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Spinal Cord

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https://www.readbyqxmd.com/read/29238095/increased-psychological-distress-among-individuals-with-spinal-cord-injury-is-associated-with-central-neuropathic-pain-rather-than-the-injury-characteristics
#1
Hila Gruener, Gabi Zeilig, Yocheved Laufer, Nava Blumen, Ruth Defrin
STUDY DESIGN: Cross-sectional study. OBJECTIVES: Central neuropathic pain (CNP) is common after spinal cord injury (SCI). The psychological impact of CNP is not clear. Previous studies reported depression and pain catastrophizing among patients with SCI and CNP; however, the lack of control groups prevented discerning whether these were attributed to CNP or to the SCI itself. The aim was to examine the psychological distress among individuals with SCI with and without CNP and controls to evaluate its impact and possible source...
December 14, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29238094/energy-expenditure-after-spinal-cord-injury-in-people-with-motor-complete-tetraplegia-or-motor-complete-paraplegia
#2
Tobias Holmlund, Elin Ekblom-Bak, Erika Franzén, Claes Hultling, Kerstin Wahman
STUDY DESIGN: Cross-sectional. OBJECTIVES: This study aimed to describe and compare VO2 and energy expenditure at rest (REE) and during standardized sedentary, non-exercise physical activity, and exercise activities, in people with motor-complete tetraplegia (C5-C8). Further, REE and energy expenditure (EE) for the different activities were compared to data from a reference group of people with motor-complete paraplegia (T7-T12). SETTING: Sweden...
December 14, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29234136/study-adherence-in-a-tdcs-longitudinal-clinical-trial-with-people-with-spinal-cord-injury
#3
Sandra Carvalho, Jorge Leite, Felipe Jones, Leslie R Morse, Ross Zafonte, Felipe Fregni
STUDY DESIGN: Secondary analysis of a clinical trial. OBJECTIVES: To analyze adherence to 1-year transcranial Direct Current Stimulation (tDCS) clinical trial in people with chronic pain due to spinal cord injury (SCI). We also explore the association between dropout and several baseline variables such as age, depression levels, pain severity, number of days with pain in the last 7 days, walking ability, sleep, work, relationship with others, and enjoyment with life...
December 13, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29209025/oblique-corpectomy-in-the-cervical-spine
#4
Tomasz Tykocki, Łukasz A Poniatowski, Marcin Czyz, Guy Wynne-Jones
STUDY DESIGN: A narrative review. OBJECTIVES: A literature review of studies reporting on the application of oblique corpectomy (OC) in various pathologies of the cervical spine. SETTING: UK. METHODS: A search was carried out using the PubMed and Google Scholar up to 18 March 2017. Finally, 26 studies met the inclusion criteria. RESULTS: A multilevel OC shows good clinical outcomes in various pathologies in the cervical spine...
December 5, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29187745/a-latent-structural-analysis-of-health-behaviors-among-people-living-with-spinal-cord-injury
#5
Chao Li, Nicole D DiPiro, James S Krause
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To develop a latent structural model of health behaviors among people with spinal cord injury (SCI) that accounts for measurement of underlying factors and their association with demographic and injury-related variables. SETTING: The data were collected at a large specialty hospital and analyzed at a medical university in the Southeastern United States. METHODS: A total of 1871 participants with traumatic SCI of at least 1-year duration were included...
November 30, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29187744/it-is-a-marathon-rather-than-a-sprint-an-initial-exploration-of-unmet-needs-and-support-preferences-of-caregivers-of-children-with-sci
#6
Susan L Ryerson Espino, Erin H Kelly, Anne Rivelli, Kathy Zebracki, Lawrence C Vogel
STUDY DESIGN: Focus group study. OBJECTIVES: Explore unmet needs and support preferences of caregivers of youth with spinal cord injury (SCI). SETTING: One pediatric specialty rehabilitation hospital system in the United States. METHODS: Four focus groups were conducted with a convenience sample of 26 caregivers who were primarily mothers (96%) and married (65%), and had at least some college education (85%). Children living with SCI were on average 12...
November 30, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29184133/the-neurogenic-bladder-symptom-score-nbss-a-secondary-assessment-of-its-validity-reliability-among-people-with-a-spinal-cord-injury
#7
Blayne Welk, Sara Lenherr, Sean Elliott, John Stoffel, Angela P Presson, Chong Zhang, Jeremy B Myers
STUDY DESIGN: Prospective cross-sectional study. OBJECTIVES: Validate the Neurogenic Bladder Symptom Score (NBSS) for people with spinal cord injury (SCI). SETTING: United States (recruitment from community/tertiary neurourology clinics). METHODS: We used data from a prospective observational study of people with a SCI who enrolled during December 2015-September 2016. Participants completed the NBSS and other measurement tools (SF-12 and SCI-QOL Bladder Management Complications tool)...
November 29, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29170448/colorectal-cancer-screening-in-patients-with-spinal-cord-injury-yields-similar-results-to-the-general-population-with-an-effective-bowel-preparation-a-retrospective-chart-audit
#8
Brandon J Teng, Shawn H Song, Jelena N Svircev, Jason A Dominitz, Stephen P Burns
STUDY DESIGN: Retrospective chart audit. OBJECTIVES: To compare adequacy of colonoscopy bowel preparation and diagnostic findings between persons with SCI receiving an extended inpatient bowel preparation and the general population. SETTING: Veterans Affairs Puget Sound Healthcare System, Seattle, WA, USA. METHODS: We reviewed an electronic database of all colonoscopies performed at a tertiary Veterans Affairs medical center between 7/12/13 and 15/10/15...
November 24, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29142293/neural-pathways-for-colorectal-control-relevance-to-spinal-cord-injury-and-treatment-a-narrative-review
#9
REVIEW
Brid Callaghan, John B Furness, Ruslan V Pustovit
STUDY DESIGN: Narrative review. OBJECTIVES: The purpose is to review the organisation of the nerve pathways that control defecation and to relate this knowledge to the deficits in colorectal function after SCI. METHODS: A literature review was conducted to identify salient features of defecation control pathways and the functional consequences of damage to these pathways in SCI. RESULTS: The control pathways for defecation have separate pontine centres under cortical control that influence defecation...
November 16, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29142294/administration-of-increasing-doses-of-gonadotropin-releasing-hormone-in-men-with-spinal-cord-injury-to-investigate-dysfunction-of-the-hypothalamic-pituitary-gonadal-axis
#10
William A Bauman, Michael F La Fountaine, Christopher M Cirnigliaro, Steven C Kirshblum, Ann M Spungen
STUDY DESIGN: Prospective. OBJECTIVES: To determine the optimum gonadotropin-releasing hormone (GnRH) dose to identify dysfunction of the hypothalamic-pituitary-gonadal axis in men with spinal cord injury (SCI). SETTING: Metropolitan Area Hospitals, New York and New Jersey, USA. METHODS: SCI men (16 hypogonadal (HG = serum testosterone <12.1 nmol/l) and 14 eugonadal (EG)) and able-bodied (AB) men (27 HG and 11 EG) were studied...
November 15, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29138486/the-impact-of-a-specialized-spinal-cord-injury-center-as-compared-with-non-specialized-centers-on-the-acute-respiratory-management-of-patients-with-complete-tetraplegia-an-observational-study
#11
Andréane Richard-Denis, Debbie Feldman, Cynthia Thompson, Martin Albert, Jean-Marc Mac-Thiong
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To compare the proportion of tracheostomy placement and duration of mechanical ventilation (MV) in patients with a complete cervical spinal cord injury (SCI) that were managed early or lately in a specialized acute SCI-center. The second objective was to determine the impact of the timing of admission to the SCI-center on the MV support duration. SETTING: A single Level-1 trauma center specialized in SCI care in Quebec (Canada)...
November 15, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29116245/ability-of-sit-to-stand-with-hands-reflects-neurological-and-functional-impairments-in-ambulatory-individuals-with-spinal-cord-injury
#12
Wilairat Saensook, Lugkana Mato, Nattaset Manimmanakorn, Pipatana Amatachaya, Thanat Sooknuan, Sugalya Amatachaya
STUDY DESIGN: A cross-sectional study. OBJECTIVES: To explore the need of upper limb contribution during sit-to-stand (STS) in ambulatory participants with spinal cord injury (SCI) and compare the lower limb loading during the sit-to-stand (LLL-STS) in those with SCI who performed the task with or without hands as compared to able-bodied individuals. In addition, the study assessed the correlation between the LLL-STS, and sensorimotor scores and functional ability in ambulatory participants with SCI...
November 8, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29116244/delivery-of-neostigmine-and-glycopyrrolate-by-iontophoresis-a-nonrandomized-study-in-individuals-with-spinal-cord-injury
#13
Mark A Korsten, Brian L Lyons, Miroslav Radulovic, Tradd M Cummings, Gautam Sikka, Kamaldeep Singh, Anton Sabiev, Ann M Spungen, William A Bauman
STUDY DESIGN: Phase I Clinical Trial. OBJECTIVES: In this proof-of-principle study, the effectiveness and safety of transdermal administration of neostigmine/glycopyrrolate to elicit a bowel movement was compared to intravenous administration in patients with spinal cord injury. SETTING: James J. Peters Veterans Affairs Medical Center (Bronx, NY). METHODS: Individuals were screened for responsiveness (Physical Response) to intravenous neostigmine (0...
November 8, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29105658/representativeness-of-the-spinal-cord-injury-model-systems-national-database
#14
Jessica M Ketchum, Jeffrey P Cuthbert, Anne Deutsch, Yuying Chen, Susan Charlifue, David Chen, Marcel P Dijkers, James E Graham, Allen W Heinemann, Daniel P Lammertse, Gale G Whiteneck
STUDY DESIGN: Secondary analysis of prospectively collected observational data. OBJECTIVES: To assess the representativeness of the Spinal Cord Injury Model Systems National Database (SCIMS-NDB) of all adults aged 18 years or older receiving inpatient rehabilitation in the United States (US) for new onset traumatic spinal cord injury (TSCI). SETTING: Inpatient rehabilitation centers in the US. METHODS: We compared demographic, functional status, and injury characteristics (nine categorical variables comprising of 46 categories and two continuous variables) between the SCIMS-NDB (N = 5969) and UDS-PRO/eRehabData (N = 99,142) cases discharged from inpatient rehabilitation in 2000-2010...
November 6, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29105657/gait-training-after-spinal-cord-injury-safety-feasibility-and-gait-function-following-8-weeks-of-training-with-the-exoskeletons-from-ekso-bionics
#15
Carsten Bach Baunsgaard, Ulla Vig Nissen, Anne Katrin Brust, Angela Frotzler, Cornelia Ribeill, Yorck-Bernhard Kalke, Natacha León, Belén Gómez, Kersti Samuelsson, Wolfram Antepohl, Ulrika Holmström, Niklas Marklund, Thomas Glott, Arve Opheim, Jesus Benito, Narda Murillo, Janneke Nachtegaal, Willemijn Faber, Fin Biering-Sørensen
STUDY DESIGN: Prospective quasi-experimental study, pre- and post-design. OBJECTIVES: Assess safety, feasibility, training characteristics and changes in gait function for persons with spinal cord injury (SCI) using the robotic exoskeletons from Ekso Bionics. SETTING: Nine European rehabilitation centres. METHODS: Robotic exoskeleton gait training, three times weekly over 8 weeks. Time upright, time walking and steps in the device (training characteristics) were recorded longitudinally...
November 6, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29093546/socio-demographic-and-injury-related-factors-contributing-to-activity-limitations-and-participation-restrictions-in-people-with-spinal-cord-injury-in-bangladesh
#16
Manzur Kader, Nirmala K P Perera, Mohammad Sohrab Hossain, Redwanul Islam
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To identify socio-demographic and injury-related factors that contribute to activity limitations and participation restrictions in people with spinal cord injury (SCI) in Bangladesh. SETTING: Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh. METHODS: This study involved 120 (83% men) participants with SCI; their median (interquartile range) age and injury duration were 34 (25-43) years and 5 (2-10) years, respectively...
November 2, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29081513/localization-of-the-primary-sites-of-involvement-in-the-spinal-sensory-and-motor-pathways-for-multilevel-mri-abnormalities-in-degenerative-cervical-myelopathy
#17
Nobuaki Tadokoro, Toshikazu Tani, Kazunobu Kida, Katsuhito Kiyasu, Yusuke Kasai, Masashi Kumon, Ryuichi Takemasa, Masahiko Ikeuchi
STUDY DESIGN: Exploratory clinical study. OBJECTIVES: To localize the sites of conduction block in the spinal sensory and motor pathways for minimizing the level of surgical intervention despite MRI evidence of compression at several levels in degenerative cervical myelopathy (DCM). SETTING: Kochi Medical School Hospital, Japan. METHODS: We analyzed 83 DCM patients (69 ± 12 years) who underwent serial intervertebral recording of both ascending (A-SCEPs) and descending spinal cord-evoked potentials (D-SCEPs) after epidural and transcranial stimulation, respectively, during surgery before decompression procedures...
October 30, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29070812/evidence-based-scientific-exercise-guidelines-for-adults-with-spinal-cord-injury-an-update-and-a-new-guideline
#18
Kathleen A Martin Ginis, Jan W van der Scheer, Amy E Latimer-Cheung, Andy Barrow, Chris Bourne, Peter Carruthers, Marco Bernardi, David S Ditor, Sonja Gaudet, Sonja de Groot, Keith C Hayes, Audrey L Hicks, Christof A Leicht, Jan Lexell, Steven Macaluso, Patricia J Manns, Christopher B McBride, Vanessa K Noonan, Pierre Pomerleau, James H Rimmer, Robert B Shaw, Brett Smith, Karen M Smith, John D Steeves, Dot Tussler, Christopher R West, Dalton L Wolfe, Victoria L Goosey-Tolfrey
OBJECTIVES: To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). SETTING: International. METHODS: Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant...
October 25, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29057992/nutritional-blood-parameters-and-nutritional-risk-screening-in-patients-with-spinal-cord-injury-and-deep-pressure-ulcer-a-retrospective-chart-analysis
#19
Cristina Lussi, Angela Frotzler, Andreas Jenny, Dirk J Schaefer, Reto W Kressig, Anke Scheel-Sailer
STUDY DESIGN: Retrospective chart review. OBJECTIVES: To describe (i) the nutritional blood parameters (NBP) and the nutritional risk screening (NRS) in patients with spinal cord injury (SCI) and pressure ulcers (PU) III and IV according to the EPUAP classification, and (ii) the relationship between both NBP and NRS. SETTING: SCI acute care and rehabilitation clinic in Switzerland. METHODS: The NBPs were measured upon the admission of patients treated for PU III and IV between 11/2011 and 12/2014...
October 23, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29057991/risks-factors-of-mechanical-ventilation-in-acute-traumatic-cervical-spinal-cord-injured-patients
#20
Antonio Montoto-Marqués, Natalia Trillo-Dono, María Elena Ferreiro-Velasco, Sebastián Salvador-de la Barrera, Antonio Rodriguez-Sotillo, Mónica Mourelo-Fariña, Rita Galeiras-Vázquez, Rosa Meijide-Failde
STUDY DESIGN: Descriptive retrospective study. OBJECTIVES: To analyze risk factors associated with mechanical ventilation (MV) in cases of acute traumatic Cervical Spinal Cord Injury (tCSCI). SETTING: Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Coruña, in Galicia (Spain). METHODS: The study included patients with tCSCI who were hospitalized between January 2010 and December 2014. The following variables were analyzed: age, gender, etiology, neurological level, ASIA (American Spinal Injury Association) grade, associated injuries, injury severity score (ISS), ASIA motor score (AMS) at admission and mortality...
October 23, 2017: Spinal Cord
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