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https://www.readbyqxmd.com/read/28508888/association-among-practice-frequency-on-depression-and-stress-among-competitive-us-male-wheelchair-rugby-athletes-with-tetraplegia
#1
S L Silveira, T Ledoux, M Cottingham, D C Hernandez
STUDY DESIGN: Cross-sectional. OBJECTIVES: To determine whether frequency of training is related to self-reported lower psychological distress, defined as depressive symptomology and perceived stress, among the US male wheelchair rugby athletes with tetraplegia. SETTING: United States. METHODS: Survey data were collected on a convenience sample at wheelchair rugby tournaments from January-April 2016. Participants self-reported depressive symptomology (CES-D-10), perceived stress scale (PSS), and frequency of rugby practice...
May 16, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28503322/changes-in-oxidized-ldl-during-a-half-marathon-in-athletes-with-spinal-cord-injuries
#2
Toshihito Mitsui, Tomoyuki Ito, Yusuke Sasaki, Takashi Kawasaki, Takeshi Nakamura, Yukihide Nishimura, Tatsuru Ibusuki, Yukiharu Higuchi, Sayoko Hosoe, Fumiaki Ito, Fumihiro Tajima
INTRODUCTION: We reported previously that exercise significantly increases plasma adrenaline and oxidized low-density lipoprotein (oxLDL) in healthy subjects but not in persons with spinal cord injury (SCI). Since oxLDL and adrenaline levels are associated with oxidant/antioxidant balance, and exercise training elicits production of reactive oxygen species, we elucidated the effects of exercise on adrenaline, oxidant/antioxidant balance and oxLDL in individuals with SCI. CASE PRESENTATION: Eight subjects with cervical spinal cord injury (CSCI) and nine subjects with lower lesion of SCI (lower SCI (LSCI)) participated in a wheelchair half marathon race, and blood samples were collected before (pre), immediately after (post) and 1 h after the race (post 1 h)...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28495360/fractures-and-osteomalacia-in-a-patient-treated-with-frequent-home-hemodialysis
#3
Mark R Hanudel, Larry Froch, Barbara Gales, Harald Jüppner, Isidro B Salusky
Bone deformities and fractures are common consequences of renal osteodystrophy in the dialysis population. Persistent hypophosphatemia may be observed with more frequent home hemodialysis regimens, but the specific effects on the skeleton are unknown. We present a patient with end-stage renal disease treated with frequent home hemodialysis who developed severe bone pain and multiple fractures, including a hip fracture and a tibia-fibula fracture complicated by nonunion, rendering her nonambulatory and wheelchair bound for more than a year...
May 9, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28491917/understanding-the-burden-experienced-by-caregivers-of-older-adults-who-use-a-powered-wheelchair-a-cross-sectional-study
#4
Paula W Rushton, Delphine Labbé, Louise Demers, William C Miller, William B Mortenson, R Lee Kirby
Objective: In this study, we aimed to describe the burden of family caregivers providing powered wheelchair-related and overall assistance and test the hypotheses that caregiver burden correlates with participation, wheelchair skills capacity, anxiety, depression, and social support. Methods: Cross-sectional study. Participants included 35 family caregivers of powered wheelchair users. Caregivers were assessed using the Power Mobility Caregiver Assistive Technology Outcome Measure, Late Life Disability Instrument, Wheelchair Skills Test Questionnaire for caregivers, Hospital Anxiety and Depression Scale, and Interpersonal Support Evaluation List-12...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/28485185/exploring-the-ecological-validity-and-variability-of-a-10-min-bout-of-wheeling
#5
Megan K MacGillivray, Tania Lam, Marc Klimstra, E Paul Zehr, Bonita J Sawatzky
PURPOSE: To determine the ecological validity of using able-bodied participants to perform a 10-min wheeling trial by (1) evaluating changes in biomechanics over the trial in manual wheelchair users and able-bodied participants naïve to wheeling and (2) describing differences in changes and variability between groups. MATERIALS AND METHODS: Manual wheelchair users (n = 7, 2-27 years' experience) and able-bodied participants (n = 11) wheeled for 10 min...
May 9, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28484488/progress-in-eeg-based-brain-robot-interaction-systems
#6
REVIEW
Xiaoqian Mao, Mengfan Li, Wei Li, Linwei Niu, Bin Xian, Ming Zeng, Genshe Chen
The most popular noninvasive Brain Robot Interaction (BRI) technology uses the electroencephalogram- (EEG-) based Brain Computer Interface (BCI), to serve as an additional communication channel, for robot control via brainwaves. This technology is promising for elderly or disabled patient assistance with daily life. The key issue of a BRI system is to identify human mental activities, by decoding brainwaves, acquired with an EEG device. Compared with other BCI applications, such as word speller, the development of these applications may be more challenging since control of robot systems via brainwaves must consider surrounding environment feedback in real-time, robot mechanical kinematics, and dynamics, as well as robot control architecture and behavior...
2017: Computational Intelligence and Neuroscience
https://www.readbyqxmd.com/read/28480812/morbidity-and-mortality-after-fragility-hip-fracture-in-a-saudi-arabian-population-report-from-a-single-center
#7
Mir Sadat-Ali, Moaad Alfaraidy, Abdulaziz AlHawas, Ahmed Abdallah Al-Othman, Dakheel A Al-Dakheel, Badar K Tayara
Objective To determine the functional morbidity and mortality after fragility hip fracture and compare the mortality with three other common diseases. Methods Data were collected from patients admitted to King Fahd Hospital of the University, AlKhobar from January 2010 to December 2014. Demographic data included the preoperative American Society of Anesthesiologists (ASA) score as assessed by the anesthetist and the type of surgery. Personal and telephone interviews were performed, and data were entered into a database and analyzed...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28479912/locally-manufactured-wheelchairs-in-tanzania-are-users-satisfied
#8
Seyi Amosun, Aston Ndosi, Helen Buchanan
BACKGROUND: The government of Tanzania created opportunity for the production of wheelchairs that would be appropriate to the local needs and environment. OBJECTIVES: The study assessed the extent to which the wheelchairs met the activity and participation needs of the users, as well as the users' level of satisfaction with the provision, repair and maintenance of these wheelchairs. METHODS: A descriptive cross-sectional analytical design was utilized to collect data through the administration of a questionnaire among 75 adult wheelchair users...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28478914/late-onset-limb-girdle-muscular-dystrophy-caused-by-gmppb-mutations
#9
Hasan Balcin, Johanna Palmio, Sini Penttilä, Inger Nennesmo, Mikaela Lindfors, Göran Solders, Bjarne Udd
Mutations in GMPPB gene have been reported in patients with early-onset disease ranging from severe congenital muscular dystrophies to limb-girdle muscular dystrophy (LGMD) with mental retardation. More recently mutations in GMPPB have been identified with congenital myasthenic syndromes as well as milder phenotypes. We report two unrelated cases with LGMD that underwent clinical, histopathological and genetic studies. In both cases, we found identical compound heterozygous GMPPB mutations c.79G>C p.D27H and c...
April 18, 2017: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/28475062/spelling-with-a-small-mobile-brain-computer-interface-in-a-moving-wheelchair
#10
Qasem Obeidat, Tom Campbell, Jun Kong
Research into Brain-Computer Interfaces (BCIs), which spell words using brain signals, has revealed that a desktop version of such a speller, the edges paradigm, offers several advantages: This edges paradigm outperforms the benchmark row-column paradigm in terms of accuracy, bitrate, and user experience. It has remained unknown whether these advantages prevailed with a new version of the edges paradigm designed for a mobile device. This paper investigated and evaluated in a rolling wheelchair a mobile BCI, which implemented the edges paradigm on small displays with which visual crowding tends to occur...
May 2, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28475060/the-implementation-and-validation-of-a-virtual-environment-for-training-powered-wheelchair-manoeuvres
#11
Nigel W John, Serban R Pop, Thomas W Day, Panagiotis D Ritsos, Christopher J Headleand
Navigating a powered wheelchair and avoiding collisions is often a daunting task for new wheelchair users. It takes time and practice to gain the coordination needed to become a competent driver and this can be even more of a challenge for someone with a disability. We present a cost-effective virtual reality (VR) application that takes advantage of consumer level VR hardware. The system can be easily deployed in an assessment centre or for home use, and does not depend on a specialized high-end virtual environment such as a Powerwall or CAVE...
May 2, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28472894/resting-energy-expenditure-in-male-athletes-with-a-spinal-cord-injury
#12
Fiona E Pelly, Elizabeth M Broad, Natalie Stuart, Mark A Holmes
OBJECTIVE: To investigate whether there are differences in the resting energy expenditure (REE) and body composition of athletes with a spinal cord injury (SCI) compared to active able-bodied controls. DESIGN: In this cross sectional study, male athletes with a SCI were compared to active able-bodied controls matched for age, stretch stature and body mass. In addition, the accuracy of standard REE prediction equations in estimating REE was assessed. PARTICIPANTS: Seven male wheelchair athletes with a SCI and six matched active able-bodied controls volunteered to participate...
May 4, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28465225/association-of-pectoralis-minor-muscle-extensibility-shoulder-mobility-and-duration-of-manual-wheelchair-use
#13
Margaret Finley, David Ebaugh
OBJECTIVE: To assess the relationship of pectoralis minor muscle (PMm) length and extensibility to shoulder pain, shoulder girdle motion, and duration of manual wheelchair (MWC) use and compare differences in muscle length, muscle extensibility, peak humeral elevation and pain among groups based on duration of wheelchair use. DESIGN: Cross-sectional cohort study; SETTING: Laboratory setting PARTICIPANTS: Twenty-two individuals with SCI who used a MWC for daily community and home mobility (18 males, mean age 41...
April 29, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28454679/a-pilot-study-comparing-custom-contoured-and-planar-support-surfaces-for-pressure-ulcer-risk-over-the-heels-for-night-time-postural-management-using-interface-pressure-mapping-and-discomfort-scores
#14
J Hosking
PURPOSE: Custom contouring techniques are effective for reducing pressure ulcer risk in wheelchair seating. These techniques may assist the management of pressure ulcer risk during sleep for night time postural management. OBJECTIVES: To investigate the effectiveness of custom contoured night time postural management components against planar support surfaces for pressure ulcer risk measures over the heels. METHOD: Supine posture was captured from five healthy participants using vacuum consolidation and 3-dimensional laser scanning...
April 21, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/28452146/autonomic-testing-for-prediction-of-competition-performance-in-paralympic-athletes
#15
Jordan W Squair, Aaron A Phillips, Katharine D Currie, Cameron Gee, Andrei V Krassioukov
PURPOSE: While we now appreciate that autonomic dysfunction can impact Wheelchair Rugby performance, this is currently not being assessed during classification, largely due to lack of a standardized and evidence-based strategy to assess autonomic function. Our aim, therefore, was to establish the optimal autonomic testing protocol that best predicts cardiovascular capacity during competition by comprehensively examining autonomic function in elite Wheelchair Rugby athletes with cervical SCI and thereby enhance the standardized classification...
April 27, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28448325/combined-spinal-epidural-anesthesia-with-dexmedetomidine-based-sedation-for-multiple-corrective-osteotomies-in-a-child-with-osteogenesis-imperfecta-type-iii-a-case-report
#16
Anju Gupta, Geeta Kamal, Nishkarsh Gupta, Anil Aggarwal
Osteogenesis imperfecta (OI) is a rare disabling genetic connective tissue disorder. General anesthesia in these patients is associated with increased risks. Regional anesthesia is favored wherever feasible, but there are limited reports of use of a sole regional technique in OI in pediatric patients. Moreover, combined spinal-epidural anesthesia has never been described previously. We are reporting the use of combined spinal-epidural anesthesia for a prolonged surgery (multiple osteotomies) of lower limbs in a 10-year-old wheelchair-bound child with OI type III...
April 26, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28447572/effects-of-bone-marrow-derived-msc-transplantation-on-functional-recovery-in-a-rat-model-of-spinal-cord-injury-comparisons-of-transplant-locations-and-cell-concentrations
#17
Jessica J Matyas, Andrew N Stewart, Allison Goldsmith, Zhenhong Nan, Reid L Skeel, Julien Rossignol, Gary L Dunbar
Spinal cord injury (SCI) is a widely disabling condition, constraining those affected by it to wheelchairs and requiring intense daily care and assistance. Cell replacement therapies, targeting regeneration of cells in the injured cord, are currently gaining momentum in the field of SCI research. Previous studies indicate that mesenchymal stem cells (MSCs) can reduce functional deficits through immunomodulation and production of trophic factors in a variety of neurological disorders. The present study assessed the efficacy of transplanted bone marrow-derived MSCs at different concentrations and locations for promoting functional recovery following SCI...
April 26, 2017: Cell Transplantation
https://www.readbyqxmd.com/read/28446419/the-smartphone-peer-physical-activity-counseling-sppac-program-for-manual-wheelchair-users-protocol-of-a-pilot-randomized-controlled-trial
#18
Krista L Best, François Routhier, Shane N Sweet, Kelly P Arbour-Nicitopoulos, Jaimie F Borisoff, Luc Noreau, Kathleen A Martin Ginis
BACKGROUND: Physical activity (PA) must be performed regularly to accrue health benefits. However, the majority of manual wheelchair users do not meet PA recommendations. Existing community-based PA programs for manual wheelchair users appear to work, but effect sizes are small and retention is low. Existing PA programs may not fully implement some psychosocial factors that are strongly linked with PA (eg, autonomy). The use of peers and mobile phone technology in the Smartphone Peer PA Counseling (SPPAC) program represents a novel approach to cultivating a PA-supportive environment for manual wheelchair users...
April 26, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28444554/relationships-between-environmental-factors-and-participation-in-adults-with-traumatic-brain-injury-stroke-and-spinal-cord-injury-a-cross-sectional-multi-center-study
#19
Alex W K Wong, Sheryl Ng, Jessica Dashner, M Carolyn Baum, Joy Hammel, Susan Magasi, Jin-Shei Lai, Noelle E Carlozzi, David S Tulsky, Ana Miskovic, Arielle Goldsmith, Allen W Heinemann
PURPOSE: To develop and evaluate a model of environmental factors-participation relationships for persons with traumatic brain injury (TBI), stroke, and spinal cord injury (SCI), and test whether this model differed across three diagnostic groups, as well as other demographic and clinical characteristics. METHODS: A cross-sectional observational study included 545 community-dwelling adults with neurological disorders (TBI = 166; stroke = 189; SCI = 190) recruited at three academic medical centers...
April 25, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28431799/an-mri-investigation-of-the-effects-of-user-anatomy-and-wheelchair-cushion-type-on-tissue-deformation
#20
David Brienza, Jaxon Vallely, Patricia Karg, Jonathan Akins, Amit Gefen
AIM OF THE STUDY: Tissue deformation is recognized as an important risk factor for pressure injuries. This study investigated the effects of anatomy and wheelchair cushion type on tissue deformation. MATERIALS AND METHODS: Direct 3-dimensional tissue deformation response was measured for six participants sitting on six different wheelchair cushions using MR imaging. Two participants had a traumatic spinal cord injury (SCI) within one year of the assessment, two sustained traumatic SCI at least 13 years prior, and two were without SCI...
April 11, 2017: Journal of Tissue Viability
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