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Enrique Bárbara-Bataller, José Luis Méndez-Suárez, Carolina Alemán-Sánchez, Teresa Ramírez-Lorenzo, Manuel Sosa-Henríquez
OBJECTIVE: To evaluate the epidemiological and clinical trends in acute traumatic spinal cord injuries. MATERIAL AND METHODS: A retrospective study was conducted of traumatic spinal cord injury patients in Gran Canaria (Canary Islands, Spain) from 2000 to 2014. Demographic and spinal injury severity trends were analysed by year of injury grouped into 3 periods: 2000-2005, 2006-2010, and 2011-2014. RESULTS: The sample included 141 patients...
October 15, 2016: Neurocirugía
D Zbogar, J J Eng, W C Miller, A V Krassioukov, M C Verrier
STUDY DESIGN: Longitudinal observational study. OBJECTIVE: To quantify the amount of upper- and lower-extremity movement repetitions (that is, voluntary movements as part of a functional task or specific motion) occurring during inpatient spinal cord injury (SCI), physical (PT) and occupational therapy (OT), and examine changes over the inpatient rehabilitation stay. SETTING: Two stand-alone inpatient SCI rehabilitation centers. METHODS: Participants: A total of 103 patients were recruited through consecutive admissions to SCI rehabilitation...
October 18, 2016: Spinal Cord
Bethel C A Osuagwu, Leslie Wallace, Mathew Fraser, Aleksandra Vuckovic
OBJECTIVE: To compare neurological and functional outcomes between two groups of hospitalised patients with subacute tetraplegia. APPROACH: Seven patients received 20 sessions of brain computer interface (BCI) controlled functional electrical stimulation (FES) while five patients received the same number of sessions of passive FES for both hands. The neurological assessment measures were event related desynchronization (ERD) during movement attempt, Somatosensory evoked potential (SSEP) of the ulnar and median nerve; assessment of hand function involved the range of motion (ROM) of wrist and manual muscle test...
October 14, 2016: Journal of Neural Engineering
Nirupama S Wijesuriya, Chaminda Lewis, Jane E Butler, Bonsan B Lee, Amy S Jordan, David J Berlowitz, Danny J Eckert
Obstructive sleep apnoea (OSA) is highly prevalent in people with tetraplegia. Nasal congestion, a risk factor for OSA, is common in people with tetraplegia. The purpose of this study was to quantify objective and perceived nasal resistance and its stability over four separate days in people with tetraplegia and OSA (n=8) compared to able-bodied controls (n=6). Awake nasal resistance was quantified using gold standard choanal pressure recordings (days 1 and 4) and anterior rhinomanometry (all visits). Nasal resistance (choanal pressure) was higher in people with tetraplegia versus controls (5...
October 3, 2016: Respiratory Physiology & Neurobiology
Lotte N S Andreasen Struijk, Eugen R Lontis, Michael Gaihede, Hector A Caltenco, Morten Enemark Lund, Henrik Schioeler, Bo Bentsen
PURPOSE: Individuals with tetraplegia depend on alternative interfaces in order to control computers and other electronic equipment. Current interfaces are often limited in the number of available control commands, and may compromise the social identity of an individual due to their undesirable appearance. The purpose of this study was to implement an alternative computer interface, which was fully embedded into the oral cavity and which provided multiple control commands. METHODS: The development of a wireless, intraoral, inductive tongue computer was described...
September 28, 2016: Disability and Rehabilitation. Assistive Technology
Thierry Weissland, Pierre-Marie Leprêtre, Steven Bruere, Gwendal Troadec, Michel Terrefond
OBJECTIVE: Evaluations of physical fitness and efficiency to wheelchair propulsion are common in rehabilitation center. The multistage field test (MFT) was developed for wheelchair users and predicts the peak value of oxygen consumption [Formula: see text] , independently of their impairment [1]. In an earlier study, we did not find significant difference between VO2peak estimated by the Vanderthommen's formula and measured VO2peak [2] of trained wheelchair basketball players. MATERIAL/PATIENTS AND METHODS: Comparatively to wheelchair basketball, the athlete's cardio-respiratory and muscular limitations are greater higher in wheelchair rugby...
September 2016: Annals of Physical and Rehabilitation Medicine
Marie Belle, Caroline Terracol, Evelyne Castel-Lacanal, Gaelle Le Floch, Sylvie Hidalgo, Philippe Marque, Xavier de Boissezon
OBJECTIVE: The seating intervention for wheelchair users intends to achieve a comfortable and functional position and to limit the risk of complications due to long sitting period (pain and discomfort, skin disorders, orthopedic, respiratory, digestive diseases). Few scientific papers about seating intervention in adults are published. The objective of the present study is to assess the objective and subjective effects of wheelchair seating intervention for patients at Toulouse University Hospital's WSC...
September 2016: Annals of Physical and Rehabilitation Medicine
Julia Hamonet-Torny
OPINION/FEEDBACK: INTRODUCTION: Despite of the politique for social inclusion leaded since the last decade, many specialized institutions for disabled children remained in France. This institutional field is varied and heterogenous, so difficult to understand from the exterior, particularly from the healthcare sector. The aim of this study was to evaluate the needs of the children accompanied within the Motor Education Institute of Couzeix in order to identify more precise indications to the placement...
September 2016: Annals of Physical and Rehabilitation Medicine
Michael Kwasniewski, Deborah M Caruso
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Saiyun Hou, Matthew Davis
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Terri Susan Graham-Paulson, Thomas Andrew William Paulson, Claudio Perret, Keith Tolfrey, Philip Cordery, Victoria Louise Goosey-Tolfrey
PURPOSE: To investigate the absorption curve and acute effects of caffeine at rest in individuals with no spinal cord injury (SCI), paraplegia (PARA) and tetraplegia (TETRA). METHODS: Twenty-four healthy males (8 able-bodied (AB), 8 PARA and 8 TETRA) consumed 3 mg[BULLET OPERATOR]kg caffeine anhydrous (CAF) in a fasted state. Plasma caffeine [CAF], glucose, lactate, free-fatty acid [FFA] and catecholamine concentrations were measured during a 150 min rest period...
September 23, 2016: Medicine and Science in Sports and Exercise
Ashraf S Gorgey, Mina P Ghatas
No abstract text is available yet for this article.
July 2016: Neural Regeneration Research
Jayme Augusto Bertelli, Marcos Flávio Ghizoni
PURPOSE: With spinal cord injuries, muscles below the level of the lesion remain innervated despite the absence of volitional control. This persistent innervation protects against denervation atrophy and may allow for nerve transfers to treat long-standing lesions within the spinal cord. We tested the hypothesis that in chronic spinal cord lesions, muscles remained viable for reinnervation. METHODS: To test this hypothesis, we operated on 7 patients with tetraplegia to reconstruct thumb and finger extension after a mean interval of 5 years since injury...
September 1, 2016: Journal of Hand Surgery
Nuray Yozbatiran, Zafer Keser, Matthew Davis, Argyrios Stampas, Marcia K O'Malley, Catherine Cooper-Hay, Joel Frontera, Felipe Fregni, Gerard E Francisco
BACKGROUND: After cervical spinal cord injury, current options for treatment of upper extremity motor functions have been limited to traditional approaches. However, there is a substantial need to explore more rigorous alternative treatments to facilitate motor recovery. OBJECTIVE: To demonstrate whether anodal-primary motor cortex (M1) excitability enhancement (with cathodal-supra orbital area) (atDCS) combined with robot-assisted arm training (R-AAT) will provide greater improvement in contralateral arm and hand motor functions compared to sham stimulation (stDCS) and R-AAT in patients with chronic, incomplete cervical spinal cord injury (iCSCI)...
July 15, 2016: NeuroRehabilitation
Shintaro Hayashi, Shun Nagamine, Kouki Makioka, Susumu Kusunoki, Koichi Okamoto
A 71-year-old woman with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with IgA-λ monoclonal gammopathy of undetermined significance (MGUS) showed the acute development of tetraplegia, respiratory failure, and a marked fluctuation of the blood pressure. Intravenous (IV) high-dose steroid therapy (methylprednisolone: 1 g/day × 3 days), followed by oral prednisolone (PSL) (40 mg/day), and IV immunoglobulin (IVIg, 0.4 g/kg/day × 5 days) administrations resulted in the amelioration of these symptoms...
September 29, 2016: Rinshō Shinkeigaku, Clinical Neurology
Yu-Hui Huang, Hsiao-Yun Chang, Sen-Wei Tsai, Li-Wei Chou, Sung-Lang Chen, Yu-Hao Lin
BACKGROUND/PURPOSE: This study compares heart rate variability (HRV) and systolic blood pressure (SBP) changes of spinal cord injury (SCI) patients during urodynamic study (UDS) with able-bodied controls. METHODS: Twenty four complete suprasacral SCI patients (12 tetraplegia and 12 paraplegia) and 12 age-matched able-bodied volunteers received BP and HRV evaluation throughout urodynamic examination. We chose seven time points during the examinations: resting, Foley catheter insertion, start of infusion, and infused volume reaching 1/4, 2/4, 3/4 and 4/4 of maximal capacity...
2016: PloS One
Laura Gainche, David J Berlowitz, Mariannick LeGuen, Warren R Ruehland, Fergal J O'Donoghue, John Trinder, Marnie Graco, Rachel Schembri, Danny J Eckert, Peter D Rochford, Amy S Jordan
STUDY OBJECTIVE: Obstructive sleep apnea (OSA) is common in individuals with tetraplegia and associated with adverse health outcomes. The causes of the high prevalence of OSA in this population are unknown, but it is important to understand as standard treatments are poorly tolerated in tetraplegia. Nasal congestion is common in tetraplegia, possibly because of unopposed parasympathetic activity. Further, nasal obstruction can induce OSA in healthy individuals. We therefore aimed to compare nasal resistance before and after topical administration of a sympathomimetic between 10 individuals with tetraplegia (T) and 9 able-bodied (AB) controls matched for OSA severity, gender, and age...
August 22, 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Matthew R Williams, Robert F Kirsch
We evaluated the ability of an individual with a high cervical spinal cord injury (SCI) to control a cursor on a computer screen using two different user interfaces: (1) head movements measured via a head-mounted orientation sensor and (2) electromyography (EMG) signals from four head and neck muscles acquired using a 4-channel implanted upper-limb neuroprosthesis that had been deployed in an earlier study. The subject moved the cursor to a set of targets on the screen in a two-dimensional, center-out, target-acquisition task, and his performance was evaluated with a variety of performance measures to assess both position and velocity control accuracy...
2016: Journal of Rehabilitation Research and Development
E Vasilchenko, R Escorpizo, E Filatov, A Kislova, Y Surodeyeva, V Lyachovetskaya, G Zoloyev
STUDY DESIGN: This is a cross-sectional study. OBJECTIVES: (1) To use the International Classification of Functioning, Disability and Health (ICF) profile to assess the functioning of patients with spinal cord injury (SCI) admitted to a rehabilitation center; (2) To determine the role of the ICF in the operation of a rehabilitation center in Russia. SETTING: This study was conducted in the Federal center for disability rehabilitation in Novokuznetsk, Russia...
August 16, 2016: Spinal Cord
Jayme A Bertelli, Marcos F Ghizoni
OBJECTIVES: Absence of sensation in C8-T1 dermatome is a common finding in midcervical spinal cord injury. The goal was to restore sensation on the C8-T1 dermatomes by transferring sensory nerves with afferents on C5-C6 roots. METHODS: A mean 10 months post spinal cord injury, we operated on 10 upper limbs from 5 tetraplegics averaging 23 years old. Cutaneous branches of the median nerve were transferred to the palm to the ulnar proper digital nerve of the little finger...
August 13, 2016: Microsurgery
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