries, we evaluated the outcome of historical conservative treatment of type C injuries...
May 21, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29745791/prevention-and-management-of-osteoporosis-and-osteoporotic-fractures-in-persons-with-a-spinal-cord-injury-or-disorder-a-systematic-scoping-review
#2
Nour Zleik, Frances Weaver, Robert L Harmon, Brian Le, Reshmitha Radhakrishnan, Wanda D Jirau-Rosaly, B Catharine Craven, Mattie Raiford, Jennifer N Hill, Bella Etingen, Marylou Guihan, Michael H Heggeness, Cara Ray, Laura Carbone
OBJECTIVES: The primary objective was to review the literature regarding methodologies to assess fracture risk, to prevent and treat osteoporosis and to manage osteoporotic fractures in SCI/D. STUDY DESIGN: Scoping review. Settings/Participants: Human adult subjects with a SCI/D. OUTCOME MEASURES: Strategies to identify persons with SCI/D at risk for osteoporotic fractures, nonpharmacological and pharmacological therapies for osteoporosis and management of appendicular fractures...
May 10, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29733775/what-determines-low-satisfaction-with-life-in-individuals-with-spinal-cord-injury
#3
Sherri L LaVela, Bella Etingen, Scott Miskevics, Allen W Heinemann
OBJECTIVE: To examine variables associated with satisfaction with life (SWL) in individuals with a spinal cord injury (SCI). DESIGN: Cross-sectional, national survey to assess SWL, demographic and injury characteristics, health care utilization, chronic conditions (obesity, diabetes, heart problems, lung problems, hypertension, high cholesterol), symptoms (poor sleep, pain, depression), social support, grief/loss, and independence. SETTING/PARTICIPANTS: Community-dwelling Veterans with SCI...
May 7, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29733774/the-use-of-inferior-vena-cava-filters-in-spine-trauma-a-nationwide-study-using-the-national-trauma-data-bank
#4
Samir Sabharwal, Adam D Fox, Michael J Vives
Objective To determine the prevalence and variation of inferior vena cava filter (IVCF) use in the spine trauma population and evaluate patient and facility level factors associated with their use. Study Design Retrospective cohort. Participants/Outcome Measures Patients with spinal injuries were identified by ICD-9 codes from the National Trauma Data Bank (NTDB), the best validated national trauma database. Patients whose spine injuries were operatively treated and those who received IVCF were identified from procedure description fields...
May 7, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29733268/spiritual-well-being-and-quality-of-life-in-patients-with-spinal-cord-injury-a-study-from-iran
#5
Marzieh Hajiaghababaei, Hooshang Saberi, Parvin Rahnama, Ali Montazeri
OBJECTIVE: To assess the relationship between spiritual well-being and health-related quality of life (QOL) among patients with spinal cord injury (SCI). SETTING: Brain and SCI Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. METHODS: This was a cross-sectional study. A sample of patients with SCI participated in the study and completed two questionnaires: the Short-Form 36-Item Health Survey (SF-36) in order to collect data on vitality, social functioning, mental health and role emotional and the Spiritual Well-Being Scale (SWBS) to measure religious and existential well-being...
May 7, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29733260/improving-primary-care-for-persons-with-spinal-cord-injury-development-of-a-toolkit-to-guide-care
#6
James Milligan, Joseph Lee, Loretta M Hillier, Karen Slonim, Catharine Craven
OBJECTIVE: To identify a set of essential components for primary care for patients with spinal cord injury (SCI) for inclusion in a point-of-practice toolkit for primary care practitioners (PCP) and identification of the essential elements of SCI care that are required in primary care and those that should be the focus of specialist care. DESIGN: Modified Delphi consensus process; survey methodology. SETTING: Primary care. PARTICIPANTS: Three family physicians, six specialist physicians, and five inter-disciplinary health professionals completed surveys...
May 7, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29714644/functional-outcomes-in-patients-with-co-occurring-traumatic-brain-injury-and-spinal-cord-injury-from-an-inpatient-rehabilitation-facility-s-perspective
#7
Kristin L Garlanger, Lisa A Beck, Andrea L Cheville
OBJECTIVE: To examine the occurrence and severity of co-occurring traumatic brain injury (TBI) in persons with traumatic spinal cord injury (SCI), i.e. dual diagnosis (DD), and to describe differences in functional outcomes between persons with DD and SCI only from an inpatient rehabilitation facility (IRF) perspective. DESIGN: Retrospective clinical chart review. SETTING: Acute Midwest SCI inpatient rehabilitation facility. PARTICIPANTS: 256 persons age 18-80 years with acute traumatic SCI (AIS A-E, C1-S3 level of injury) from 2002-2012...
May 1, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29668375/evaluation-of-pelvis-postural-systems-in-spinal-cord-injury-patients-outcome-research
#8
Serena Dattoli, Mariele Colucci, Maria Grazia Soave, Rita De Santis, Leandro Segaletti, Claudia Corsi, Marco Tofani, Donatella Valente, Giovanni Galeoto
OBJECTIVES: Compare three commercially available postural systems to determine the best for treatment of patients suffering from spinal cord injury lesion below the cervical spine. DESIGN: Outcome Research. SETTING: Ambulatory. PARTICIPANTS: Thirteen patients were recruited for this study between March 2016 and July 2016 from the Occupational Therapy clinic of "Policlinico Umberto I" hospital in Rome and Occupational Therapy of "CPO" hospital in Ostia...
April 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29667507/effect-of-inspiratory-muscle-training-imt-on-aerobic-capacity-respiratory-muscle-strength-and-rate-of-perceived-exertion-in-paraplegics
#9
Sonali Soumyashree, Jaskirat Kaur
OBJECTIVES: The purpose is to study the effect of inspiratory muscle training on aerobic capacity, respiratory muscle strength and rate of perceived exertion in paraplegics. STUDY DESIGN: Randomized controlled trial. SETTINGS: Rehabilitation department in Indian Spinal Injuries Centre, New Delhi. PARTICIPANTS: A sample of 30 paraplegics (T1-T12) were randomly allocated into two groups: inspiratory muscle training (IMT) group and control group...
April 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29616887/upper-limb-muscle-activation-during-sports-video-gaming-of-persons-with-spinal-cord-injury
#10
Jeffrey P Jaramillo, M Elise Johanson, B Jenny Kiratli
OBJECTIVE: Video gaming as a therapeutic tool has largely been studied within the stroke population with some benefits reported in upper limb motor performance, balance, coordination, and cardiovascular status. To date, muscle activation of upper limb muscles in persons with spinal cord injuries (SCI) has not been studied during video game play. In this paper, we provide descriptive and comparative data for muscle activation and strength during gaming for players with tetraplegia and paraplegia, as well as, compare these results with data from traditional arm exercises (ie, biceps curl and shoulder press) with light weights which are commonly prescribed for a home program...
April 4, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29611464/evaluation-of-functional-outcomes-in-traumatic-spinal-cord-injury-with-rehabilitation-acquired-urinary-tract-infections-a-retrospective-study
#11
Argyrios Stampas, Elizabeth Dominick, Liang Zhu
Objective The objective of this study was to evaluate the impact of urinary tract infections (UTIs) acquired during acute inpatient traumatic Spinal Cord Injury (tSCI) rehabilitation on Functional Independence Measure (FIM) gains. Design Retrospective chart review of consecutive patients with tSCI admitted to an acute rehabilitation facility from 2007-2012. The primary outcome was FIM scores and the association with UTI. Results The sample included 110 patients and 70 acquired UTIs. No demographic differences were observed between groups with and without UTI...
April 3, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29596035/functional-status-predicts-acute-care-readmission-in-the-traumatic-spinal-cord-injury-population
#12
Donna Huang, Chloe Slocum, Julie K Silver, James W Morgan, Richard Goldstein, Ross Zafonte, Jeffrey C Schneider
Context/objective Acute care readmission has been identified as an important marker of healthcare quality. Most previous models assessing risk prediction of readmission incorporate variables for medical comorbidity. We hypothesized that functional status is a more robust predictor of readmission in the spinal cord injury population than medical comorbidities. Design Retrospective cross-sectional analysis. Setting Inpatient rehabilitation facilities, Uniform Data System for Medical Rehabilitation data from 2002 to 2012 Participants traumatic spinal cord injury patients...
March 29, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29595411/comparison-of-relative-and-absolute-values-of-magnetic-resonance-imaging-in-the-diagnosis-of-spinal-epidural-lipomatosis
#13
Yuxi Ge, Xiaohan Yang, Yaqian You, Yinghua Xuan, Gen Yan
Objective To describe spinal epidural lipomatosis (SEL) of the lumbar region and evaluate the relative versus absolute values of epidural fat (EF) to determine which is more appropriate when using magnetic resonance imaging (MRI). Design Comparative study. Setting Hospital. Participants Eight SEL patients and 40 healthy adults. Interventions MRI measurement of EF. Outcome Measures The MRI-based EF thickness, cutoff value, and coefficient of variation (CV) were calculated. Frequency distribution maps for the absolute EF value and the relative EF/DuS value were created...
March 29, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29595401/epidemiological-profile-of-thoracolumbar-fracture-tlf-over-a-period-of-10-years-in-tianjin-china
#14
Bo Li, Chao Sun, Chenxi Zhao, Xue Yao, Yan Zhang, Huiquan Duan, Jian Hao, Xing Guo, Baoyou Fan, Guangzhi Ning, Shiqing Feng
CONTEXT/OBJECTIVE: The objective of the research was to illustrate the epidemiology profile of thoracolumbar fracture (TLF) in Tianjin Medical University General Hospital, China, from 2006-2015. DESIGN: Hospital-based retrospective study. SETTING: Tianjin Medical University General Hospital. METHODS: Medical records of inpatient patients with TLF from 1 January 2006 to December 2015 were collected. Detailed information on epidemiological characters were analyzed based on the medical records suffering from TLF from T11-L2 level, including incidence, age and sex, marital, occupation, etiology and fracture type, types of injuries...
March 29, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29595400/lack-of-knowledge-and-training-are-the-major-obstacles-in-application-of-the-spinal-cord-independence-measure-scim-in-china
#15
Nan Liu, Huayi Xing, Mouwang Zhou, Fin Biering-Sørensen
Objective To investigate the use of functional outcome measurements after spinal cord injury (SCI) in current clinical practice and to explore the knowledge about the Spinal Cord Independence Measure (SCIM) among SCI physicians in China, and to find facilitators for a broader utilization of SCIM. Design A survey-based study. Setting SCI workshops at Peking University. Participants 125 Chinese SCI physicians attending annual workshops in two consecutive years. Interventions Not applicable. Outcome measures A questionnaire was administered...
March 29, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29590000/feasibility-of-remotely-supervised-tdcs-in-a-person-with-neuropathic-pain-due-to-spinal-cord-injury
#16
Sandra Carvalho, Jorge Leite, Camila B Pinto, Leslie R Morse, Ross Zafonte, Felipe Fregni
No abstract text is available yet for this article.
March 28, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29578382/pre-operative-screening-for-asymptomatic-bacteriuria-and-associations-with-post-operative-outcomes-in-patients-with-spinal-cord-injury
#17
Margaret A Fitzpatrick, Katie J Suda, Stephen P Burns, Linda Poggensee, Swetha Ramanathan, Charlesnika T Evans
CONTEXT: Screening for asymptomatic bacteriuria (ASB) before non-urologic surgery is common but of unclear benefit. Our aim was to describe pre-operative ASB screening and post-operative outcomes in patients with neurogenic bladder due to spinal cord injury (SCI). METHODS: This was a descriptive retrospective cohort study of adults with SCI undergoing neurosurgical spine or orthopedic lower limb surgery from 10/1/2012-9/30/2014 at Veterans Affairs (VA) medical centers...
March 26, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29537940/epidural-stimulation-with-locomotor-training-improves-body-composition-in-individuals-with-cervical-or-upper-thoracic-motor-complete-spinal-cord-injury-a-series-of-case-studies
#18
Daniela G L Terson de Paleville, Susan J Harkema, Claudia A Angeli
CONTEXT: Four individuals with motor complete SCI with an implanted epidural stimulator who were enrolled in another study were assessed for cardiovascular fitness, metabolic function and body composition at four time points before, during, and after task specific training. Following 80 locomotor training sessions, a 16-electrode array was surgically placed on the dura (L1-S1 cord segments) to allow for electrical stimulation. After implantation individuals received 160 sessions of task specific training with epidural stimulation (stand and step)...
March 14, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29517419/exercise-testing-protocol-using-a-roller-system-for-manual-wheelchair-users-with-spinal-cord-injury
#19
Kerri A Morgan, Kelly L Taylor, Susan M Tucker, W Todd Cade, Joseph W Klaesner
OBJECTIVE: Determine the validity and reliability of an exercise testing protocol to evaluate cardiorespiratory measures in manual wheelchair users (MWUs) with spinal cord injury (SCI) using a roller-based (RS) wheelchair system. DESIGN: Repeated measures within-subject design. SETTING: Community-based research laboratory. PARTICIPANTS: Ten adults with SCI requiring the use of a manual wheelchair. INTERVENTIONS: Not applicable...
March 8, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29509106/novel-method-for-restoration-of-anorectal-function-following-spinal-cord-injury-via-nerve-transfer-in-rats
#20
Bingbo Bao, Kai Fu, Xianyou Zheng, Haifeng Wei, Pengbo Luo, Hongyi Zhu, Xiaozhong Zhu, Xingwei Li, Tao Gao
OBJECTIVES: Nerve transfer has been developed to restore partial function after serious nerve injuries, for example, restoring bladder control after spinal cord injury (SCI). Our aim here was to establish a preclinical proof-of-concept model using nerve transfer for restoring anorectal function after SCI. SETTING: We used laminectomy to model SCI, and bilateral spinal ventral and dorsal nerve root anastomosis to re-establish connectivity to the anorectal musculature...
March 6, 2018: Journal of Spinal Cord Medicine
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