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Topics in Spinal Cord Injury Rehabilitation

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https://www.readbyqxmd.com/read/29434465/foreword
#1
Lawrence C Vogel, Kathy Zebracki
No abstract text is available yet for this article.
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434464/arm-cycling-combined-with-passive-leg-cycling-enhances-vo2peak-in-persons-with-spinal-cord-injury-above-the-sixth-thoracic-vertebra
#2
Tom Tørhaug, Berit Brurok, Jan Hoff, Jan Helgerud, Gunnar Leivseth
Objective: To test whether passive leg cycling (PLC) during arm cycling ergometry (ACE) affects peak oxygen uptake (VO2peak) differently in individuals with spinal cord injury (SCI) at/above the 6th thoracic vertebra (T6) and below T6. Methods: We conducted a cross-sectional study, analyzed by univariate and multivariate regression models. Between- and within-group differences were examined during (a) ACE only, (b) ACE combined with PLC (ACE-PLC), and (c) ACE combined with functional electrical stimulation cycling (FES hybrid)...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434463/initial-outcomes-from-a-multicenter-study-utilizing-the-indego-powered-exoskeleton-in-spinal-cord-injury
#3
Candy Tefertiller, Kaitlin Hays, Janell Jones, Arun Jayaraman, Clare Hartigan, Tamara Bushnik, Gail F Forrest
Objective: To assess safety and mobility outcomes utilizing the Indego powered exoskeleton in indoor and outdoor walking conditions with individuals previously diagnosed with a spinal cord injury (SCI). Methods: We conducted a multicenter prospective observational cohort study in outpatient clinics associated with 5 rehabilitation hospitals. A convenience sample of nonambulatory individuals with SCI (N = 32) completed an 8-week training protocol consisting of walking training 3 times per week utilizing the Indego powered exoskeleton in indoor and outdoor conditions...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434462/comparison-of-high-strength-aluminum-ultralight-wheelchairs-using-ansi-resna-testing-standards
#4
Benjamin Gebrosky, Jonathan Pearlman, Rory Cooper
Background: The use of ultralight manual wheelchairs has been shown to benefit wheelchair users when compared to other types. New aluminum alloy frame materials coming to the market have not been independently evaluated for durability and cost benefit. Methods: Three 70XX aluminum ultralight wheelchair models were tested and compared based on dimensions, stability, and durability using the ANSI/RESNA standards. The results were also compared to previous manual wheelchair studies. Results: This study found that there were no significant cost benefit or durability differences between the wheelchairs tested and previous aluminum or titanium ultralight rigid models...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434461/emotional-consequences-of-delays-in-spinal-rehabilitation-unit-admission-or-discharge-a-qualitative-study-on-the-importance-of-communication
#5
Narelle Warren, Karin Walford, Annisha Susilo, Peter Wayne New
Objective: To explore the influence of health communications on the emotional consequences of delays in transfer from acute hospital into a spinal rehabilitation unit (SRU) or delays in discharge from SRU. Methods: Semi-structured interviews were conducted in this exploratory, thematic qualitative research design in an SRU, Melbourne, Australia. Results: Six patients experienced delay in admission to (n = 4) or discharge from (n = 3) the SRU, with one person experiencing both an admission and discharge delay...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434460/relationship-between-comorbidities-and-employment-among-veterans-with-spinal-cord-injury
#6
Lance L Goetz, Lisa Ottomanelli, Scott D Barnett, Bryce Sutton, Eni Njoh
Objective: To determine the relationship between medical and mental health comorbidities in a large cohort of veterans with spinal cord injury (SCI). Methods: Data were collected from interviews and electronic medical records of veterans with SCI (N = 1,047) who received care at 7 geographically diverse SCI centers within the Department of Veterans Affairs across the country (https://clinicaltrials.gov/ct2/show/NCT01141647). Employment, medical, functional, and psychosocial data underwent cross-sectional analysis...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434459/are-comorbid-pain-and-depressive-symptoms-associated-with-rehabilitation-of-individuals-with-spinal-cord-injury
#7
Swati Mehta, Shannon Janzen, Amanda McIntyre, Jerome Iruthayarajah, Eldon Loh, Robert Teasell
Objective: To examine the difference in functional outcomes and therapy intensity among individuals with spinal cord injury (SCI) with comorbid depression and pain symptoms compared to those without these symptoms. Methods: A retrospective chart review was conducted of 100 patients admitted to a specialized SCI inpatient rehabilitation unit. Standard demographic factors were collected. Patients were divided into 2 groups: those with comorbid depression and pain symptoms and those without. Outcomes were compared between the 2 groups using analysis of covariance (ANCOVA)...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434458/assessing-heart-rate-variability-as-a-surrogate-measure-of-cardiac-autonomic-function-in-chronic-traumatic-spinal-cord-injury
#8
Rasha El-Kotob, B Catharine Craven, Sunita Mathur, David S Ditor, Paul Oh, Masae Miyatani, Mary C Verrier
Background: Although cardiac autonomic dysfunction is a contributing factor for cardiovascular disease development in individuals with a spinal cord injury (SCI), it remains poorly understood. Heart rate variability (HRV) analysis has the potential to non-invasively assess the cardiac autonomic nervous system. The study objectives are (a) to determine if there are differences in HRV measures across neurological level of impairment (NLI) and American Spinal Cord Injury Association Impairment Scale (AIS) subgroups, and (b) to determine if there is a relationship between HRV frequency measures (low frequency [LF] and high frequency [HF]) at rest...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434457/role-and-significance-of-trunk-and-upper-extremity-muscles-in-walker-assisted-paraplegic-gait-a-case-study
#9
Mina Baniasad, Farzam Farahmand, Mokhtar Arazpour, Hassan Zohoor
Background and Purpose: Understanding the role and significance of trunk and upper extremity muscles in paraplegic gait can help in designing more effective assistive devices for these patients and also provides valuable information for improving muscle strengthening programs. Methods: In a patient with a spinal cord injury (SCI) who could walk independently (rating scale of ambulatory capacity, 9) with the aid of bilateral ankle-foot orthosis and a walker, the kinematics, kinetics and electromyographic (EMG) activities of 16 muscles from the trunk and upper and lower extremities were recorded during gait...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434456/does-neuromuscular-electrical-stimulation-therapy-increase-voluntary-muscle-strength-after-spinal-cord-injury-a-systematic-review
#10
Gabriel Ribeiro de Freitas, Camila Szpoganicz, Jocemar Ilha
Background: Physical therapists frequently use neuromuscular electrical stimulation (NMES) therapy in an effort to increase the voluntary strength of partially paralyzed muscles in people with spinal cord injury (SCI), but it is not clear whether this treatment is effective. Objective: To determine the effectiveness of NMES for increasing voluntary strength in the partially paralyzed muscles of people with SCI. Methods: A systematic review of scientific literature was conducted in MEDLINE, CINAHL, PEDro, ScienceDirect, and Embase...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434455/the-relationship-between-volitional-activation-and-muscle-properties-in-incomplete-spinal-cord-injury
#11
Kristen L Jakubowski, Andrew C Smith, James M Elliott, Sabrina S M Lee
Purpose: Following a motor incomplete spinal cord injury (iSCI), there is decreased volitional activation and changes in composition, architecture, and stiffness of affected muscles. We investigated the relationship between muscle properties and volitional activation. Methods: The relationship between central activation ratio (CAR), maximum volitional torque (MVT), and muscle properties was assessed in the gastrocnemius of 6 participants with iSCI. Results: No significant relationship was found between CAR and muscle properties, while a significant relationship was found between CAR and MVT...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339914/perinatal-care-for-women-with-spinal-cord-injuries-a-collaborative-workshop-for-consensus-on-care-in-canada
#12
Shea Hocaloski, Stacy Elliott, Karen Hodge, Kate McBride, Lynsey Hamilton, Christopher B McBride, Melanie Basso
Background: In North America, there are currently no clearly defined standards of care for women with spinal cord injury (SCI) during the perinatal periods of preconception, pregnancy, labour/delivery, and postpartum. Women with SCI and their partners say resources specific to their needs are hard to find. Little evidence-informed research exists to guide clinicians in the care of women with SCI during pregnancy. Objectives: To further explore these gaps in knowledge and practices for perinatal care for women with SCI, a 1-day workshop was held in Vancouver, British Columbia (BC), Canada in November 2013...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339913/the-influence-of-chronic-inflammation-on-peripheral-motor-nerve-conduction-following-spinal-cord-injury-a-randomized-clinical-trial
#13
David J Allison, David A Gabriel, Panagiota Klentrou, Andrea R Josse, David S Ditor
Objective: To examine the potential influence of chronic inflammation on peripheral motor nerve function in vivo following spinal cord injury (SCI). Methods: This study was part of a randomized, parallel-group, controlled clinical trial. The study included 20 participants with varying levels and severities of SCI randomized (3:2) to either a treatment group, consisting of a 12-week anti-inflammatory diet program, or control group. Outcome measures were assessed at baseline, 1 month, and 3 months and consisted of measures of motor nerve conduction velocity (NCV) and amplitude as well as markers of inflammation as assessed by various pro- and anti-inflammatory cytokines...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339912/outcomes-following-ischemic-myelopathies-and-traumatic-spinal-injury
#14
Jacopo Bonavita, Monica Torre, Rita Capirossi, Ilaria Baroncini, Elisa Brunelli, Giorgia Chiarottini, Elisa Maietti, Silvia Olivi, Marco Molinari, Giorgio Scivoletto
Background: As the general population ages, the rising prevalence of vascular lesions of the spinal cord will become significant. Purpose: The aim of this study was to compare the neurological and functional outcomes of patients with ischemic spinal cord injury (ISCI) and traumatic spinal cord injury (TSCI). Methods: We conducted a retrospective study in a spinal cord unit of 2 rehabilitation hospitals. We studied 168 patients with a TSCI and 72 with an ISCI. At admission and discharge, patients were evaluated by American Spinal Injury Association Impairment Scale (AIS) standards and Spinal Cord Independence Measure (SCIM)...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339911/nature-of-the-non-traumatic-spinal-cord-injury-literature-a-systematic-review
#15
Jillian M Clark, Ruth Marshall
Background: Non-traumatic SCI (NTSCI) etiologies represent a markedly heterogeneous cluster of conditions defined within the consensus NTSCI taxonomy. This meta-analysis assembles evidence about the occurrence of NTSCI and its clinical outcomes with respect to 6 research domains. Purpose: To investigate the quality and quantity of clinical NTSCI evidence published in the peer reviewed literature with reference to prognosis, diagnosis, intervention, process of care, methodology, and qualitative approaches. Methods : PubMed and MEDLINE OVID MeSH heading searches were conducted for 5 common-language NTSCI descriptors...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339910/characteristics-of-non-traumatic-spinal-cord-dysfunction-in-canada-using-administrative-health-data
#16
Sara J T Guilcher, Jennifer Voth, Chester Ho, Vanessa K Noonan, Nicole McKenzie, Nancy P Thorogood, B Catharine Craven, Shawna Cronin, Susan B Jaglal
Background: There is a paucity of studies using administrative health data to examine the epidemiology, health care utilization, and outcomes for non-traumatic spinal cord dysfunction (NTSCD). Objective: The purpose of this study is to characterize discrete NTSCD cohorts using decision algorithms with Canadian health administrative databases. Method: Data were provided by the Canadian Institute for Health Information that included all acute care hospital, day surgery, ambulatory, and inpatient rehabilitation records of patients with neurological impairment between April 1, 2004 and March 31, 2011...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339909/validation-of-algorithm-to-identify-persons-with-non-traumatic-spinal-cord-dysfunction-in-canada-using-administrative-health-data
#17
Chester Ho, Sara J T Guilcher, Nicole McKenzie, Magda Mouneimne, Anita Williams, Jennifer Voth, Yan Chen, Shawna Cronin, Vanessa K Noonan, Susan B Jaglal
Background: Administrative health data, such as the hospital Discharge Abstract Database (DAD), can potentially be used to identify patients with non-traumatic spinal cord dysfunction (NTSCD). Algorithms utilizing administrative health data for this purpose should be validated before clinical use. Objective: To validate an algorithm designed to identify patients with NTSCD through DAD. Method: DAD between 2006 and 2016 for Southern Alberta in Canada were obtained through Alberta Health Services. Cases of NTSCD were identified using the algorithm designed by the research team...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339908/creation-of-an-algorithm-to-identify-non-traumatic-spinal-cord-dysfunction-patients-in-canada-using-administrative-health-data
#18
Susan B Jaglal, Jennifer Voth, Sara J T Guilcher, Chester Ho, Vanessa K Noonan, Nicole McKenzie, Shawna Cronin, Nancy P Thorogood, B Cathy Craven
Background: The lack of consensus on the best methodology for identifying cases of non-traumatic spinal cord dysfunction (NTSCD) in administrative health data limits the ability to determine the burden of disease and provide evidence-informed services. Objective: The purpose of this study is to develop an algorithm for identifying cases of NTSCD with Canadian health administrative databases using a case-based approach. Method: Data were provided by the Canadian Institute for Health Information that included all acute care hospital and day surgery (Discharge Abstract Database), ambulatory (National Ambulatory Care Reporting System), and inpatient rehabilitation records (National Rehabilitation Reporting System) of patients with neurological impairment (paraplegia, tetraplegia, and cauda equina syndrome) between April 1, 2004 and March 31, 2011...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339907/trends-challenges-and-opportunities-regarding-research-in-non-traumatic-spinal-cord-dysfunction
#19
Peter Wayne New, Sara J T Guilcher, Susan B Jaglal, Fin Biering-Sørensen, Vanessa K Noonan, Chester Ho
Background: Spinal cord dysfunction (SCDys) is caused by heterogeneous health conditions, and the incidence is increasing. Despite the growing interest in rehabilitation research for SCDys, research into SCDys faces many challenges. Objective: The objective of this project was to perform a clinical review of changes in SCDys research over the last 4 decades; identify challenges to conducting research in SCDys; and propose opportunities for improving research in SCDys. Methods: A triangulation approach was used for obtaining evidence: literature search (January 2017) using MEDLINE and Embase databases for publications in English (1974-2016) regarding SCDys; workshop discussions at the International Spinal Cord Society annual meeting, September 16, 2016, Vienna, Austria; and our collective expertise in SCDys clinical rehabilitation research...
2017: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29339906/important-clinical-rehabilitation-principles-unique-to-people-with-non-traumatic-spinal-cord-dysfunction
#20
Peter Wayne New, Inge Eriks-Hoogland, Giorgio Scivoletto, Ronald K Reeves, Andrea Townson, Ruth Marshall, Farooq A Rathore
Background: Non-traumatic spinal cord dysfunction (SCDys) is caused by a large range of heterogeneous etiologies. Although most aspects of rehabilitation for traumatic spinal cord injury and SCDys are the same, people with SCDys have some unique rehabilitation issues. Purpose: This article presents an overview of important clinical rehabilitation principles unique to SCDys. Methods: Electronic literature search conducted (January 2017) using MEDLINE and Embase (1990-2016) databases for publications regarding SCDys...
2017: Topics in Spinal Cord Injury Rehabilitation
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