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Tetraplegia

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https://www.readbyqxmd.com/read/27903018/intrathecal-baclofen-therapy-for-the-treatment-of-spasticity-in-lithuania
#1
Robertas Kvascevicius, Ona Lapteva, Jurate Kesiene, Alfredas Vaitkus, Laima Mikulenaite, Ramunas Raugalas, Jurate Sipylaite, Saulius Rocka, Alvydas Juocevicius
Spasticity of cerebral or spinal origin severely impairs an individual's functional ability and quality of life. Intrathecal baclofen (ITB) therapy via an implantable pump is indicated for use in patients unresponsive to oral antispasmodics. ITB therapy improves the daily caring for and relief of painful spasms. In Lithuania, ITB therapy was introduced in clinical practice just recently. We share our experience of spasticity management with the ITB pump system in five patients at Vilnius University Hospital Santariskiu Klinikos...
November 30, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27898477/costs-and-length-of-stay-for-the-acute-care-of-patients-with-motor-complete-spinal-cord-injury-following-cervical-trauma-the-impact-of-early-transfer-to-specialized-acute-sci-center
#2
Andréane Richard-Denis, Debbie Ehrmann Feldman, Cynthia Thompson, Étienne Bourassa-Moreau, Jean-Marc Mac-Thiong
OBJECTIVE: Acute spinal cord injury (SCI) centers aim to optimize outcome following SCI. However, there is no timeframe to transfer patients from regional to SCI centers in order to promote cost-efficiency of acute care. Our objective was to compare costs and length of stay (LOS) following early and late transfer to the SCI center. DESIGN: A retrospective cohort study involving 116 individuals was conducted. Group 1 (n = 87) was managed in an SCI center promptly after the trauma, whereas group 2 (n = 29) was transferred to the SCI center only after surgery...
November 24, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27897305/-cervical-ischaemic-neuronopathy-and-cardioembolism-another-cause-of-man-in-the-barrel-syndrome
#3
H Gonzalez-Usigli, A Gandarilla, J J Garcia, J Serrato, N Estrada
INTRODUCTION: Spinal infarction accounts for 1% of all strokes. Cardioembolism is a rare cause. Common areas of ischemic spinal damage are watershed in the dorsal or lumbar regions; however cervical spinal cord infarction has been reported previously. CASE REPORT: We present a new case of a man-in-the-barrel syndrome produced by cardiac embolization associated with atrial fibrillation during an acute myocardial infarction, which caused cervical ischemic neuronopathy (infarction of the anterior horn)...
December 16, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27875566/labor-market-integration-of-people-with-disabilities-results-from-the-swiss-spinal-cord-injury-cohort-study
#4
Jan D Reinhardt, Marcel W M Post, Christine Fekete, Bruno Trezzini, Martin W G Brinkhof
OBJECTIVES: We aimed to describe labor market participation (LMP) of persons with spinal cord injury (SCI) in Switzerland, to examine potential determinants of LMP, and to compare LMP between SCI and the general population. METHODS: We analyzed data from 1458 participants of employable age from the cross-sectional community survey of the Swiss Spinal Cord Injury Cohort Study. Data on LMP of the Swiss general population were obtained from the Swiss Federal Statistical Office...
2016: PloS One
https://www.readbyqxmd.com/read/27846851/physical-activity-outside-of-structured-therapy-during-inpatient-spinal-cord-injury-rehabilitation
#5
Dominik Zbogar, Janice J Eng, William C Miller, Andrei V Krassioukov, Mary C Verrier
BACKGROUND: Little information exists on the content of inpatient rehabilitation stay when individuals with spinal cord injury (SCI) are not engaged in structured rehabilitation therapy sessions. Investigation of inpatient therapy content is incomplete without the context of activities outside of this time. We sought to quantify physical activity occurring outside of physical therapy (PT) and occupational therapy (OT) sessions during inpatient SCI rehabilitation and examine how this activity changes over time from admission to discharge...
November 15, 2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27808011/bronchodilator-effects-of-ipratropium-bromide-and-albuterol-sulfate-among-subjects-with-tetraplegia
#6
Gregory J Schilero, Joshua C Hobson, Kamaldeep Singh, Ann M Spungen, William A Bauman, Miroslav Radulovic
OBJECTIVE: In addition to lung volume restriction, persons with chronic tetraplegia demonstrate obstructive airway physiology evinced by pharmacologically-induced bronchodilation. We previously found independent evidence that anticholinergic agents (ipratropium bromide; IB) and beta-2 adrenergic agonists (albuterol sulfate; AS) were associated with significant bronchodilation in subjects with tetraplegia as determined via spirometry or body plethysmography. Direct comparison of these two classes of agents has received little attention...
November 3, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27808003/effects-of-a-fifty-six-month-electrical-stimulation-cycling-program-after-tetraplegia-case-report
#7
David R Dolbow, Ashraf S Gorgey, Refka K Khalil, David R Gater
BACKGROUND: Functional electrical stimulation cycling is a common clinical treatment for individuals with spinal cord injury and other paralytic conditions, however, the long term effects of home-based functional electrical stimulation cycling remains unreported. OBJECTIVE: To determine the effectiveness of a long-term home-based functional electrical stimulation lower extremities cycling (FES-LEC) program on body composition. PARTICIPANT: An adult male 52...
November 3, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27807802/acute-aortic-occlusion-in-a-patient-with-chronic-paralysis-due-to-spinal-cord-injury-a-case-report
#8
Satoshi Yamamoto, Yuriko Yokomizo, Takafumi Akai, Takehiro Chiyoda, Hiroshi Goto, Yukiyoshi Masaki
Patients with spinal cord injury experience changes in the cardiovascular system and a high morbidity associated with peripheral artery disease. We report a case of acute aortic occlusion in a patient with chronic paralysis due to spinal cord injury. A 65-year-old man with chronic paralysis due to spinal cord injury developed mottling of the right extremity. Because of the complete tetraplegia, the patient had no subjective symptoms. Computed tomography revealed occlusion of the infrarenal abdominal aorta. An emergency thromboembolectomy established adequate blood flow, and the postoperative course was uneventful...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27802344/independent-mobility-achieved-through-a-wireless-brain-machine-interface
#9
Camilo Libedinsky, Rosa So, Zhiming Xu, Toe K Kyar, Duncun Ho, Clement Lim, Louiza Chan, Yuanwei Chua, Lei Yao, Jia Hao Cheong, Jung Hyup Lee, Kulkarni Vinayak Vishal, Yongxin Guo, Zhi Ning Chen, Lay K Lim, Peng Li, Lei Liu, Xiaodan Zou, Kai K Ang, Yuan Gao, Wai Hoe Ng, Boon Siew Han, Keefe Chng, Cuntai Guan, Minkyu Je, Shih-Cheng Yen
Individuals with tetraplegia lack independent mobility, making them highly dependent on others to move from one place to another. Here, we describe how two macaques were able to use a wireless integrated system to control a robotic platform, over which they were sitting, to achieve independent mobility using the neuronal activity in their motor cortices. The activity of populations of single neurons was recorded using multiple electrode arrays implanted in the arm region of primary motor cortex, and decoded to achieve brain control of the platform...
2016: PloS One
https://www.readbyqxmd.com/read/27799668/relationship-between-the-duration-and-trunk-inclination-and-hip-angle-during-car-transfer-in-individuals-with-tetraplegia
#10
Masataka Kataoka, Kuniharu Okuda, Masato Shima, Satoshi Okahara, Tsunemi Kataoka, Ryo Yonetsu, Akira Iwata
[Purpose] The purpose of the present study was to investigate the relationship between the duration of the car transfer (CT) movement and trunk inclination and hip angles during this movement in individuals with tetraplegia. [Subjects and Methods] Eleven adult males with C6 tetraplegia participated in this study. The CT movement was recorded from the passenger side of the car using a digital video camera. From the video, the duration and trunk inclination and hip joint angle were recorded, and correlation coefficients were calculated...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27797801/weston-hurst-syndrome-a-rare-fulminant-form-of-acute-disseminated-encephalomyelitis-adem
#11
Sumaira Nabi, Mazhar Badshah, Shahzad Ahmed, Ali Zohair Nomani
A 25-year-old Pakistani woman presented to the emergency department with a 2-day history of rapidly progressive tetraplegia followed by sudden loss of consciousness. This was preceded by an upper respiratory tract infection. On examination, she was deeply comatose with a GCS of 3/15 and intact brainstem reflexes. She was in respiratory distress, and an endotracheal tube had been passed. She had flaccid quadriplegia with depressed deep tendon reflexes and upgoing plantar response. Her MRI brain with contrast showed extensive brainstem involvement with haemorrhagic foci along with signal changes in the corpus callosum...
October 19, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27784405/neuropsychological-function-in-patients-with-acute-tetraplegia-and-sleep-disordered-breathing
#12
Rachel Schembri, Jo Spong, Marnie Graco, David J Berlowitz
STUDY OBJECTIVES: To investigate the relationship between apnoea severity and neuropsychological function in patients with acute onset tetraplegia and sleep disordered breathing. METHODS: Polysomnography and neuropsychological testing were performed on 104 participants (age M=45.60, SD=16.38; 10 female) across 11 international sites, two months post-injury (M=60.70 days, SD=39.48). Neuropsychological tests assessed attention, information processing, executive function, memory, learning, mood, and quality of life...
October 20, 2016: Sleep
https://www.readbyqxmd.com/read/27756531/-epidemiology-of-traumatic-spinal-cord-injury-in-gran-canaria
#13
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
https://www.readbyqxmd.com/read/27752057/movement-repetitions-in-physical-and-occupational-therapy-during-spinal-cord-injury-rehabilitation
#14
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
https://www.readbyqxmd.com/read/27739405/rehabilitation-of-hand-in-subacute-tetraplegic-patients-based-on-brain-computer-interface-and-functional-electrical-stimulation-a-randomised-pilot-study
#15
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...
December 2016: Journal of Neural Engineering
https://www.readbyqxmd.com/read/27697626/high-nasal-resistance-is-stable-over-time-but-poorly-perceived-in-people-with-tetraplegia-and-obstructive-sleep-apnoea
#16
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...
January 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/27678024/development-and-functional-demonstration-of-a-wireless-intraoral-inductive-tongue-computer-interface-for-severely-disabled-persons
#17
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
https://www.readbyqxmd.com/read/27676944/prediction-of-peak-oxygen-consumption-from-the-multistage-field-test-in-elite-wheelchair-rugby-players
#18
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
https://www.readbyqxmd.com/read/27676885/evaluation-of-seating-intervention-effect-for-patient-at-toulouse-university-hospital-s-wheelchair-seating-clinic-wsc
#19
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
https://www.readbyqxmd.com/read/27676860/why-placement-in-an-institution-is-proposed-to-children-with-motor-disability-in-2016
#20
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
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