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Spinal cord injury rehabilitation

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https://www.readbyqxmd.com/read/29044679/predictors-of-long-term-bladder-management-in-spinal-cord-injury-patients-upper-extremity-function-may-matter-most
#1
Dimitar V Zlatev, Kazuko Shem, Christopher S Elliott
INTRODUCTION: Clean intermittent catheterization (CIC) is the gold standard for neurogenic bladder management in most patients with spinal cord injury (SCI). There is nonetheless a lack of long-term adherence to CIC, with up to 50% discontinuance at 5-year follow-up. We hypothesize that limitations in upper extremity (UE) motor function represent a strong predictor for long-term CIC adoption. METHODS: We assessed Forms I and II data from the 2000-2013 National SCI Database...
October 17, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29037112/peer-led-transformative-learning-approaches-increase-classroom-engagement-in-care-self-management-classes-during-inpatient-rehabilitation-of-individuals-with-spinal-cord-injury
#2
Julie Gassaway, Michael L Jones, W Mark Sweatman, Tamara Young
OBJECTIVE: Evaluate effects of revised education classes on classroom engagement during inpatient rehabilitation for individuals with spinal cord injury/disease (SCI/D). DESIGN: Multiple-baseline, quasi-experimental design with video recorded engagement observations during conventional and revised education classes; visual and statistical analysis of difference in positive engagement responses observed in classes using each approach. PARTICIPANTS/SETTING: 81 patients (72% male, 73% white, mean age 36 SD 15...
October 16, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29036864/employment-pathways-of-individuals-with%C3%A2-spinal-cord-injury-living-in%C3%A2-switzerland-a-qualitative-study
#3
Albert Marti, Reuben Escorpizo, Urban Schwegler, Stefan Staubli, Bruno Trezzini
BACKGROUND: Labour market participation (LMP) represents a key goal of rehabilitation for individuals with spinal cord injury (SCI). To achieve this goal, Swiss SCI rehabilitation centres seek, together with their clients, viable follow-up solutions for returning to work after initial rehabilitation. However, the long-term outcomes of such vocational follow-up solutions have not been investigated so far, and there is a paucity of knowledge regarding the various types of employment pathways that persons with SCI living in Switzerland may experience...
October 9, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29030096/medical-safety-huddles-in-rehabilitation-a-novel-patient-safety-strategy
#4
Meiqi Guo, Gaetan Tardif, Mark Bayley
OBJECTIVE: To describe the implementation process, outcomes, and lessons learned in the implementation of medical safety huddles, a novel patient safety monitoring strategy that promotes physician engagement with patient safety. DESIGN: Single-centre observational study. SETTING: The Brain and Spinal Cord Injury Rehabilitation Program (BSCIRP) at an urban, academic adult rehabilitation hospital. PARTICIPANTS: 18 physicians associated with the program...
October 10, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29025926/enhancing-spinal-plasticity-amplifies-the-benefits-of-rehabilitative-training-and-improves-recovery-from-stroke
#5
Anna M Wiersma, Karim Fouad, Ian R Winship
The limited recovery that occurs following stroke happens almost entirely in the first weeks post injury. Moreover, the efficacy of rehabilitative training is limited beyond this narrow time frame. Sprouting of spared corticospinal tract axons in the contralesional spinal cord makes a significant contribution to sensorimotor recovery, but this structural plasticity is also limited to the first few weeks after stroke. Here, we tested the hypothesis that inducing plasticity in the spinal cord during chronic stroke could improve recovery from persistent sensorimotor impairment...
October 12, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29017016/participation-in-moderate-to-vigorous-leisure-time-physical-activity-is-related-to-decreased-visceral-adipose-tissue-in-adults-with-spinal-cord-injury
#6
Chelsea A Pelletier, Maryam Omidvar, Masae Miyatani, Lora Giangregorio, B Catharine Craven
Increased visceral adiposity place individuals with chronic spinal cord injury (SCI) at increased risk of cardiometabolic disease. The purpose of this study was to identify if people with chronic SCI who participate in any moderate-to-vigorous intensity leisure time physical activity (LTPA) have lower visceral adipose tissue (VAT) area compared to those who report none. Participants included 136 adult men (n = 100) and women (n = 36) with chronic [mean (±SD) 15.6±11.3 years post injury] tetraplegia (n = 66) or paraplegia (n = 70) recruited from a tertiary rehabilitation hospital...
October 10, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28994618/pilot-evaluation-of-a-coping-oriented-supportive-program-for-people-with-spinal-cord-injury-during-inpatient-rehabilitation
#7
Yan Li, Daniel Bressington, Wai-Tong Chien
PURPOSE: To report the feasibility and preliminary effects of a psychosocial care program entitled "coping-oriented supportive program" (COSP) for people with spinal cord injury (SCI) during inpatient rehabilitation. METHODS: This was a pilot test of the COSP using a convenience sample of 22 participants with SCI (11 participants per group) with pre- and post-test, comparison group design. The feasibility, acceptability, and preliminary effects of the COSP were examined...
October 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28993290/spinal-cord-injury-associated-with-cervical-spinal-canal-stenosis-outcomes-and-prognostic-factors
#8
Y Ronzi, B Perrouin-Verbe, O Hamel, R Gross
OBJECTIVES: To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability. METHODS: A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed...
October 6, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28990874/intensive-gait-treatment-using-a-robot-suit-hybrid-assistive-limb-in-acute-spinal-cord-infarction-report-of-two-cases
#9
Hiroki Watanabe, Aiki Marushima, Hiroaki Kawamoto, Hideki Kadone, Tomoyuki Ueno, Yukiyo Shimizu, Ayumu Endo, Yasushi Hada, Kousaku Saotome, Tetsuya Abe, Masashi Yamazaki, Yoshiyuki Sankai, Eiichi Ishikawa, Akira Matsumura
CONTEXT: Spinal cord infarction (SCI) causes gait disturbance because of paresis, spasticity, and sensory disturbance of the lower limbs. There is no effective medical treatment for SCI, and conventional rehabilitation alone is the main approach to helping individuals work toward independent walking. The aim of this study was to evaluate the effect of gait treatment using the Hybrid Assistive Limb (HAL) on acute SCI. FINDINGS: A 61-year-old female and a 62-year-old male with incomplete paraplegia participated in this study...
October 9, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28986413/is-virtual-reality-a-useful-adjunct-to-rehabilitation-after-spinal-cord-injury
#10
Richard Rammo, Jason M Schwalb
No abstract text is available yet for this article.
October 6, 2017: Neurology
https://www.readbyqxmd.com/read/28972191/effects-of-acute-intermittent-hypoxia-on-hand-use-after-spinal-cord-trauma-a-preliminary-study
#11
Randy D Trumbower, Heather B Hayes, Gordon S Mitchell, Steven L Wolf, Victoria A Stahl
OBJECTIVE: To test the hypothesis that daily acute intermittent hypoxia (AIH) combined with hand opening practice improves hand dexterity, function, and maximum hand opening in persons with chronic, motor-incomplete, cervical spinal cord injury. METHODS: Six participants completed the double-blind, crossover study. Participants received daily (5 consecutive days) AIH (15 episodes per day: 1.5 minutes of fraction of inspired oxygen [FIo2] = 0.09, 1-minute normoxic intervals) followed by 20 repetitions of hand opening practice and normoxia (sham, FIo2 = 0...
September 29, 2017: Neurology
https://www.readbyqxmd.com/read/28970100/early-intensive-hand-rehabilitation-is-not-more-effective-than-usual-care-plus-one-to-one-hand-therapy-in-people-with-sub-acute-spinal-cord-injury-hands-on-a-randomised-trial
#12
Lisa A Harvey, Sarah A Dunlop, Leonid Churilov, Mary P Galea
QUESTION: What is the effect of adding an intensive task-specific hand-training program involving functional electrical stimulation to a combination of usual care plus three 15-minute sessions per week of one-to-one hand therapy in people with sub-acute tetraplegia? DESIGN: A parallel group, randomised, controlled trial. Participants were randomly assigned (1:1) via a computer-generated concealed block randomisation procedure to either a control or experimental intervention...
October 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/28952946/model-based-dynamic-control-allocation-in-a-hybrid-neuroprosthesis
#13
Nicholas A Kirsch, Xuefeng Bao, Naji A Alibeji, Brad E Dicianno, Nitin Sharma
A hybrid neuroprosthesis that combines human muscle power, elicited through functional electrical stimulation (FES), with a powered orthosis may be advantageous over a sole FES or a powered exoskeleton-based rehabilitation system. The hybrid system can conceivably overcome torque reduction due to FESinduced muscle fatigue by complementarily using torque from the powered exoskeleton. The second advantage of the hybrid system is that the use of human muscle power can supplement the powered exoskeleton's power (motor torque) requirements; thus, potentially reducing the size and weight of a walking restoration system...
September 22, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28944084/hope-coping-and-psychosocial-adjustment-after-spinal-cord-injury
#14
Pat Dorsett, Timothy Geraghty, Anne Sinnott, Rick Acland
INTRODUCTION: The study was a prospective, longitudinal design. The purpose was to explore the role of hope in the coping and psychosocial adjustment process following a spinal cord injury. The study was conducted at Spinal cord injury rehabilitation units in Queensland, Australia and Christchurch, New Zealand. MATERIALS AND METHODS: This was a longitudinal study conducted in two SCI rehabilitation centres, one in Australia and one in New Zealand. A total of 47 participants with newly acquired traumatic SCI were administered a survey consisting of the Adult Hope Scale; the Moorong Self-Efficacy Scale; the Centre for Epidemiology Studies-Depression Scale (CES-D); Life Satisfaction, Self-Rated Adjustment and Life Problems Subscales of the Life Situation Questionnaire and selected subscales from the Spinal Cord Lesion-related Coping Strategies Questionnaire (SCL-CSQ) and the COPE scales at 6 weeks post injury and 3 months post discharge...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28944083/white-matter-changes-in-corticospinal-tract-associated-with-improvement-in-arm-and-hand-functions-in-incomplete-cervical-spinal-cord-injury-pilot-case-series
#15
Nuray Yozbatiran, Zafer Keser, Khader Hasan, Argyrios Stampas, Radha Korupolu, Sam Kim, Marcia K O'Malley, Felipe Fregni, Gerard E Francisco
INTRODUCTION: This is a prospective clinical pilot case series. Improvement of arm and hand functions after spinal cord injury (SCI) is one of the major rehabilitation goals. Electrical stimulation of the primary motor cortex via transcranial direct current stimulation (tDCS) coupled with high-intensity repetitive motor training may have potential to facilitate improvement in motor function in chronic, incomplete cervical SCI. We investigated the relationship between motor recovery and changes in white matter integrity in response to treatment intervention...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28936883/taking-back-a-little-of-what-you-have-lost-the-meaning-of-using-an-environmental-control-system-ecs-for-people-with-high-cervical-spinal-cord-injury
#16
Michele Verdonck, Maeve Nolan, Gill Chard
PURPOSE: Assistive technologies have deep and personal meanings for people with disabilities. This study sought to provide an in-depth exploration of the subjective meaning of Environmental Control System (ECS) use for people with high cervical spinal cord injury. MATERIALS AND METHOD: Interpretative Phenomenological Analysis (IPA) was used to explore the personal meaning of ECS. In-depth interviews with five participants were analyzed according to recommended IPA guidelines to produce a rich phenomenological account of lived experience...
September 22, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28929919/evaluating-the-efficacy-of-functional-electrical-stimulation-therapy-assisted-walking-after-chronic-motor-incomplete-spinal-cord-injury-effects-on-bone-biomarkers-and-bone-strength
#17
B Catharine Craven, Lora M Giangregorio, S Mohammad Alavinia, Lindsie A Blencowe, Naaz Desai, Sander L Hitzig, Kei Masani, Milos R Popovic
To determine the efficacy of functional electrical stimulation therapy assisted walking (FES-T) compared to a conventional aerobic and resistance training (CONV) with respect to bone biomarkers and lower extremity bone strength outcomes among adults with chronic motor incomplete spinal cord injury (SCI). Design Parallel group randomized controlled trial ( www.clinicaltrials.gov - NCT0020196819). Site Tertiary academic rehabilitation centre in Canada. Methods Adults with chronic (≥18 months) motor incomplete SCI (C2-T12 AIS C-D) were consented and randomized to FES-T or CONV training for 45 minutes thrice-weekly for 4 months...
September 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28929913/development-of-acute-promyelocytic-leukemia-in-a-patient-with-tetraplegia-while-in-inpatient-rehabilitation-a-case-report
#18
Christopher A Beal, Michael C Krouse, Jeffrey T Tubbs
STUDY DESIGN: a single case report. OBJECTIVES: To report a case of a patient with tetraplegia who developed acute promyelocytic leukemia (APL) while in inpatient rehabilitation after 10.5 months. SETTING: A VA Medical Center Spinal Cord Injury Service and Disorders Unit Case Report: A 47 year-old male with a stage IV sacral pressure ulcer and C4 AIS A complete tetraplegia secondary to a motor vehicle collision, developed fever, thrombocytopenia, and anemia 20 months after his injury while in inpatient rehabilitation and was found to have APL, confirmed following bone marrow biopsy...
September 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28928196/protocol-for-a-scoping-review-of-skin-self-care-of-people-with-spinal-cord-injury
#19
Daniella Karine Souza Lima, Soraia Dornelles Schoeller, Neide da Silva Knihs, Caroline Porcelis Vargas, Adriana Dutra Tholl, Soraia Geraldo Rozza Lopes, Maria Manuela Martins, Karina Silveira de Almeida Hammerschmidt
INTRODUCTION: In recent years, increasing methodological references have been used in scientific research; these are points of support in the search for evidence, formulation and elaboration of instruments, scales, guideline and protocols. However, significant variability currently exists in scoping review conduct and reporting, thus limiting the potential of the methodology to advance research and practice about skin self-care of people with spinal cord injury (SCI). Our objective was to perform a scoping review protocol within the health rehabilitation context of people with SCI, focusing on skin self-care...
September 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28928027/development-of-a-sexual-needs-rehabilitation-framework-in-women-post-spinal-cord-injury-a-study-from-iran
#20
Raziyeh Maasoumi, Fatemeh Zarei, Effat Merghati-Khoei, Taylor Lawson, Seyyed Hasan Emami-Razavi
OBJECTIVE: To develop a sexual needs rehabilitation framework in women post spinal cord injury (SCI) DESIGN: Mixed-methods study SETTING: Brain and Spinal Cord Injury Research Center (BASIR), Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran PARTICIPANTS: Married women with at least one year passed injury INTERVENTION: Not applicable METHODS: This study was designed in three steps; primary needs assessment with quantitative and qualitative methods, prioritizing identified needs by expert panels, and developing framework...
September 16, 2017: Archives of Physical Medicine and Rehabilitation
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