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Spinal cord injury rehabilitation

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https://www.readbyqxmd.com/read/29667522/pressure-distribution-analysis-in-three-wheelchairs-cushions-of-subjects-with-spinal-cord-injury
#1
Paulo Vinicius Braga Mendes, Luma Carolina Câmara Gradim, Natália Sanches Silva, Ana Luiza Caltabiano Allegretti, Débora Couto De Melo Carrijo, Daniel Marinho Cezar da Cruz
PURPOSE: Pressure injuries are a complication due to spinal cord injury. The objective of the study is to compare the pressure distribution in the wheelchair seat of subjects with spinal cord injury using 3 pads (Roho® , Varilite® and Varilite® ). METHODS: Pressure analysis was performed on 10 participants in two situations: (a) the participant sitting in static posture and (b) with the wheelchair being used for locomotion. RESULTS: In the static position: Jay® showed the best rates for average pressure and also the contact area, the Roho® had the lowest average for the peak pressure...
April 18, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29644101/spinal-cord-injury-epidemiological-profile-in-the-sarah-network-of-rehabilitation-hospitals-a-brazilian-population-sample
#2
D C Barbetta, T R Smanioto, M F Poletto, Rfa Ferreira, Acg Lopes, F M Casaro, Acs Camargo, T O Ogashawara
Study design: Retrospective cross-sectional study. Objective: To describe the epidemiological profile of individuals with spinal cord injury (SCI), who visited the Sarah Network in 2014. Setting: Brazil, Brasília-Federal District. Methods: A review of the electronic medical records of persons with SCI, aged over 15 years, was carried out. Results: The medical records of 2076 persons were evaluated: 83% were male, the mean age was 31 years, 40% did not complete elementary school, 67...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29643759/changes-in-h-reflex-recruitment-after-trans-spinal-direct-current-stimulation-with-multiple-electrode-configurations
#3
Alexander Kuck, Dick F Stegeman, Herman van der Kooij, Edwin H F van Asseldonk
Trans-spinal direct current stimulation (tsDCS) is an electro-modulatory tool with possible application in the rehabilitation of spinal cord injury. TsDCS generates a small electric field, aiming to induce lasting, functional neuromodulation in the targeted neuronal networks. Earlier studies have shown significant modulatory effects after application of lumbar tsDCS. However, for clinical application, a better understanding of application specific factors is required. Our goal was to investigate the effect of different electrode configurations using lumbar spinal tsDCS on spinal excitability...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29626262/functional-status-of-patients-with-metastatic-spinal-cord-compression
#4
Danielle Zacaron Santos, Isabel Cristina Gonçalves Leite, Maximiliano Ribeiro Guerra
PURPOSE: This prospective study was conducted to evaluate the functional status and clinical features of inpatients with metastatic spinal cord compression and to explore possible associated factors and the correlation with neurological deficits. METHODS: Cases were identified through an active search in the hospital units of the National Cancer Institute. For 47 patients, clinical and demographic characteristics were collected; functional status was measured by the Functional Independence Measure; modified Tokuhashi score was used to predict survival time; neurological deficits were measured using the American Spinal Injury Association Impairment Scale; and general condition was evaluated using the Karnofsky Performance Status Scale...
April 6, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29625628/advanced-robotic-therapy-integrated-centers-artic-an-international-collaboration-facilitating-the-application-of-rehabilitation-technologies
#5
Hubertus J A van Hedel, Giacomo Severini, Alessandra Scarton, Anne O'Brien, Tamsin Reed, Deborah Gaebler-Spira, Tara Egan, Andreas Meyer-Heim, Judith Graser, Karen Chua, Daniel Zutter, Raoul Schweinfurther, J Carsten Möller, Liliana P Paredes, Alberto Esquenazi, Steffen Berweck, Sebastian Schroeder, Birgit Warken, Anne Chan, Amber Devers, Jakub Petioky, Nam-Jong Paik, Won-Seok Kim, Paolo Bonato, Michael Boninger
BACKGROUND: The application of rehabilitation robots has grown during the last decade. While meta-analyses have shown beneficial effects of robotic interventions for some patient groups, the evidence is less in others. We established the Advanced Robotic Therapy Integrated Centers (ARTIC) network with the goal of advancing the science and clinical practice of rehabilitation robotics. The investigators hope to exploit variations in practice to learn about current clinical application and outcomes...
April 6, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29616278/rehabilitation-service-models-for-people-with-physical-and-or-mental-disability-living-in-low-and-middle-income-countries-a-systematic-review
#6
Andréa D Furlan, Emma Irvin, Claire Munhall, Mario Giraldo-Prieto, Laura Fullerton, Robert McMaster, Shivang Danak, Alicia Costante, Kristen B Pitzul, Rohit P Bhide, Stanislav Marchenko, Quenby Mahood, Judy A David, John F Flannery, Mark Bayley
OBJECTIVE: To compare models of rehabilitation services for people with mental and/or physical disability in order to determine optimal models for therapy and interventions in low- to middle-income countries. DATA SOURCES: CINAHL, EMBASE, MEDLINE, CENTRAL, PsycINFO, Business Source Premier, HINARI, CEBHA and PubMed. STUDY SELECTION: Systematic reviews, randomized control trials and observational studies comparing >2 models of rehabilitation care in any language...
April 3, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29613875/perspectives-from-family-caregivers-of-persons-with-spinal-cord-injury-in-hospital-versus-rehabilitation-a-pilot-study
#7
Brigitte Eberhard, Susanne Knüppel Lauener, Romy Mahrer Imhof
PURPOSE: The study aims to assess differences in family preferences for involvement in the ongoing care of a hospitalized family member with spinal cord injury based on whether the patient was hospitalized for initial rehabilitation (Group R) or hospitalized to treat secondary complications (Group C). DESIGN: Explorative cross-sectional design. METHOD: Family members rated the importance and experience of involvement on five subscales of the Patient Participation in Rehabilitation Questionnaire...
April 3, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29611464/evaluation-of-functional-outcomes-in-traumatic-spinal-cord-injury-with-rehabilitation-acquired-urinary-tract-infections-a-retrospective-study
#8
Argyrios Stampas, Elizabeth Dominick, Liang Zhu
Objective The objective of this study was to evaluate the impact of urinary tract infections (UTIs) acquired during acute inpatient traumatic Spinal Cord Injury (tSCI) rehabilitation on Functional Independence Measure (FIM) gains. Design Retrospective chart review of consecutive patients with tSCI admitted to an acute rehabilitation facility from 2007-2012. The primary outcome was FIM scores and the association with UTI. Results The sample included 110 patients and 70 acquired UTIs. No demographic differences were observed between groups with and without UTI...
April 3, 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
#9
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/29600499/isoflurane-anesthesia-does-not-affect-spinal-cord-neurovascular-coupling-evidence-from-decerebrated-rats
#10
Thierry Paquette, Hugues Leblond, Mathieu Piché
Neurological examination remains the primary clinical investigation in patients with spinal cord injury. However, neuroimaging methods such as functional magnetic resonance imaging (fMRI) are promising tools for following functional changes in the course of injury, disease and rehabilitation. However, the relationship between neuronal activity and blood flow in the spinal cord on which fMRI relies has been largely overlooked. The objective of this study was to examine neurovascular coupling in the spinal cord of decerebrated rats during electrical stimulation of the sciatic nerve with and without isoflurane anesthesia (1...
March 29, 2018: Journal of Physiological Sciences: JPS
https://www.readbyqxmd.com/read/29597251/-appropriate-treatment-and-therapeutic-window-in-spasticity-treatment-with-incobotulinumtoxina-from-100-to-1000-units
#11
Giancarlo Ianieri, Riccardo Marvulli, Giulia Alessia Gallo, Pietro Fiore, Marisa Megna
Many neurological diseases (ischemic and hemorrhagic stroke, multiple sclerosis, infant cerebral palsy, spinal cord injuries, traumatic brain injury, and other cerebrovascular disorders) may cause muscle spasticity. Different therapeutic strategies have been proposed for the treatment of spasticity. One of the major treatments for tone modulation is botulinum toxin type A (BTX-A), performed in addition to other rehabilitation strategies based on individualized multidisciplinary programs aimed at achieving certain goals for each patient...
March 28, 2018: Toxins
https://www.readbyqxmd.com/read/29596516/age-specific-characterization-of-spinal-cord-injuries-over-a-19-year-period-at-a-japanese-rehabilitation-center
#12
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
https://www.readbyqxmd.com/read/29596035/functional-status-predicts-acute-care-readmission-in-the-traumatic-spinal-cord-injury-population
#13
Donna Huang, Chloe Slocum, Julie K Silver, James W Morgan, Richard Goldstein, Ross Zafonte, Jeffrey C Schneider
Context/objective Acute care readmission has been identified as an important marker of healthcare quality. Most previous models assessing risk prediction of readmission incorporate variables for medical comorbidity. We hypothesized that functional status is a more robust predictor of readmission in the spinal cord injury population than medical comorbidities. Design Retrospective cross-sectional analysis. Setting Inpatient rehabilitation facilities, Uniform Data System for Medical Rehabilitation data from 2002 to 2012 Participants traumatic spinal cord injury patients...
March 29, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29590126/risk-of-venous-thromboembolism-during-rehabilitation-of-patients-with-spinal-cord-injury
#14
Sabine Eichinger, Lisbeth Eischer, Hana Sinkovec, Gabriela Wittgruber, Ludwig Traby, Michael Kammer, Paul A Kyrle, Oskar Steinbrecher, Herbert Kaloud, Victoria Kyrle, Hartwig Moser, Renate Wildburger
BACKGROUND: Patients with spinal cord injury (SCI) are at risk of thrombosis and bleeding. Data on the risks during rehabilitation are inconsistent, and thromboprophylactic strategies are heterogeneous. We aimed to evaluate the thrombotic risk and bleeding events of SCI patients during rehabilitation. METHODS: We retrospectively collected hospital record data of 263 consecutive SCI patients admitted at a rehabilitation clinic. 78 patients with acute venous thromboembolism (VTE) at the primary center, without acute trauma or lower extremity paresis, less than one month rehabilitation, or reasons for long-term therapeutic anticoagulation, were excluded...
2018: PloS One
https://www.readbyqxmd.com/read/29582900/developing-a-spinal-cord-injury-rehabilitation-service-in-madagascar
#15
Rakotonirainy Renaud, Helen N Locke, Ramaswamy Hariharan, M Anne Chamberlain, Rory J O'Connor
Rehabilitation for people with spinal cord injury in many low- and middle-income countries is not avail-able or is in the early stages of development. However, rehabilitation is recognized as crucial in order to optimize functional recovery and outcomes for patients with spinal cord injury. With an increasing incidence of spinal cord injury, the unmet need for rehabilitation is huge. This report describes the early development of a specialist rehabilitation service for spinal cord injury in Madagascar, one of the poorest countries in the world...
March 27, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29581893/effect-of-indoor-wheelchair-curling-training-on-trunk-control-of-person-with-chronic-spinal-cord-injury-a-randomised-controlled-trial
#16
Tanja Herzog, Jaap Swanenburg, Markus Hupp, Anne-Gabrielle Mittaz Hager
Study design: Randomised, controlled, single-blind crossover design study. Objective: Effect of indoor wheelchair curling training on trunk control of a person with chronic spinal cord injury (SCI). Setting: SCI Centre of Balgrist University Hospital in Zurich, Switzerland. Methods: The trunk control of 13 subjects was assessed by the modified functional reach test (MFRT) and nonlinear dynamic systems analysis (NDSA) before and after eight indoor curling training sessions and compared to everyday life over 4 weeks...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581518/depressive-mood-in-individuals-with-spinal-cord-injury-sci-living-in-greece
#17
Ioannis-Alexandros Tzanos, Andreas Mavrogenis, Konstantina Gioti, Panagiotis Papaggeloppoulos, Elias Panagiotopoulos
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To provide data on depressive symptoms rates in the Greek SCI population and to investigate their association with demographic and clinical variables. SETTING: Greek territory. METHODS: One hundred and sixty-four individuals with SCI living in the community for at least 1 year after the completion of the primary inpatient rehabilitation program were included in the study...
March 26, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29576401/longitudinal-analysis-of-hospital-charges-following-injury-in-a-level-1-pediatric-trauma-system
#18
Sean M Stokes, Eric R Scaife, Austin M Stevens, Stephen J Fenton
BACKGROUND: The treatment of injured children contributes substantially to the financial burden of a health care system. The purpose of this study was to characterize these charges at a level-1 pediatric trauma center. METHODS: Financial data for children (<14 years) admitted for traumatic injury from 1/2009 to 12/2014 were analyzed. The charges of the index admission and first two years following discharge were evaluated. RESULTS: 5853 trauma patients were included with average annual charges of $11,128,730...
February 25, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29568266/normalization-of-blood-pressure-with-spinal-cord-epidural-stimulation-after-severe-spinal-cord-injury
#19
Susan J Harkema, Siqi Wang, Claudia A Angeli, Yangsheng Chen, Maxwell Boakye, Beatrice Ugiliweneza, Glenn A Hirsch
Chronic low blood pressure and orthostatic hypotension remain challenging clinical issues after severe spinal cord injury (SCI), affecting health, rehabilitation, and quality of life. We previously reported that targeted lumbosacral spinal cord epidural stimulation (scES) could promote stand and step functions and restore voluntary movement in patients with chronic motor complete SCI. This study addresses the effects of targeted scES for cardiovascular function (CV-scES) in individuals with severe SCI who suffer from chronic hypotension...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29567290/effects-of-curcumin-on-bone-loss-and-biochemical-markers-of-bone-turnover-in-patients-with-spinal-cord-injury
#20
Masoud Hatefi, Mohammad Reza Hafezi Ahmadi, Asghar Rahmani, Masoud Moghadas Dastjerdi, Khairollah Asadollahi
BACKGROUND: Osteoporosis is one of the most common problems of patients with spinal cord injuries (SCI). The current study aimed to evaluate the anti-osteoporotic effects of Curcumin on densitometry parameters and biomarkers of bone turnovers among patients with SCI. MATERIALS AND METHODS: The current controlled clinical trial was conducted among 100 patients with SCI referred to an Outpatient Clinic of Rehabilitation in Ilam city, Iran in 2013-2015. Intervention group received 110/mg/kg/day Curcumin for six months and control group received placebo...
March 19, 2018: World Neurosurgery
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