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https://www.readbyqxmd.com/read/29763914/epidemiology-of-traumatic-spinal-cord-injury-in-ireland-2010-2015
#1
Eimear Smith, Patricia Fitzpatrick, John Murtagh, Frank Lyons, Seamus Morris, Keith Synnott
BACKGROUND: The International Spinal Cord Society and World Health Organisation recommend the collection of epidemiological data on traumatic spinal cord injury (TSCI). A 1-year prospective study is ongoing in Ireland. While the results of this study are awaited, it was concluded from a feasibility exercise that a complete retrospective dataset, 2010-2015, could be obtained and would be useful for service planning. METHODS: All patients with TSCI discharged from the national SCI acute and rehabilitation centres were included...
May 15, 2018: Neuroepidemiology
https://www.readbyqxmd.com/read/29752515/epidemiology-and-pathophysiology-of-neurogenic-bladder-after-spinal-cord-injury
#2
Rizwan Hamid, Marcio Augusto Averbeck, Humberto Chiang, Arturo Garcia, Riyad T Al Mousa, Seung-June Oh, Anita Patel, Mauricio Plata, Giulio Del Popolo
Spinal cord injury (SCI) usually affects younger age groups with male preponderance. The most common traumatic cause is road traffic accident followed by sports accidents and gun-shot injuries. Infections and vascular events make up non-traumatic causes. There is regional variance in incidence and prevalence of SCI. Most systematic reviews have been undertaken from USA, Canada, and Australia with only few from Asia with resultant difficulty in estimation of worldwide figures. Overall, the incidence varies from 12 to more than 65 cases/million per year...
May 11, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29736262/feasibility-of-robotic-exoskeleton-ambulation-in-a-c4-person-with-incomplete-spinal-cord-injury-a-case-report
#3
Robert M Lester, Ashraf S Gorgey
Introduction: To determine whether an individual with C4 incomplete spinal cord injury (SCI) with limited hand functions can effectively operate a powered exoskeleton (Ekso) to improve parameters of physical activity as determined by swing-time, up-time, walk-time, and total number of steps. Case presentation: A 21-year-old male with incomplete chronic (>1 year postinjury) SCI C4, participated in a clinical exoskeleton program to determine the feasibility of standing up and walking with limited hand functions...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29735608/diagnostic-accuracy-of-a-two-stage-model-for-detecting-obstructive-sleep-apnoea-in-chronic-tetraplegia
#4
Marnie Graco, Rachel Schembri, Susan Cross, Chinnaya Thiyagarajan, Shirin Shafazand, Najib T Ayas, Mark S Nash, Viet H Vu, Warren R Ruehland, Ching Li Chai-Coetzer, Peter Rochford, Thomas Churchward, Sally E Green, David J Berlowitz
BACKGROUND: Obstructive sleep apnoea (OSA) is highly prevalent in people with spinal cord injury (SCI). Polysomnography (PSG) is the gold-standard diagnostic test for OSA, however PSG is expensive and frequently inaccessible, especially in SCI. A two-stage model, incorporating a questionnaire followed by oximetry, has been found to accurately detect moderate to severe OSA (MS-OSA) in a non-disabled primary care population. This study investigated the accuracy of the two-stage model in chronic tetraplegia using both the original model and a modified version for tetraplegia...
May 7, 2018: Thorax
https://www.readbyqxmd.com/read/29710023/-a-case-of-acute-disseminated-encephalomyelitis-concomitant-with-polyneuropathy-associated-with-anti-lactosylceramide-antibody
#5
Tomohiro Hayashi, Takamasa Nukui, Shutaro Takashima, Yuji Nakatsuji, Sayuri Shima, Tatsuro Mutoh
We report a case of acute disseminated encephalomyelitis (ADEM) concomitant with polyneuropathy associated with anti-lactosylceramide antibody. A 68-year-old man was admitted to our hospital with ophthalmoparesis, bulbar palsy, tetraplegia after suffering from upper respiratory infection and headache. Subsequently, he developed respiratory failure requiring mechanical ventilation. Fluid-attenuated inversion recovery (FLAIR) MRI showed high intensities in the pons and medulla, and a nerve conduction study revealed motor-dominant axonal polyneuropathy...
April 28, 2018: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/29694279/stable-long-term-bci-enabled-communication-in-als-and-locked-in-syndrome-using-lfp-signals
#6
Tomislav Milekovic, Anish A Sarma, Daniel Bacher, John D Simeral, Jad Saab, Chethan Pandarinath, Brittany L Sorice, Christine Blabe, Erin M Oakley, Kathryn R Tringale, Emad Eskandar, Sydney S Cash, Jaimie M Henderson, Krishna V Shenoy, John P Donoghue, Leigh R Hochberg
Restoring communication for people with locked-in syndrome remains a challenging clinical problem without a reliable solution. Recent studies have shown that people with paralysis can use brain-computer interfaces (BCIs) based on intracortical spiking activity to efficiently type messages. However, due to neuronal signal instability, most intracortical BCIs have required frequent calibration and continuous assistance of skilled engineers to maintain performance. Here, an individual with locked-in syndrome due to brainstem stroke and an individual with tetraplegia secondary to amyotrophic lateral sclerosis (ALS) used a simple communication BCI based on intracortical local field potentials (LFPs) for 76 and 138 days, respectively, without recalibration and without significant loss of performance...
April 25, 2018: Journal of Neurophysiology
https://www.readbyqxmd.com/read/29689472/autonomic-dysreflexia-following-acute-myelitis-due-to-neuromyelitis-optica
#7
Julio C Furlan
BACKGROUND: Cardiovascular autonomic dysfunction is a relatively common secondary complication of tetraplegia. In addition to low baseline arterial blood pressure, tetraplegics can develop sudden-onset hypertensive episodes associated with a variety of symptoms and signs (so-called autonomic dysreflexia). Unfortunately, this potentially life-threatening medical entity is often overlooked and mismanaged. With this, a case of typical presentation of autonomic dysreflexia in an individual with acute severe cervical spinal cord impairment due to neuromyelitis optica (NMO) is reported and discussed...
April 16, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29670506/dexterous-control-of-seven-functional-hand-movements-using-cortically-controlled-transcutaneous-muscle-stimulation-in-a-person-with-tetraplegia
#8
Samuel C Colachis, Marcie A Bockbrader, Mingming Zhang, David A Friedenberg, Nicholas V Annetta, Michael A Schwemmer, Nicholas D Skomrock, Walter J Mysiw, Ali R Rezai, Herbert S Bresler, Gaurav Sharma
Individuals with tetraplegia identify restoration of hand function as a critical, unmet need to regain their independence and improve quality of life. Brain-Computer Interface (BCI)-controlled Functional Electrical Stimulation (FES) technology addresses this need by reconnecting the brain with paralyzed limbs to restore function. In this study, we quantified performance of an intuitive, cortically-controlled, transcutaneous FES system on standardized object manipulation tasks from the Grasp and Release Test (GRT)...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29668610/a-term-vaginal-delivery-by-a-patient-with-traumatic-tetraplegia-a-case-report
#9
Changfang Yao, Yongjuan Xu, Li Dai, Yan Lv, Xiaoli Xu, Wenfeng Ye
RATIONALE: About 60,0000 people are involved in traffic accident each year in China and spinal cord injury (SCI) often occurs. Pregnant women with paraplegia is rare, and they face higher risk during pregnancy and childbirth. PATIENT CONCERNS: We report a case of a 35-year-old patient with SCI, who had vaginal forceps delivery at 38 weeks and 5 days of gestation. DIAGNOSES: The patient was diagnosed with term pregnancy with traumatic tetraplegia...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29659301/cross-cultural-validation-of-a-brazilian-version-of-the-adapted-manual-wheelchair-circuit-amwc-brazil
#10
Frederico Ribeiro Neto, Rodrigo Rodrigues Gomes Costa, Ana Cláudia Garcia Lopes, Rodrigo Luiz Carregaro
PURPOSE: To translate, culturally adapt and validate the Adapted Manual Wheelchair Circuit (AMWC) into Brazilian-Portuguese. DESIGN: Cross-sectional study. METHODS: Sixty-six men (median age of 30.5 years [percentiles 25 and 75: 24.0; 38.3 years]) with traumatic spinal cord injury were consecutively enrolled and divided into two groups: tetraplegia (TP) and paraplegia (PP). The participants performed the AMWC-Brazil and were evaluated by the Spinal Cord Injury Measure version III (SCIM-III)...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29658103/genioglossus-reflex-responses-to-negative-upper-airway-pressure-are-altered-in-people-with-tetraplegia-and-obstructive-sleep-apnoea
#11
Nirupama S Wijesuriya, Laura Gainche, Amy S Jordan, David J Berlowitz, Mariannick LeGuen, Peter D Rochford, Fergal J O'Donoghue, Warren R Ruehland, Jayne C Carberry, Jane E Butler, Danny J Eckert
More than 60% of people with tetraplegia have obstructive sleep apnoea (OSA). However, the specific causes are unknown. Genioglossus, the largest upper-airway dilator muscle, is important in maintaining upper-airway patency. Impaired genioglossus muscle function following spinal cord injury may contribute to OSA. This study aimed to determine if genioglossus reflex responses to negative upper-airway pressure are altered in people with OSA and tetraplegia compared to non-neurologically impaired able-bodied individuals with OSA...
April 15, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29644100/persistent-urine-leakage-around-a-suprapubic-catheter-the-experience-of-a-person-with-chronic-tetraplegia
#12
Subramanian Vaidyanathan, Jerry Ward, Bakul M Soni, Peter Hughes, Tun Oo
Introduction: Persistent urine leakage after suprapubic cystostomy in tetraplegic subjects occurs due to shrinkage of the urinary bladder and bladder spasms. The patient's social life is adversely affected as clothes become wet, smelly, and require frequent changing, thus increasing the workload of carers. Case presentation: A 48-year-old male sustained C-4 complete (AIS:A) tetraplegia while swimming in 2007. Suprapubic cystostomy was performed in 2009. From 2012, this patient had urine leakage around the suprapubic catheter, which became progressively more frequent...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29626193/evaluation-of-the-graded-redefined-assessment-of-strength-sensibility-and-prehension-grassp-in-children-with-tetraplegia
#13
M J Mulcahey, Christina Calhoun Thielen, Kathryn Dent, Rebecca Sinko, Cristina Sadowsky, Rebecca Martin, Lawrence C Vogel, Loren Davidson, Heather Taylor, Jackie Bultman, John Gaughan
STUDY DESIGN: Psychometric study. OBJECTIVE: To validate the GRASSP in pediatric SCI populations and establish the lower age of test administration. SETTING: United States: Pennsylvania, Maryland, Illinois, Michigan, California, Texas. METHODS: Mean, SD and range of scores were calculated and examined for known-group differences. Test-retest reliability was measured by the intra-class correlation, concurrent validity of the GRASSP against the SCIM, SCIM-SS, and the CUE-Q was measured by the Spearman correlation...
March 26, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29624623/motion-and-dural-sac-compression-in-the-upper-cervical-spine-during-the-application-of-a-cervical-collar-in-case-of-unstable-craniocervical-junction-a-study-in-two-new-cadaveric-trauma-models
#14
Shiyao Liao, Niko R E Schneider, Petra Hüttlin, Paul A Grützner, Frank Weilbacher, Stefan Matschke, Erik Popp, Michael Kreinest
BACKGROUND: Unstable conditions of the craniocervical junction such as atlanto-occipital dislocation (AOD) or atlanto-axial instability (AAI) are severe injuries with a high risk of tetraplegia or death. Immobilization by a cervical collar to protect the patient from secondary damage is a standard procedure in trauma patients. If the application of a cervical collar to a patient with an unstable craniocervical condition may cause segmental motion and secondary injury to the spinal cord is unknown...
2018: PloS One
https://www.readbyqxmd.com/read/29623066/combined-analysis-of-interleukin-10-gene-polymorphisms-and-protein-expression-in-children-with-cerebral-palsy
#15
Lei Xia, Mingjie Chen, Dan Bi, Juan Song, Xiaoli Zhang, Yangong Wang, Dengna Zhu, Qing Shang, Falin Xu, Xiaoyang Wang, Qinghe Xing, Changlian Zhu
Background: Interleukin-10 (IL-10) is an important anti-inflammatory and immunosuppressive cytokine, and it has indispensable functions in both the onset and development of inflammatory disorders. The association between persistent inflammation and the development of cerebral palsy (CP) has attracted much attention. Objective: The purpose of this study was to investigate whether IL-10 gene polymorphisms and plasma protein expression are associated with CP and to analyze the role of IL-10 in CP...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29622032/change-in-the-profile-of-traumatic-spinal-cord-injury-over-15-years-in-spain
#16
Enrique Bárbara-Bataller, José Luis Méndez-Suárez, Carolina Alemán-Sánchez, Jesús Sánchez-Enríquez, Manuel Sosa-Henríquez
BACKGROUND: Traumatic spinal cord injury remains a serious public health and social problem. Although incidence rates are decreasing in our environment, it is a high cost condition that is associated with great disability. The objective of this study was to describe the epidemiological and demographic characteristics of traumatic spinal cord injury and to analyse its epidemiological changes. METHODS: This study was an observational study with prospective monitoring of all traumatic spinal cord injury patients in the Canary Islands, Spain (2...
April 5, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29616887/upper-limb-muscle-activation-during-sports-video-gaming-of-persons-with-spinal-cord-injury
#17
Jeffrey P Jaramillo, M Elise Johanson, B Jenny Kiratli
OBJECTIVE: Video gaming as a therapeutic tool has largely been studied within the stroke population with some benefits reported in upper limb motor performance, balance, coordination, and cardiovascular status. To date, muscle activation of upper limb muscles in persons with spinal cord injuries (SCI) has not been studied during video game play. In this paper, we provide descriptive and comparative data for muscle activation and strength during gaming for players with tetraplegia and paraplegia, as well as, compare these results with data from traditional arm exercises (ie, biceps curl and shoulder press) with light weights which are commonly prescribed for a home program...
April 4, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29608900/sensitivity-of-the-sci-fi-at-in-individuals-with-traumatic-spinal-cord-injury
#18
Tamra Keeney, Mary Slavin, Pamela Kisala, Pengsheng Ni, Allen W Heinemann, Susan Charlifue, Denise C Fyffe, Ralph J Marino, Leslie R Morse, Lynn A Worobey, Denise Tate, David Rosenblum, Ross Zafonte, David Tulsky, Alan M Jette
OBJECTIVE: To examine the ability of the Spinal Cord Injury Functional Index Assistive Technology (SCI-FI/AT) measure to detect change in persons with SCI. DESIGN: Multi-site, longitudinal (12-month follow-up). SETTING: 9 SCI Model Systems programs. PARTICIPANTS: 165 adults with SCI enrolled in the SCI Model Systems database. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: SCI-FI/AT CAT (Basic Mobility, Self-Care, Fine Motor Function, Wheelchair Mobility, and/or Ambulation) completed at discharge from rehabilitation and 12 months post-SCI...
March 30, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29600402/bladder-management-during-pregnancy-in-women-with-spinal-cord-injury-an-observational-multicenter-study
#19
Elena Andretta, Lorenza Maria Landi, Mirella Cianfrocca, Alberto Manassero, Oreste Risi, Giorgio Artuso
INTRODUCTION AND HYPOTHESIS: Pregnancy in women with spinal-cord injury (SCI) poses a clinical challenge. We hypothesized that changes in the management of neurogenic bladder during pregnancy are commonly required and should receive more attention. METHODS: Data were collected by retrospective analysis of medical records and via cross-sectional survey of 52 women with SCI, representing 67 pregnancies, at ten Italian neurourological clinics. All participants provided informed consent...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29596516/age-specific-characterization-of-spinal-cord-injuries-over-a-19-year-period-at-a-japanese-rehabilitation-center
#20
Mitsunori Toda, Eiji Nakatani, Kaoru Omae, Masanori Fukushima, Takaaki Chin
Regional demographics of spinal cord injuries (SCIs) are fundamental to identifying and implementing appropriate preventive measures. The current study was conducted as a longitudinal analysis of all patients with SCIs admitted to the Hyogo Rehabilitation Center over a 19-year period. The sex and age of the patient, time and nature of injury (i.e., cause, level, and extent), and period from injury to admission were evaluated retrospectively. Pertinent tests, including Poisson regression analysis, and the Cochran-Armitage, Kruskal-Wallis, and chi-square tests, were applied to assess demographic variables, with statistical significance set at p < 0...
2018: PloS One
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