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Spinal cord injury rehabilitation

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https://www.readbyqxmd.com/read/29455634/early-predictors-of-global-functional-outcome-after-traumatic-spinal-cord-injury-a-systematic-review
#1
Andreane Richard-Denis, Marie Beauséjour, Cynthia Thompson, Bich-Han Nguyen, Jean-Marc Mac-Thiong
Accurately predicting functional recovery in an asset for all clinicians and decision makers involved in the care of patients with acute traumatic spinal cord injury (TSCI). Unfortunately, there is a lack of information on the relative importance of significant predictors of global functional outcome. There is also a need for identifying functional predictors that can be timely optimized by the medical and rehabilitation teams throughout the hospitalizations phases. The main objective of this work was to systematically review and rate early factors that are consistently and independently associated with global functional outcome in individuals with TSCI...
February 17, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29452319/-white-cord-syndrome-of-acute-hemiparesis-after-posterior-cervical-decompression-and-fusion-for-chronic-cervical-stenosis
#2
Prince Antwi, Ryan Grant, Gregory Kuzmik, Khalid Abbed
BACKGROUND: "White cord syndrome" is a very rare condition thought to be the result of acute reperfusion of chronically ischemic areas of the spinal cord. Its hallmark is the presence of intramedullary hyperintense signal on T2-weighted MRI sequences in a patient with unexplained neurologic deficits following a spinal cord decompression. The syndrome is rare and has been reported previously in two patients following anterior cervical decompression and fusion. CASE DESCRIPTION: Here, we report an additional case of this complication in a 68-year-old man who developed acute left-sided hemiparesis after posterior cervical decompression and fusion for cervical spondylotic myelopathy...
February 13, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29451202/stem-cells-for-spinal-cord-injuries-bearing-translational-potential
#3
REVIEW
Kyriakos Dalamagkas, Magdalini Tsintou, Alexander M Seifalian
Spinal cord injury (SCI) is a highly debilitating neurological disease, which still lacks effective treatment strategies, causing significant financial burden and distress to the affected families. Nevertheless, nanotechnology and regenerative medicine strategies holding promise for the development of novel therapies that would reach from bench to bedside to serve the SCI patients. There has already been significant progress in the field of cell-based therapies, with the clinical application for SCI, currently in phase II of the clinical trial...
January 2018: Neural Regeneration Research
https://www.readbyqxmd.com/read/29447083/in-complete-sci-patients-long-term-functional-electrical-stimulation-of-permanent-denervated-muscles-increases-epidermis-thickness
#4
Giovanna Albertin, Christian Hofer, Sandra Zampieri, Michael Vogelauer, Stefan Löfler, Barbara Ravara, Diego Guidolin, Caterina Fede, Damiana Incendi, Andrea Porzionato, Raffaele De Caro, Alfonc Baba, Andrea Marcante, Francesco Piccione, Paolo Gargiulo, Amber Pond, Ugo Carraro, Helmut Kern
Our studies have shown that atrophic Quadriceps muscles from spinal cord injury patients suffering with permanent denervation-induced atrophy and degeneration of muscle fibers, were almost completely rescued to normal size after two years of home-based functional electrical stimulation (h-bFES). Because we used surface electrodes to stimulate the muscle, we wanted to know how the skin was affected by the treatments. Here, we report preliminary data from histological morphometry of Hematoxylin-Eosin-stained paraffin-embedded skin sections harvested from the legs of three SCI patients before and after two years of h-bFES...
February 15, 2018: Neurological Research
https://www.readbyqxmd.com/read/29444172/motor-and-psychosocial-impact-of-robot-assisted-gait-training-in-a-real-world-rehabilitation-setting-a-pilot-study
#5
Cira Fundarò, Anna Giardini, Roberto Maestri, Silvia Traversoni, Michelangelo Bartolo, Roberto Casale
In the last decade robotic devices have been applied in rehabilitation to overcome walking disability in neurologic diseases with promising results. Robot assisted gait training (RAGT) using the Lokomat seems not only to improve gait parameters but also the perception of well-being. Data on the psychosocial patient-robot impact are limited, in particular in the real-world of RAGT, in the rehabilitation setting. During rehabilitation training, the Lokomat can be considered an "assistive device for movement"...
2018: PloS One
https://www.readbyqxmd.com/read/29443103/paradigms-of-lower-extremity-electrical-stimulation-training-after-spinal-cord-injury
#6
Ashraf S Gorgey, Refka E Khalil, Robert M Lester, Gary A Dudley, David R Gater
Skeletal muscle atrophy, increased adiposity and reduced physical activity are key changes observed after spinal cord injury (SCI) and are associated with numerous cardiometabolic health consequences. These changes are likely to increase the risk of developing chronic secondary conditions and impact the quality of life in persons with SCI. Surface neuromuscular electrical stimulation evoked resistance training (NMES-RT) was developed as a strategy to attenuate the process of skeletal muscle atrophy, decrease ectopic adiposity, improve insulin sensitivity and enhance mitochondrial capacity...
February 1, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29436796/predictive-value-of-braden-risk-factors-in-pressure-ulcers-of-outpatients-with-spinal-cord-injury
#7
Fariba Sadeghi Fazel, Nazi Derakhshanrad, Mir Saeed Yekaninejad, Fardis Vosoughi, Asal Derakhshanrad, Hooshang Saberi
Pressure Ulcers (PUs) remain among the most common complications after traumatic spinal cord Injuries (SCIs). The main goal of risk factor assessment with different tools has been to provisionally estimate the chance of developing pressure ulcers in patients with Spinal Cord Injury (SCI). Braden tool has been of good predictive value and most commonly employed in hospital communities for risk assessment of pressure sore development. The objective of this study was to determine the Braden risk factors as well as the prevalence of pressure injuries in SCI patients...
January 2018: Acta Medica Iranica
https://www.readbyqxmd.com/read/29436375/scalp-acupuncture-for-the-treatment-of-motor-function-in-acute-spinal-cord-injury-a-case-report
#8
Colette Widrin
An acute spinal cord injury (SCI) is the result of a traumatic injury to the spinal cord caused by a contusion, compression or severing of the spinal cord. There are approximately 17,000 new cases each year, of which, males account for 80%. Approximately 65% of these injuries cause incomplete, or partial, damage to the spinal cord. Comprehensive treatment is essential to restore maximum function. Surgical procedures, stem cell therapy, pharmaceutical agents and physical therapy are employed to minimize and repair damage done to the nervous system...
January 31, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29434463/initial-outcomes-from-a-multicenter-study-utilizing-the-indego-powered-exoskeleton-in-spinal-cord-injury
#9
Candy Tefertiller, Kaitlin Hays, Janell Jones, Arun Jayaraman, Clare Hartigan, Tamara Bushnik, Gail F Forrest
Objective: To assess safety and mobility outcomes utilizing the Indego powered exoskeleton in indoor and outdoor walking conditions with individuals previously diagnosed with a spinal cord injury (SCI). Methods: We conducted a multicenter prospective observational cohort study in outpatient clinics associated with 5 rehabilitation hospitals. A convenience sample of nonambulatory individuals with SCI (N = 32) completed an 8-week training protocol consisting of walking training 3 times per week utilizing the Indego powered exoskeleton in indoor and outdoor conditions...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434460/relationship-between-comorbidities-and-employment-among-veterans-with-spinal-cord-injury
#10
Lance L Goetz, Lisa Ottomanelli, Scott D Barnett, Bryce Sutton, Eni Njoh
Objective: To determine the relationship between medical and mental health comorbidities in a large cohort of veterans with spinal cord injury (SCI). Methods: Data were collected from interviews and electronic medical records of veterans with SCI (N = 1,047) who received care at 7 geographically diverse SCI centers within the Department of Veterans Affairs across the country (https://clinicaltrials.gov/ct2/show/NCT01141647). Employment, medical, functional, and psychosocial data underwent cross-sectional analysis...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29434459/are-comorbid-pain-and-depressive-symptoms-associated-with-rehabilitation-of-individuals-with-spinal-cord-injury
#11
Swati Mehta, Shannon Janzen, Amanda McIntyre, Jerome Iruthayarajah, Eldon Loh, Robert Teasell
Objective: To examine the difference in functional outcomes and therapy intensity among individuals with spinal cord injury (SCI) with comorbid depression and pain symptoms compared to those without these symptoms. Methods: A retrospective chart review was conducted of 100 patients admitted to a specialized SCI inpatient rehabilitation unit. Standard demographic factors were collected. Patients were divided into 2 groups: those with comorbid depression and pain symptoms and those without. Outcomes were compared between the 2 groups using analysis of covariance (ANCOVA)...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29426946/psychological-morbidities-and-positive-psychological-outcomes-in-people-with-traumatic-spinal-cord-injury-in-mainland-china
#12
Yanbo Wang, Haixia Xie, Xudong Zhao
STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To explore the prevalences of three psychological morbidities (posttraumatic stress disorder, anxiety, and depression) and two positive psychological outcomes (resilience and posttraumatic growth) in people with spinal cord injury (SCI). To examine the relationships between the five aforementioned variables and to determine the predictors of the three psychological morbidities. SETTING: Shanghai Sunshine Rehabilitation Center, Mainland China...
February 9, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29423316/spinal-cord-injury-with-central-cord-syndrome-from-surfing
#13
Yaniv Steinfeld, Yaniv Keren, Elias Haddad
Introduction: Central cord syndrome (CCS) is an injury to the center of the spinal cord. It is well known as a hyperextension injury, but it has never been described as a surfing injury. Our report describes this injury in detail. Case presentation: A 35-year-old male novice surfer presented to the emergency department with acute tetraplegia following falling off his surfboard and hitting sea floor at a shallow beach break. He was rescued by a fellow surfer while floating in the sea and unable to raise his head above sea level...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29423312/epidemiological-profile-of-spinal-cord-injuries-at-a-tertiary-rehabilitation-center-in-kuwait
#14
L Prasad, S Al Kandari, U Ramachandran, D Shehab, S Alghunaim
Study design: Retrospective, descriptive study. Objective: To describe the epidemiological profile of patients with spinal cord injury (SCI) in Kuwait. Setting: Physical Medicine and Rehabilitation Hospital, Kuwait. Methods: Review of medical records of 241 adult patients with SCI admitted during the period 2010-2015. The data collected included gender, age, etiology, neurological and vertebral level of injury and American Spinal Injury Association impairment scale (AIS)...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29423311/life-after-personalized-adaptive-locomotor-training-a-qualitative-follow-up-study
#15
Hardeep Singh, Jaya Sam, Mary C Verrier, Heather M Flett, B Catharine Craven, Kristin E Musselman
Study Design: Qualitative follow-up study. Objectives: Intensive locomotor training can improve physical and psychological functioning for individuals with spinal cord injury. Few studies have examined long-term effects of locomotor training. Specifically, there is a lack of qualitative follow-up that provide insight into participants' perceptions of the effects of locomotor training on level of function and daily life. This study aimed to gain insight into participants' perceptions of intensive locomotor training and whether participation influenced the level of function and community living 1-2 years after training...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29422842/estimation-of-neuromuscular-primitives-from-eeg-slow-cortical-potentials-in-incomplete-spinal-cord-injury-individuals-for-a-new-class-of-brain-machine-interfaces
#16
Andrés Úbeda, José M Azorín, Dario Farina, Massimo Sartori
One of the current challenges in human motor rehabilitation is the robust application of Brain-Machine Interfaces to assistive technologies such as powered lower limb exoskeletons. Reliable decoding of motor intentions and accurate timing of the robotic device actuation is fundamental to optimally enhance the patient's functional improvement. Several studies show that it may be possible to extract motor intentions from electroencephalographic (EEG) signals. These findings, although notable, suggests that current techniques are still far from being systematically applied to an accurate real-time control of rehabilitation or assistive devices...
2018: Frontiers in Computational Neuroscience
https://www.readbyqxmd.com/read/29417012/the-reliability-and-validity-of-using-the-urine-dipstick-test-by-patient-self-assessment-for-urinary-tract-infection-screening-in-spinal-cord-injury-patients
#17
Krit Duanngai, Patpiya Sirasaporn, Siriwan Surapaitoon Ngaosinchai
Aims: The aim of this is to evaluate the reliability of the urine dipstick test by patients' self-assessment for urinary tract infection (UTI) screening and to determine the validity of urine dipstick test. Settings: Rehabilitation Department, Srinagarind Hospital, Thailand. Study Design: A diagnostic study. Subjects and Methods: This study compared the urine dipstick test (index test) with the National Institute on Disability and Rehabilitation Research (NIDRR) criteria (gold standard test) in spinal cord injury (SCI) patients...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29405819/effect-of-12-week-rebound-therapy-exercise-on-static-stability-of-patients-with-spinal-cord-injury
#18
Morteza Sadeghi, Gholamali Ghasemi, Mohammadtaghi Karimi
BACKGROUND: In order to resolve the impairments associated with SCI such as decreased balance, patients have been recommended to undergo various therapeutic strategies, including the use of different physical exercise methods. The aim of this study was to evaluate the efficiency of using rebound therapy (exercise on a trampoline) on SCI individuals' static stability. METHODS: Sixteen SCI people (ASIA classification: A=6, B=6, C=2, D=2) were randomly assigned to an experimental (rebound exercise) group or a control group...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29400988/the-effects-of-robot-assisted-gait-training-on-temporal-spatial-characteristics-of-people-with-spinal-cord-injuries-a-systematic-review
#19
Stephen Clive Hayes, Christopher Richard James Wilcox, Hollie Samantha Forbes White, Natalie Vanicek
CONTEXT: Robotic assisted gait training (RAGT) technology can be used as a rehabilitation tool or as an assistive device for spinal cord injured (SCI) individuals. Its impact on upright stepping characteristics of SCI individuals using treadmill or overground robotic exoskeleton systems has yet to be established. OBJECTIVE: To systematically review the literature and identify if overground or treadmill based RAGT use in SCI individuals elicited differences in temporal-spatial characteristics and functional outcome measures...
February 5, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29388905/profile-of-patients-with-spinal-cord-injuries-in-kwazulu-natal-south-africa-implicactions-for-vocational-rehabilitation
#20
Ntsikelelo Pefile, Joyce Diphale Mothabeng, Saloshni Naidoo
OBJECTIVES: To describe the demographic and socio-economic profiles, and injury related characteristics of people who sustain SCIs in KZN in order to provide baseline information to instigate a model that guides employment outcomes amongst PLWSCI. DESIGN: Retrospective analysis of medical files was done. SETTING: King Dinizulu Hospital Spinal Unit (KDHSU), this being the biggest provider of acute care for people who sustain SCI in KwaZulu-Natal and the Eastern Cape Provinces, South Africa was the setting for our study...
February 1, 2018: Journal of Spinal Cord Medicine
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