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Topics in Spinal Cord Injury Rehabilitation

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https://www.readbyqxmd.com/read/29706762/clinical-instruments-for-measuring-unsupported-sitting-balance-in-subjects-with-spinal-cord-injury-a-systematic-review
#1
Libak Abou, Gabriel Ribeiro de Freitas, Juliete Palandi, Jocemar Ilha
Background: Evidence of intervention effectiveness depends on, among other things, the use of a common set of valid and reliable measures that are responsive to change and reflect clinically important outcomes. Objective: To identify clinical assessment instruments with properties for measuring unsupported sitting balance in subjects with spinal cord injury (SCI). Methods: Bibliographic databases (PubMed, Science Direct, CINAHL, and Central) were searched for articles with the key words "spinal cord injury," "unsupported sitting," and "outcome assessment" in combination with a specific methodological search filter for each database...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706761/effects-of-spinal-cord-injury-in-heart-rate-variability-after-acute-and-chronic-exercise-a-systematic-review
#2
Daniel Bueno Buker, Cristóbal Castillo Oyarce, Raúl Smith Plaza
Background: Spinal cord injury (SCI) above T6 is followed by a loss of sympathetic supraspinal control of the heart, disturbing the autonomic balance and increasing cardiovascular risk. Heart rate variability (HRV) is a widely used tool for assessing the cardiac autonomic nervous system and positive adaptations after regular exercise in able-bodied subjects. However, adaptations in SCI subjects are not well known. Objectives: To compare HRV between able-bodied and SCI subjects and analyze the effects of chronic and acute exercise on HRV in the SCI group...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706760/brain-motor-control-assessment-post-early-intensive-hand-rehabilitation-after-spinal-cord-injury
#3
Maryam Zoghi, Mary Galea
Background: The Brain Motor Control Assessment (BMCA) is a surface electromyography (sEMG)-based measure of motor output from the central nervous system during a variety of reflex and voluntary motor tasks. Objective: The aim of this study was to assess the pattern of voluntary movements in patients with spinal cord injury (SCI) to investigate whether BMCA could add more resolution to clinical assessments and the recovery path of these patients. Method: Ten participants were recruited from the Royal Talbot Rehabilitation Centre as part of a multicenter randomized controlled trial...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706759/prediction-model-for-the-presence-of-complications-at-admission-to-rehabilitation-after-traumatic-spinal-cord-injury
#4
Giorgio Scivoletto, Monica Torre, Marco Iosa, Maria Rosaria Porto, Marco Molinari
Background: Complications frequently occur in patients with spinal cord injury (SCI) during acute care or rehabilitation and have an impact on rehabilitation outcomes. Purpose: The aim of this study was to determine the occurrence and risk factors for complications in recently injured SCI patients. Methods : Two hundred fifty patients with traumatic injuries with and without complications were counted for the following dichotomous parameters: gender (male/female), associated lesions (presence/absence), surgery (yes/no), American Spinal Injury Association Impairment Scale (AIS) grade (A/other categories), lesion level (lumbar/other levels), and lesion-to-admission time (less than/longer than 1 month)...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706758/progress-of-the-dutch-spinal-cord-injury-database-completeness-of-database-and-profile-of-patients-admitted-for-inpatient-rehabilitation-in-2015
#5
Marcel W M Post, Janneke Nachtegaal, Sacha A van Langeveld, Maureen van de Graaf, Willemijn X Faber, Ellen H Roels, Coen A M van Bennekom
Background: In the Dutch International Spinal Cord Injury (SCI) Data Sets project, we translated all International SCI Data Sets available in 2012 and created a Dutch SCI Database (NDD). Objective: To describe the number of included patients and completeness of the NDD, and to use the NDD to provide a profile of people with traumatic SCI (T-SCI) and non-traumatic SCI (NT-SCI) in the Netherlands. Methods: The NDD includes patients admitted for their first inpatient rehabilitation after onset of SCI to 1 of the 8 rehabilitation centers with a specialty in SCI rehabilitation in the Netherlands...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706757/implementation-of-a-standardized-dataset-for-collecting-information-on-patients-with-spinal-cord-injury
#6
Janneke Nachtegaal, Sacha A van Langeveld, H Slootman, Marcel W M Post
Background: Over the last decade, the International Spinal Cord Injury Data Sets project developed a number of International Spinal Cord Injury Data Sets (ISCIDS) that can be used to collect standardized information on patients with SCI. Objective and Methods: The aim of this article is to describe the process of translating the ISCIDS into Dutch and reaching consensus on a Dutch National SCI Data Set (NDD). The interrater reliability of the NDD and implementation of the NDD at eight rehabilitation centers with a specialty in rehabilitation after SCI in the Netherlands are described...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706756/comparing-blunt-and-penetrating-trauma-in-spinal-cord-injury-analysis-of-long-term-functional-and-neurological-outcomes
#7
Mary Joan Roach, Yuying Chen, Michael L Kelly
Background: Comparisons between patients with penetrating spinal cord injury (PSCI) and blunt spinal cord injury (BSCI) are scarce. Purpose: To describe baseline characteristics and neurological and functional outcomes for patients with BSCI and PSCI. Methods: Participants with BSCI ( n = 5,316) and PSCI ( n = 1,062) were extracted from the Spinal Cord Injury Model Systems database from January 1994 to January 2015. Participant injury and demographic characteristics were recorded. Outcomes were measured using the International Standards for Neurological Classification of Spinal Cord Injury and FIM motor scores...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706755/racial-differences-in-data-quality-and-completeness-spinal-cord-injury-model-systems-experiences
#8
Yuying Chen, Hui-Yi Lin, Tung-Sung Tseng, Huacong Wen, Michael J DeVivo
Background: Among people with spinal cord injury (SCI), minorities experience a disproportionately higher burden of diseases. Knowledge of data quality by race/ethnicity will help better design racial health disparity research and understand potential errors/biases. Objective: To investigate racial/ethnic differences in response completeness in a longitudinal SCI database. Methods: This study included 7,507 participants (5,483 non-Hispanic whites, 1,414 non-Hispanic blacks, and 610 Hispanics) enrolled in the National SCI Database who returned for follow-up between 2001 and 2006 and were aged ≥18 years at follow-up...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29706754/understanding-and-preventing-loss-to-follow-up-experiences-from-the-spinal-cord-injury-model-systems
#9
Hwasoon Kim, Gary R Cutter, Brandon George, Yuying Chen
Background: One of the most critical threats to the validity of any longitudinal research is the bias caused by study attrition. Prevention efforts should be focused on those individuals at high risk of non-participation to improve the generalizability of study findings. Objective: To identify demographic and clinical factors associated with loss to follow-up (FU) at post-injury years 1 to 35 among 25,871 people with spinal cord injury (SCI) enrolled in the National Spinal Cord Injury Database. Methods: Loss to FU was defined as no research information obtained from participants who were eligible for the planned data collection...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434465/foreword
#10
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-vo-2peak-in-persons-with-spinal-cord-injury-above-the-sixth-thoracic-vertebra
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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