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https://www.readbyqxmd.com/read/29335472/provided-support-caregiver-burden-and-well-being-in-partners-of-persons-with-spinal-cord-injury-5-years-after-discharge-from-first-inpatient-rehabilitation
#1
Eline W M Scholten, Anneroos Kieftenbelt, Chantal F Hillebregt, Sonja de Groot, Marjolijn Ketelaar, Johanna M A Visser-Meily, Marcel W M Post
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To describe type and regularity of support given by partners for individuals with paraplegia versus tetraplegia 5 years after discharge from first inpatient rehabilitation; to describe perceived caregiver burden, mental health and life satisfaction among partners; and to analyse determinants of perceived burden and the partner's mental health and life satisfaction. SETTING: The Netherlands. METHODS: Participants were partners of persons with spinal cord injury (SCI) 5 years after discharge from first inpatient rehabilitation (N = 67)...
January 16, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29323634/epidemiology-of-traumatic-spinal-cord-injury-in-tianjin-china-an-18-year-retrospective-study-of-735-cases
#2
Hai-Liang Li, Hong Xu, Yu-Lin Li, Shi-Wei Sun, Wen-Ye Song, Qiang Wu, Jie Ai, Jing-Cheng Sun, Guang-Zhi Ning, Shi-Qing Feng
STUDY DESIGN: Hospital-based retrospective study Objectives: To evaluate the pathogenetic features of traumatic spinal cord injury (TSCI) during 1999-2016 according to changed injury etiology with time, explore different characteristics of patients suffered a TSCI during 1999-2007 and 2008-2016 in Tianjin, China. SETTING: Tianjin Medical University General Hospital Methods: In this study, the medical records of TSCI patients were obtained from Tianjin Medical University General Hospital (TMUGH) from 1st January 1999 to 31th December 2016...
January 11, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29323630/fatal-innominate-artery-hemorrhage-in-a-patient-with-tetraplegia-case-report-and-literature-review
#3
Ahmad Zaheer Qureshi
Context Hemorrhage is one of the potentially fatal complications of tracheostomy. A rare but lethal cause of tracheostomy related bleeding is hemorrhage from the innominate artery. This occurs following tracheo-innominate artery fistula (TIF) formation, which is associated with a mortality rate of more than 85%. Here, we report the case of an individual with tetraplegia and a tracheostomy who died as a result of innominate artery hemorrhage. This case highlights the possible causes and interventions associated with this complication, and provides insight into tracheostomy related bleeding in patients with spinal cord injury (SCI)...
January 11, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29319723/characteristics-and-outcomes-of-intensive-care-unit-survivors-experience-of-a-multidisciplinary-outpatient-clinic-in-a-teaching-hospital
#4
Péricles A D Duarte, Jaquilene Barreto Costa, Silvana Trilo Duarte, Sheila Taba, Claudia Regina Felicetti Lordani, Erica Fernanda Osaku, Claudia Rejane Lima Macedo Costa, Dalas Cristina Miglioranza, Daniela Prochnow Gund, Amaury Cesar Jorge
OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adult survivors from a general intensive care unit were evaluated three months after discharge in a post-intensive care unit outpatient multidisciplinary clinic over a period of 6 years (2008-2014) in a University Hospital in southern Brazil...
December 2017: Clinics
https://www.readbyqxmd.com/read/29299227/strategies-and-performances-of-functional-electrical-stimulation-cycling-using-the-berkelbike-with-spinal-cord-injury-in-a-competition-context-cybathlon
#5
Rik Berkelmans, Billy Woods
The functional electrical stimulation (FES) bicycle race was an event at the Cybathlon, held in Zurich October 2016. BerkelBike BV (The Netherlands) in collaboration with Imperial College London entered a spinal cord injury pilot who had tetraplegia to compete in this event. The BerkelBike Pro is a commercially available FES capable recumbent which is normally driven by the arm- and leg power. The arm cranking part was disabled. Now the tricycle must be driven using the pilots own lower limb muscles through stimulation in accordance with race rules...
December 5, 2017: European Journal of Translational Myology
https://www.readbyqxmd.com/read/29299225/fes-bike-race-preparation-to-cybathlon-2016-by-ema-team-a-short-case-report
#6
Juliana Araujo Guimarães, Lucas Oliveira da Fonseca, Ana Carolina de Sousa, Miguel Eduardo Gutierrez Paredes, George Andrew Brindeiro, Antônio Padilha Lanari Bó, Emerson Fachin-Martins
FES-assisted cycling has been recommended to people struggling to emerge from a disability to more functioning life after spinal cord injury. Recommendations issued by a gowing number of scientific papershas promised toimprove body composition and physical activity levels, as well as to controlinvoluntary muscle response; favoring activity and participation which break new grounds in expanding locomotion, leisure and occupational options for people with paraplegia and tetraplegia. In this report we described our experience to select and prepare a pilot to compete in the FES Bike Race modality at Cybathlon 2016 in Kloten (Zurick)...
December 5, 2017: European Journal of Translational Myology
https://www.readbyqxmd.com/read/29288252/characteristics-of-persons-with-spinal-cord-injury-who-drive-in-malaysia-and-its-barriers-a-cross-sectional-study
#7
Richard Chee Houw Lee, Nazirah Hasnan, Julia Patrick Engkasan
STUDY DESIGN: Cross sectional study. OBJECTIVES: To determine the prevalence, characteristics of and barriers to driving among persons with a spinal cord injury (SCI). SETTING: SCI Rehabilitation Clinic, University Malaya Medical Centre (UMMC). METHODS: This is a questionnaire-based study on persons with SCI who attended the UMMC SCI Rehabilitation Clinic between June 2015 and November 2016. The questionnaire comprised demographic data, clinical characteristics, driving variables, Spinal Cord Independence Measure III, WHOQOL-BREF, and Craig Handicap Assessment and Reporting Technique Short Form...
December 29, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29278268/educational-outcomes-for-children-with-cerebral-palsy-a-linked-data-cohort-study
#8
Malcolm B Gillies, Jennifer R Bowen, Jillian A Patterson, Christine L Roberts, Siranda Torvaldsen
AIM: To identify a cohort of children with cerebral palsy (CP) from hospital data; determine the proportion that participated in standardized educational testing and attained a score within the normal range; and describe the relationship between test results and motor symptoms. METHOD: This population-based retrospective cohort study used data from New South Wales, Australia. We linked hospital data for children younger than 16 years of age admitted between 1st July 2000 and 31st March 2014 to education data from 2009 to 2014...
December 26, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29259347/administration-of-assessment-instruments-during-the-first-rehabilitation-of-patients-with-spinal-cord-injury-a-retrospective-chart-analysis
#9
Patricia Lampart, Armin Gemperli, Michael Baumberger, Ines Bersch, Birgit Prodinger, Klaus Schmitt, Anke Scheel-Sailer
STUDY DESIGN: Retrospective chart analysis. OBJECTIVES: To examine which professionals administered which assessment instruments in which patient in clinical practice during first rehabilitation after newly acquired spinal cord injury (SCI) and the differences in the frequencies of different assessments between patient groups. SETTING: Specialized SCI acute care and rehabilitation clinic. METHODS: Patients after SCI, aged 18 years and above, admitted for first rehabilitation between December 2014 and December 2015 were analyzed...
December 20, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29245281/spontaneous-spinal-epidural-hematoma-mimicking-transient-ischemic-attack-a-case-report
#10
Chuqiao Li, Rui He, Xiaoqiang Li, Yulan Zhong, Li Ling, Fangming Li
RATIONALE: Spontaneous spinal epidural hematoma (SSEH) is a rare but highly disabling neurological emergency. The initial presentations are variable. Most patients of SSEH present with paraplegia or tetraplegia clinically, but recurrent hemiparesis with complete spontaneous recovery, mimicking transient ischemic attack (TIA), is a very rare initial presentation of SSEH. PATIENT CONCERNS: A 71-year-old female presented to the emergency department with 2 episodes of transient right hemiparesis in 5 hours...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29238094/energy-expenditure-after-spinal-cord-injury-in-people-with-motor-complete-tetraplegia-or-motor-complete-paraplegia
#11
Tobias Holmlund, Elin Ekblom-Bak, Erika Franzén, Claes Hultling, Kerstin Wahman
STUDY DESIGN: Cross-sectional. OBJECTIVES: This study aimed to describe and compare VO2 and energy expenditure at rest (REE) and during standardized sedentary, non-exercise physical activity, and exercise activities, in people with motor-complete tetraplegia (C5-C8). Further, REE and energy expenditure (EE) for the different activities were compared to data from a reference group of people with motor-complete paraplegia (T7-T12). SETTING: Sweden...
December 14, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29209023/motor-cortical-activity-changes-during-neuroprosthetic-controlled-object-interaction
#12
John E Downey, Lucas Brane, Robert A Gaunt, Elizabeth C Tyler-Kabara, Michael L Boninger, Jennifer L Collinger
Brain-computer interface (BCI) controlled prosthetic arms are being developed to restore function to people with upper-limb paralysis. This work provides an opportunity to analyze human cortical activity during complex tasks. Previously we observed that BCI control became more difficult during interactions with objects, although we did not quantify the neural origins of this phenomena. Here, we investigated how motor cortical activity changed in the presence of an object independently of the kinematics that were being generated using intracortical recordings from two people with tetraplegia...
December 5, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29205933/a-highly-selective-3d-spiked-ultraflexible-neural-sun-interface-for-decoding-peripheral-nerve-sensory-information
#13
Jiahui Wang, Xin Yuan Thow, Hao Wang, Sanghoon Lee, Kai Voges, Nitish V Thakor, Shih-Cheng Yen, Chengkuo Lee
Artificial sensors on the skin are proposed as a way to capture information that can be used in intracortical microstimulation or peripheral intraneural stimulation to restore sensory feedback to persons with tetraplegia. However, the ability of these artificial sensors to replicate the density and complexity of the natural mechanoreceptors is limited. One relatively unexplored approach is to make use of the signals from surviving tactile and proprioceptive receptors in existing limbs by recording from their transmitting axons within the primary sensory nerves...
December 4, 2017: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/29200479/management-of-sub-axial-cervical-spine-injuries
#14
Gautam Zaveri, Gurdip Das
Sub-axial cervical spine injuries are commonly seen in patients with blunt trauma. They may be associated with spinal cord injury resulting in tetraplegia and severe permanent disability. Immobilization of the neck, maintenance of blood pressure and oxygenation, rapid clinical and radiological assessment of all injuries, and realignment of the spinal column are the key steps in the emergency management of these injuries. The role of intravenous methylprednisolone administration in acute spinal cord injuries remains controversial...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29195712/arthrodesis-versus-carpometacarpal-preservation-in-key-grip-procedures-in-tetraplegic-patients-a-comparative-study-of-40-cases
#15
Bertrand Coulet, Thomas Waitzenegger, Jacques Teissier, Cyril Lazerges, Michel Chammas, Charles Fattal, Adeline Cambon-Binder
PURPOSE: Constructing a lateral key pinch (KP) is a universal aim of any functional upper limb surgery program for tetraplegia. Three stages are required: (1) activating the pinch mechanism by flexor pollicis longus tenodesis to the radius or by tendon transfer to the flexor pollicis longus, (2) simplifying the polyarticular chain, and (3) positioning the thumb column. We compared 2 techniques for accomplishing the latter stage, 1 utilizing arthrodesis of the carpometacarpal joint (CMC) and 1 that did not require arthrodesis of the CMC...
November 29, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29181382/reinnervation-of-the-diaphragm-by-the-inferior-laryngeal-nerve-to-the-phrenic-nerve-in-ventilator-dependent-tetraplegic-patients-with-c3-5-damage
#16
Eric Verin, Capucine Morelot-Panzini, Jesus Gonzalez-Bermejo, Benoit Veber, Brigitte Perrouin Verbe, Brigitte Soudrie, Anne Marie Leroi, Jean Paul Marie, Thomas Similowski
The aim of this study was to evaluate the feasibility of unilateral diaphragmatic reinnervation in humans by the inferior laryngeal nerve. This pilot study included chronically ventilated tetraplegic patients with destruction of phrenic nerve motoneurons. Five patients were included. They all had a high level of tetraplegia, with phrenic nerve motor neuron destruction. They were highly dependent on ventilation, without any possibility of weaning. They did not have other chronic pathologies, especially laryngeal disease...
October 2017: ERJ Open Research
https://www.readbyqxmd.com/read/29181341/odontoideum-bone-revealed-by-c1-c2-dislocation-of-the-cervical-spine-during-a-diving-accident
#17
Lassaad Hassini, Mohamed Ali Khalifa, Zeineb Alaya, Mohamed Laaziz Ben Ayeche, Walid Osman, Mourad Mtaoumi
Introduction: Odontoideum bone or the mobile odontoid process is one of the rarest malformations of the cervico-occipital hinge. It exposes to the atlo-axial instability and to the risk of bulbo-medullary compression threatening then the vital and functional prognosis. We report the case of a 16-year-old patient who was the victim of a raod accident resulting in acervical spine injury. Radiological investigation found an odontoideum bone malformation associated with C1C2 dislocation. Case Report: A 16-year-old patient with no medical history had a road accident...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29181214/atypical-presentation-of-sj%C3%A3-gren-larsson-syndrome
#18
D Papathemeli, A Mataftsi, A Patsatsi, D Sotiriadis, M Samouilidou, S Chondromatidou, A Evangeliou
Sjögren-Larsson syndrome is a rare neurocutaneous disorder characterized by ichthyosis, spastic diplegia or tetraplegia, and intellectual disability. Herein, we describe a case of a Greek patient with ichthyosis and spasticity of the legs but with normal intelligence (IQ 95). This syndrome should be suspected when a child presents with ichthyosis and spastic diplegia or tetraplegia, even if intelligence is normal.
2017: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/29180614/isolated-c5-vertebrae-dislocation-with-trauma-an-extremely-rare-case-of-isolated-c5-dislocation
#19
Selçuk Özdoğan, Mustafa Kaya, Nail Demirel, Ali Haluk Düzkalır, Cumhur Kaan Yaltırık
BACKGROUND Total spondylolisthesis, or dislocation of 1 cervical vertebrae, is only caused by high-energy trauma and is usually fatal. Cervical spine fractures and dislocations often cause 3-column structural damage to the cervical spine, injury to the spinal cord, and precipitating alignment of the cervical vertebrae, as well as cervical instability, which are detrimental, show poor prognosis, and are associated with high rates of mortality rate and disability. CASE REPORT We report an extremely rare case of isolated C5 dislocation caused by falling out of a tree, with sudden tetraplegia...
November 28, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/29160145/the-graded-and-redefined-assessment-of-strength-sensibility-and-prehension-grassp-version-2-provides-interval-measure-properties
#20
Inge-Marie Velstra, Carolina Saskia Fellinghauer, Rainer Frank Abel, Sukhvinder Kalsi-Ryan, Rüdiger Rupp, Armin Curt
The GRASSP is a valid, reliable and responsive outcome measure to evaluate upper limb function in individuals with tetraplegia. GRASSP generates ordinal total scores; thus, applicability as an interval level measurement requires testing of its measurement properties. Therefore, this study examined the metric characteristics with Rasch analysis to derive interval level scales of the respective GRASSP subtests. The GRASSP was recorded within 10 days, at 1, 3, 6 and 12 months after cervical spinal cord injury (SCI)...
November 21, 2017: Journal of Neurotrauma
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