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Spinal Adjustment

Collene E Anderson, Jonviea D Chamberlain, Xavier Jordan, Thomas M Kessler, Eugenia Luca, Sandra Möhr, Jürgen Pannek, Martin Schubert, Martin Wg Brinkhof
OBJECTIVE: To understand the occurrence of and risk factors for urinary tract infections (UTIs) in patients with spinal cord injury (SCI) undergoing specialized SCI rehabilitation in Switzerland. PATIENTS AND METHODS: This study used data collected from 369 patients, who participated in a nationwide rehabilitation cohort for SCI in Switzerland between 2013 and 2017. Information on UTIs as well as their potential determinants, including demographics, lesion characteristics, and time-updated data on functional independence and bladder management was used...
August 16, 2018: BJU International
Eric Chun Pu Chu, Michelle Ng
We report the case of a 44-year-old school teacher who experienced long-term relief from tension-type headache (TTH) and major depression following chiropractic treatment. It is well recognized that psychiatric comorbidity and suicide risk are commonly found in patients with painful physical symptoms such as chronic headache, backache, or joint pain. Recent studies indicated that autonomic dysfunction plays a role in the pathogenesis of TTHs and depressive disorders. The autonomic nervous system is mainly controlled by reflex centers located in the spinal cord, brain stem, and hypothalamus...
May 2018: Journal of Family Medicine and Primary Care
Pasang Doma Sherpa, Luppana Kitrungrote, Wipa Sae-Sia
Study design: Descriptive cross-sectional study. Objective: This study aims to determine the factors predicting quality of life among Nepalese family caregivers of people with spinal cord injury (SCI) having low back pain. Setting: Eight districts of the Bagmati Zone of Nepal. Methods: Sixty-five family caregivers of people with SCI having chronic low back pain were recruited from January to March 2017. The factors examined as independent variables included monthly household income, daily caregiving hours, functional independence of people with SCI, low back pain intensity, and functional disability of family caregivers...
2018: Spinal Cord Series and Cases
Nicholas Annetta, Jeffrey Friend, Andrew Schimmoeller, Vimal S Buck, David Friedenberg, Chad E Bouton, Marcia A Bockbrader, Patrick Ganzer, Sam Colachis, Mingming Zhang, W Jerry Mysiw, Ali R Rezai, Gaurav Sharma
OBJECTIVE: Paralysis resulting from spinal cord injury (SCI) can have a devastating effect on multiple arm and hand motor functions. Rotary hand movements, such as supination and pronation, are commonly impaired by upper extremity paralysis, and are essential for many activities of daily living. In this proof-of-concept study, we utilize a neural bypass system (NBS) to decode motor intention from motor cortex to control combinatorial rotary hand movements elicited through stimulation of the arm muscles, effectively bypassing the SCI of the study participant...
August 7, 2018: IEEE Transactions on Bio-medical Engineering
Florin M Orza, Elena Averbakh, Michael M Todd
The occurrence of a postdural puncture headache (PDPH) is a known risk associated with epidural procedures. The primary nonconservative treatment option for PDPH is the performance of an epidural blood patch. This case report describes the use of image guidance for placement of a caudal epidural to treat a PDPH in a postpartum patient. A caudal catheter was placed under real-time guidance and visualization of the deposition of the blood was obtained. By entering via the caudal foramen and utilizing a catheter, manipulations in catheter placement could be performed to adjust deposition of the blood...
August 10, 2018: A&A practice
Wylie Lopez, Sean M Rider, Kenneth Nwosu, Erick Kazarian, Justin Blucher, Erin Schoenfeld, Andrew Simpson, James Kang, Andrew J Schoenfeld
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To assess whether administration of prophylactic vancomycin, in addition to cefazolin decreased revision surgeries for postoperative infection (SSI) as well as the need for revisions overall. SUMMARY OF BACKGROUND DATA: In 2010 our institution implemented an antibiotic prophylaxis regimen consisting of intravenous vancomycin and cefazolin that applied to all patients receiving surgical implants...
August 7, 2018: Spine
Gwenvael Le Dréau, René Escalona, Raquel Fueyo, Antonio Herrera, Juan D Martínez, Susana Usieto, Anghara Menendez, Sebastian Pons, Marian A Martinez-Balbas, Elisa Marti
Class II HLH proteins heterodimerize with class I HLH/E proteins to regulate transcription. Here we show that E proteins sharpen neurogenesis by adjusting the neurogenic strength of the distinct proneural proteins. We find that inhibiting BMP signaling or its target ID2 in the chick embryo spinal cord, impairs the neuronal production from progenitors expressing ATOH1/ASCL1, but less severely that from progenitors expressing NEUROG1/2/PTF1a. We show this context-dependent response to result from the differential modulation of proneural proteins' activity by E proteins...
August 10, 2018: ELife
Joon-Yong Jung, Seung Hee Han, Yeon Sik Hong, Sung-Hwan Park, Ji Hyeon Ju, Kwi Young Kang
OBJECTIVE: To determine the association between inflammatory lesions on spinal magnetic resonance imaging (MRI) and trabecular bone score (TBS) in patients with ankylosing spondylitis (AS). METHODS: Ninety-seven patients with AS underwent spine MRI and dual energy x-ray absorptiometry of the lumbar spine to measure TBS and bone mineral density. Bone marrow edema (BME) on MRI was considered an inflammatory lesion. The presence, depth (>1 cm), and intensity of BME on MRI were scored for the 1st-4th lumbar spine segments...
August 10, 2018: Modern Rheumatology
Amir Azarhomayoun, Maryam Aghasi, Najmeh Mousavi, Farhad Shokraneh, Alexander R Vaccaro, Arvin Haj Mirzaian, Pegah Derakhshan, Vafa Rahimi-Movaghar
Objective: To estimate the summation of mortality rate and the contributing factors in patients with traumatic thoracolumbar spinal cord injuries (TLSCI). Methods: A systematic search of observational studies that evaluated the mortality associated with TLSCI in MEDLINE and EMBASE was conducted. The study quality was evaluated using a modified quality assessment tool previously designed for observational studies. Results: Twenty-four observational studies involving 11,205 patients were included, published between January 1, 1997, and February 6, 2016...
July 2018: Bulletin of Emergency and Trauma
Victor F Leite, Daniel R de Souza, Marta Imamura, Linamara R Battistella
STUDY DESIGN: Retrospective cohort. OBJECTIVE: To evaluate the survival outcomes in patients with traumatic spinal cord injury (TSCI). SETTING: A teaching hospital in Brazil. METHODS: A total of 434 patients diagnosed with TSCI (2004-2014) were included. Overall survival, standardized mortality ratios (SMR), and causes of death were assessed by Student's t-test, χ2 test, Kaplan-Meier analysis, and Cox proportional-hazards regression...
August 8, 2018: Spinal Cord
Lidia Engel, Stirling Bryan, Vanessa K Noonan, David G T Whitehurst
While economic evaluations typically embrace health maximization as the maximization objective using quality-adjusted life years, there is increasing interest in the measurement of capability wellbeing and subjective wellbeing (SWB) for informing policy decisions. The objective of this study was to investigate the relationships between health-related quality of life (HRQoL), capability wellbeing and SWB. Data were used from 364 individuals living with spinal cord injury (SCI) who previously completed a web-based, cross-sectional survey (March-June 2013)...
July 29, 2018: Social Science & Medicine
Taylor D Ottesen, Ryan P McLynn, Cheryl K Zogg, Blake N Shultz, Nathaniel T Ondeck, Patawut Bovonratwet, Kirthi S Bellamkonda, Lee E Rubin, Jonathan N Grauer
BACKGROUND CONTEXT: The prevalence of dialysis-dependent patients in the United States is growing. Prior studies evaluating the risk of perioperative adverse events for dialysis-dependent patients are either institutional cohort studies limited by patient numbers or administrative database studies limited to inpatient data. PURPOSE: The current study utilizes a large, national sample with 30-day follow-up to investigate dialysis as risk factor for perioperative complications independent of patient demographics or comorbidities...
August 2, 2018: Spine Journal: Official Journal of the North American Spine Society
Takahito Fujimori, Toshitada Miwa, Motoki Iwasaki, Takenori Oda
BACKGROUND: Healthcare costs are a global concern, and cost-effectiveness analyses of interventions have become important. However, data regarding cost-effectiveness are limited to a few medical fields. The purpose of our study was to examine the Japanese universal health insurance system cost per quality-adjusted life year (QALY) for lumbar fenestration surgery. METHODS: Forty-eight patients who underwent fenestration for lumbar degenerative spinal canal stenosis between July 2013 and September 2015 were included...
July 31, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Brook Martin, Sohail K Mirza, Nicholas Spina, William R Spiker, Brandon Lawrence, Darrel S Brodke
STUDY DESIGN: Analysis of National Inpatient Sample (NIS), 2004-2015. OBJECTIVE: Describe recent trends in U.S. rates of lumbar fusion procedures and associated costs, by surgical indication. SUMMARY OF BACKGROUND DATA: Spinal fusion is appropriate for spinal deformity and instability, but evidence of effectiveness is limited for primary disc herniation and spinal stenosis without instability. It remains controversial for treatment of axial pain secondary to degenerative disc disease...
August 2, 2018: Spine
Wen-Cheng Huang, Chao-Hung Kuo, Jau-Ching Wu, Yu-Chun Chen
High physical activity or workload has been associated with intervertebral disc degeneration. However, there is little data on physicians' risks of disc disease. The study aimed to investigate the incidences of spinal problems among neurologists and neurosurgeons. A cohort of neurologists and neurosurgeons was derived from Taiwan's national research database. During the study period, the incidences of intervertebral disc herniation or spondylosis among these specialists were calculated. Another one-to-one by propensity score matched cohort, composed of neurologists and neurosurgeons, was also analyzed...
August 2, 2018: Journal of Clinical Medicine
Derek Clewley, Dan Rhon, Timothy Flynn, Shane Koppenhaver, Chad Cook
BACKGROUND: The global burden of low back pain is growing rapidly, accompanied by increasing rates of associated healthcare utilization. Health seeking behavior (HSB) has been suggested as a mediator of healthcare utilization. The aims of this study were to: 1) develop a proxy HSB measure based on healthcare consumption patterns prior to initial consultation for spinal pain, and 2) examine associations between the proxy HSB measure and future healthcare utilization in a population of patients with spine disorders...
2018: PloS One
Qiming Chen, Hong Cheng, Chunfeng Yue, Rui Huang, Hongliang Guo
Purpose: Powered lower-limb exoskeleton has gained considerable interests, since it can help patients with spinal cord injury(SCI) to stand and walk again. Providing walking assistance with SCI patients, most exoskeletons are designed to follow predefined gait trajectories, which makes the patient walk unnaturally and feels uncomfortable. Furthermore, exoskeletons with predefined gait trajectories cannot always maintain balance walking especially when encountering disturbances. Design/Methodology/Approach: This paper proposed a novel gait planning approach, which aims to provide reliable and balance gait during walking assistance...
2018: Applied Bionics and Biomechanics
Baraa K Al-Khazraji, J Kevin Shoemaker
The autonomic nervous system elicits continuous beat-by-beat homeostatic adjustments to cardiovascular control. These modifications are mediated by sensory inputs (e.g., baroreceptors, metaboreceptors, pulmonary, thermoreceptors, and chemoreceptors afferents), integration at the brainstem control centres (i.e., medulla), and efferent autonomic neural outputs (e.g., spinal, preganglionic, and postganglionic pathways). However, extensive electrical stimulation and functional imaging research show that the brain's higher cortical regions (e...
July 30, 2018: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
Anastasia V Pavlova, Judith R Meakin, Kay Cooper, Rebecca J Barr, Richard M Aspden
Objective: Lifting postures are frequently implicated in back pain. We previously related responses to a static load with intrinsic spine shape, and here we investigate the role of lumbar spine shape in lifting kinematics. Methods: Thirty healthy adults (18-65 years) performed freestyle , stoop and squat lifts with a weighted box (6-15 kg, self-selected) while being recorded by Vicon motion capture. Internal spine shape was characterised using statistical shape modelling (SSM) from standing mid-sagittal MRIs...
2018: BMJ Open Sport & Exercise Medicine
Elsbeth Littooij, Guy A M Widdershoven, Carlo J W Leget, Joost Dekker
Based on our empirical research on global meaning in people with spinal cord injury and people with stroke, we formulated 'inner posture' as a concept in rehabilitation. Inner posture, as we concluded from our empirical data, refers to the way in which people bear what cannot be changed. It helps them to live with their injury. Considering that much has already been written about meaning from a variety of disciplines, the question arises whether the concept of inner posture adds something new to the existing literature, or is just another name for a phenomenon that has already been described before in different terms...
July 27, 2018: Medicine, Health Care, and Philosophy
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