Tetraplegic obstructive sleep apnoea patients dilate the airway similarly to able-bodied obstructive sleep apnoea patients.
Conclusion: Despite the limited sample size, these data suggest that SCI OSA patients have heterogeneous pharyngeal dilator muscle responses to the negative pressures occurring during inspiration but, as a group, appear to be more similar to able-bodied OSA patients than healthy controls of similar age and BMI. This may reflect altered pharyngeal pressure reflex responses in at least some people with SCI. PMID: 33166204 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - November 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Effects of trunk muscle activation on trunk stability, arm power, blood pressure and performance in wheelchair rugby players with a spinal cord injury.
Conclusion: ES-induced trunk muscle activation positively affects trunk stability and BP, but not arm force/power. No effects were found in WR skill performance, probably due to abdominal strapping. More research is needed to assess different ES (training) protocols and longitudinal effects. PMID: 33166206 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - November 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Shoulder magnetic resonance imaging findings in manual wheelchair users with spinal cord injury.
Authors: Jahanian O, Van Straaten MG, Goodwin BM, Lennon RJ, Barlow JD, Murthy NS, Morrow MMB Abstract Objective: To investigate the prevalence of rotator cuff and long head of the biceps pathologies in manual wheelchair (MWC) users with spinal cord injury (SCI). Design: Cross-sectional study. Setting: Outpatient clinic at a tertiary medical center. Participants: Forty-four adult MWC users with SCI (36 men and 8 women) with an average age (SD) of 42 (13) years. SCI levels ranged from C6 to L1; complete and incomplete SCI. Outcome Measures: Participants' demographic and anthropometric information, presence of should...
Source: Journal of Spinal Cord Medicine - November 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Spinal arachnoiditis leading to recurrent reversible myelopathy: A case report.
Authors: Jahja E, Sansur C, Gorman PH Abstract Context: A patient followed in the outpatient spinal cord injury support clinic at a VA Medical Center with a prior remote history of a gunshot wound to the back and multiple prior myelograms presented with a recurrent waxing and waning weakness of the left lower extremity and intermittent incontinence of bowel and bladder. Findings: During the evaluation, the patient experienced an immediate albeit temporary improvement in symptoms after a diagnostic lumbar puncture performed for CT myelogram. The symptoms of myelopathy reoccurred several weeks, but then the patient h...
Source: Journal of Spinal Cord Medicine - November 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Successful decannulation of patients with traumatic spinal cord injury: A scoping review.
Conclusion: Published research lacks a consistent taxonomy for reporting post-decannulation outcomes in SCI patients. Non-invasive ventilation research could benefit many SCI patients but has been studied in depth primarily by a single authorship group. Further investigation into the socioeconomic and fiscal impact on tracheostomies on SCI patients is warranted. PMID: 33166214 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - November 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Effect of the Affordable Care Act on healthcare utilization for Veterans with spinal cord injuries and disorders.
We examined Veterans with spinal cord injuries and disorders (SCI/D) to assess whether the ACA was associated with changes in healthcare utilization from Department of Veterans Affairs (VA) healthcare facilities. Design: Using national VA data, we investigated impacts on VA healthcare utilization pre- (2012/13) and post-ACA (2014/15) implementation with negative binomial regression models. Setting: VA healthcare facilities. Participants: 8,591 VA users with SCI/D. Veterans with acute myelitis, Guillain-Barré syndrome, multiple sclerosis, or amyotrophic lateral sclerosis were excluded as were patients who died during...
Source: Journal of Spinal Cord Medicine - October 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Incidence of urinary tract infection following initiation of intermittent catheterization among patients with recent spinal cord injury in Germany and the Netherlands.
Conclusion: Depending on definition, 14% to 45% of patients with recent SCI experience UTI within three months of initiating IC. Definitions requiring bacteriuria and either pyuria or symptoms consistently identified about twice as many cases as those that required all three conditions. Standardizing definitions may help improve detection, treatment, and prevention of UTI within this vulnerable population. PMID: 33054606 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The inFlow intraurethral valve-pump for women with detrusor underactivity: A summary of peer-reviewed literature.
Conclusion: There is no cure for women with DUA. Bladder drainage can be managed by intermittent or continuous catheterization. Appropriately selected women interested in an alternative to catheterization may be offered an on-device trial of the inFlow urinary prosthesis. PMID: 33054612 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Vertebral insufficiency fractures as a cause of autonomic dysreflexia in a patient with chronic tetraplegia: A case report.
Conclusion/Clinical Relevance: This case illustrates the need for improved awareness, diagnosis, and prevention for this disease process. PMID: 33054643 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Urinary undiversion by conversion of the incontinent ileovesicostomy to augmentation ileocystoplasty in spinal cord injured patients.
Conclusion: In motivated SCI patients, it is possible to regain continence by converting the ileovesicostomy into augmentation ileocystoplasty, avoiding the disadvantages of a urostomy. A multidisciplinary collaborative approach facilitates the optimal rehabilitation of SCI individuals. PMID: 33054669 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Increased serum levels of brain-derived neurotrophic factor following wheelchair half marathon race in individuals with spinal cord injury.
Authors: Nishimura Y, Nakamura T, Kamijo YI, Arakawa H, Umemoto Y, Kinoshita T, Sakurai Y, Tajima F Abstract Objective: Brain-derived neurotrophic factor (BDNF) has beneficial effects on metabolism as well as the peripheral and central nervous systems. The aim of this study was to assess the response of serum BDNF concentration ([BDNF]s) to wheelchair half marathon race in individuals with spinal cord injury (SCI). Design: Prospective observational study. Setting: The 34th Oita International Wheelchair Marathon Race in Japan. Participants: Nine cervical SCIs (CSCI) and 8 thoracic and lumber SCIs (LSCI) male athlete...
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Prospective analysis of a surgical algorithm to achieve ventilator weaning in cervical tetraplegia.
Conclusion: Although more investigation is necessary, phrenic nerve reconstruction or diaphragm muscle replacement performed (when indicated) with pacemaker implantation may allow virtually all ventilator-dependent cervical tetraplegics to partially or completely wean. PMID: 33054689 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Designing accessible educational resources for people living with spinal cord injury.
Conclusion: We have identified multiple areas of interest in the design and production of educational resources for individuals with SCI. PMID: 32970969 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 26, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Factors influencing thigh muscle volume change with cycling exercises in acute spinal cord injury - a secondary analysis of a randomized controlled trial.
Conclusion: This per-protocol analysis of FESC and PC early after SCI reports a partial response in 42% and a beneficial response in 25% of patients who completed 12 weeks intervention, regardless of mode. Strong correlations show a dose-response according to exercise frequency. Characteristics of non-responders are discussed to inform clinical decision-making. PMID: 32970970 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 26, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Experiences of patients and their partners with sexual problems after spinal cord injury: A phenomenological qualitative study.
Conclusion: It was found that the sex life of individuals with SCI was negatively affected, they were left helpless in dealing with their problems, and that some patients had difficulties in coping with this condition. PMID: 32936686 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Exceeding expectations: My journey with the "smallest big journal".
Exceeding expectations: My journey with the "smallest big journal". J Spinal Cord Med. 2020 Sep;43(5):561-562 Authors: Murphy C PMID: 32936749 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Caring for people with spinal cord injury in the time of COVID-19: Redefining the meaning of "essential".
Caring for people with spinal cord injury in the time of COVID-19: Redefining the meaning of "essential". J Spinal Cord Med. 2020 Sep;43(5):563-564 Authors: Kennelly MJ PMID: 32936750 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Colorectal cancer mortality after spinal cord injury.
Conclusion: Although persons with SCI receive suboptimal rates of preventative care screenings and report extensive barriers to care, overall, they are not at an increased risk of CRC mortality. The current recommendations for CRC screening should be continued for these individuals while reducing barriers to care. PMID: 32870755 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - September 3, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Limb loss in individuals with chronic spinal cord injury.
CONCLUSIONS: Pressure injuries and osteomyelitis were most common etiologies for limb loss. Less than half experienced functional change after amputation; more than half required new or modified mobility equipment. An increase in mortality may reflect overall health deterioration over time. PMID: 32808883 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Assessment of shoulder rotation strength, muscle co-activation and shoulder pain in tetraplegic wheelchair athletes - A methodological study.
Conclusion: Standardized feasible protocol for tetraplegic wheelchair athletes for measuring maximum shoulder rotation strength was established. Isometric HHD is comparable with ID on normalized peak torques and muscle activity, but with larger co-activation. Strength was not clearly associated with shoulder pain. PMID: 32808885 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Outcomes of the five times sit-to-stand test could determine lower limb functions of ambulatory people with spinal cord injury only when assessed without hands.
This study assessed the concurrent validity of the FTSST in ambulatory individuals with SCI who completed the test with or without hands as verified using standard measures for lower extremity motor scores (LEMS) and functional mobility necessary for independence and safety of these individuals. Design: Cross-sectional study. Setting: Tertiary rehabilitation centers and community hospitals. Participants: Fifty-six ambulatory individuals with motor incomplete SCI who were able to walk independently with or without a walking device over at least 10 m. Outcome Measures: Time to complete the FTSST with or without hands accor...
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Community organization factors affecting veteran participation in adaptive sports.
Conclusions: Our results suggest that U.S. Military veterans represent a large proportion of the individuals participating in adaptive sports. Further research specifically focusing on factors veterans find desirable when considering participating in adaptive sports is indicated to identify programs that should be promoted, developed, and funded to increase veteran participation in adaptive sports. PMID: 32808905 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Deep vein thrombosis of the common iliac vein caused by neurogenic heterotopic ossification in the anterior lower lumbar spine of a patient with complete paraplegia due to radiation-induced myelopathy.
Conclusions: We believe that such compression of the left CIV would have contributed to the development of DVT. This case shows that DVT might be caused by NHO at the anterior aspect of the lumbar vertebral body, and this may help clinicians identify the main cause of DVT in the leg. PMID: 32808906 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Frequency of turning in bed at home in persons with chronic spinal cord injury.
Conclusion: Although frequently recommended for repositioning at night in bed every two hours for persons with chronic SCI, especially for those at risk for pressure injuries, only 25.6% of individuals report turning at this frequency and 40.7% report not turning at night time regularly. The reasons for limited turning may be multi-factorial, however, this finding may serve as a call to practitioners to best determine the most appropriate turning frequency that can meet compliance of the individual with SCI, as well as maintain skin protection in the chronic period after injury. PMID: 32808913 [PubMed - as supplied by ...
Source: Journal of Spinal Cord Medicine - August 20, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Walking endurance, muscle oxygen extraction, and perceived fatigability after overground locomotor training in incomplete spinal cord injury: A pilot study.
Conclusion: These findings provide preliminary data supporting the potential for improved walking endurance, enhanced muscle O2 extraction, and reduced perceived fatigability in people with chronic cervical motor-incomplete SCI following the OLT program described in this study. PMID: 32795157 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Sudden stop detection and automatic seating support with neural stimulation during manual wheelchair propulsion.
Authors: Foglyano KM, Lombardo LM, Schnellenberger JR, Triolo RJ Abstract Objective: Wheelchair safety is of great importance since falls from wheelchairs are prevalent and often have devastating consequences. We developed an automatic system to detect destabilizing events during wheelchair propulsion under real-world conditions and trigger neural stimulation to stiffen the trunk to maintain seated postures of users with paralysis. Design: Cross-over intervention Setting: Laboratory and community settings Participants: Three able-bodied subjects and three individuals with SCI with previously implanted neurostimulat...
Source: Journal of Spinal Cord Medicine - August 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Test-retest reliability of the Valsalva maneuver in spinal cord injury.
Conclusion: VR (a measure of cardiovagal function) and TR (a measure of sympathetic adrenergic function) are reliable quantitative parameters that can be derived from SBP response to VM in participants with SCI. Qualitative waveform analysis was reproducible in 12/14 participants. This provides the foundational evidence required to pursue further validity testing to establish a role for VM in the assessment of autonomic functions in SCI. PMID: 32795170 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Epidemiological features of traumatic spinal cord injury in Beijing, China.
Authors: Liu J, Liu HW, Gao F, Li J, Li JJ Abstract Objective: To describe epidemiological features of traumatic spinal cord injury (TSCI) and to conduct a comparison with data from 2002. Design: Retrospective research. Setting: China Rehabilitation Research Center (CRRC), Beijing. Methods: Five hundred and ninety patients with TSCI were admitted to the CRRC from 1st January 2011 to 31st December 2019. We collected data on sex, age, marital status, etiology, occupation, neurological level of injury, and the American Spinal Injury Association Impairment Scale on admission, time of injury and treatment. Results: Stat...
Source: Journal of Spinal Cord Medicine - July 28, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Assessment of the unmediated relationship between neurological impairment and health-related quality of life following spinal cord injury.
Conclusions: A direct, unmediated effect of severity of neurological impairment was revealed with the WHOQOL-BREF, which distinguished between the tetraplegia and paraplegia groups, but not between the complete and incomplete injuries. QoL was significantly higher in paraplegia than in tetraplegia following the early post-acute stage of rehabilitation. PMID: 32703106 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 28, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Inpatient rehabilitation outcomes in neoplastic spinal cord compression vs. traumatic spinal cord injury.
This study is a retrospective analysis. Setting: In-patient rehabilitation unit of a tertiary research hospital. Participants: A total of 252 patients with a SCI were included; 43 with neoplastic SCI (mean age: 60.9 ± 15.7 years, 60.5% were males) and 209 with traumatic SCI (mean age: 43.1 ± 16.8 years, 71.3% were males). Outcome measures: Comparisons were made of demographic characteristics, etiology, American Spinal Injury Association (ASIA) impairment scale, functional independence measurement (FIM) and Functional Ambulation Categories (FAC) scores, length of stay (LOS), bladder...
Source: Journal of Spinal Cord Medicine - July 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The effects of lower extremity deep sensory impairments on walking capability in patients with incomplete cervical spinal cord injury.
Conclusions: The presence of lower extremity deep sensation impairments was an important factor affecting the achievement of independent walking capabilities in patients with incomplete cervical spinal cord injury. Hence, when patients with incomplete cervical spinal cord injury undergo walking training, not only their lower extremity muscle strength but also their level of deep sensation impairment must be evaluated. PMID: 32701408 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Reflecting the spirit of early pioneers in spinal cord research: The Bors Award for Scientific Development.
Authors: Thomas FP, Murphy C PMID: 32663122 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 15, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Differences in resting cerebellar and prefrontal cortical blood flow in spinal cord injury-related neuropathic pain: A brief report.
Conclusion: Differences in resting blood flow were observed among those with SCI-related pain, particularly in regions that may be involved in affective-motivational and cognitive-evaluative aspects of pain. Larger ASL studies in addition to functional connectivity studies using fMRI are needed to clarify unique neural patterns in this complex and often intractable form of pain. PMID: 32644023 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 11, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The effectiveness of community-based upper body exercise programs in persons with chronic paraplegia and manual wheelchair users: A systematic review.
Conclusion: Studies have shown low methodological quality and high risk of bias. Aerobic arm-ergometer and resistance training were the most upper-body exercises used. Resistance training improved functional independence while both types of exercise induced positive effects on quality of life. Future studies with uniform and high-quality methodology should be conducted with exercise in community-dwelling people with paraplegia who use a manual wheelchair. PMID: 32644024 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 11, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Predicting manual wheelchair initiation movement with EMG activity during over ground propulsion.
Conclusion: Action planning in the static position showed significant adaptability to the forthcoming parameters displacement. The percentages of prediction presented in this work make it possible to envision an intuitive assistance to the initiation of the MWC displacement adapted to the user's intentions. PMID: 32644031 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 11, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Sexual health counselling in patients with spinal cord injury: Health care professionals' perspectives.
Authors: Rassem M, Siddiqui M, Wunder S, Ganshorn K, Kraushaar J Abstract Objectives: We aimed to explore barriers to discussing sexual health with spinal cord injured (SCI) patients as perceived by health care professionals, to determine interest and preferences regarding further education in sexual health, and to assess the perceived need for an inpatient Sexual Health Team. Design: Pre and post surveys were completed by attendees following a 1-2 hour educational session on sexual health and SCI, assessing core elements including participant characteristics, confidence levels, and perceptions towards sexual healt...
Source: Journal of Spinal Cord Medicine - July 11, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Factors associated with past and current employment of veterans with spinal cord injury.
Conclusions: The baseline employment rate following SCI of a large, representative sample, was 29.8%. Greater duration of SCI predicted unemployment, likely due to the older age of this population. Additional years of education promoted current and post-SCI employment, while a history of legal problems was a barrier to employment. PMID: 32634338 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 8, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Granulocytic sarcoma causing long spinal cord compression: Case report and literature review.
Conclusion: Extramedullary infiltration of CML should be taken into consideration when a mass lesion develops and compresses the spinal cord in a CML patient who has been receiving routine and standard treatment modalities; thus, a sudden and unexpected progression mandates a refinement and upgrade of treatment modality. PMID: 32543308 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Restoration of the penile sensory pathway through end-to-side dorsal root neurorrhaphy in rats.
Conclusion: Our studies demonstrated the feasibility of end-to-side DR transfer neurorrhaphy for restoring the penile sensory pathway in rats. PMID: 32543346 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Data acquisition process for VA and non-VA emergency department and hospital utilization by veterans with spinal cord injury and disorders in California using VA and state data.
Conclusion: Non-VA ED and hospital usage among veterans with SCI/D occurred frequently. The acquisition of non-VA healthcare data managed by state agencies is vital to accurately and comprehensively evaluate needs and utilization rates among veteran populations. PMID: 32543354 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Prevalence of lateral epicondylosis in veteran manual wheelchair users participating in adaptive sports.
Authors: Cyr AK, Colorado BS, Uihlein MJ, Garlanger KL, Tarima SS, Lee K Abstract Objective: Determine the prevalence of lateral epicondylosis (LE) of the dominant elbow in manual wheelchair users based on ultrasound assessment and physical exam. Design: Prospective, cross-sectional. Setting: National Veteran Wheelchair Games 2018 and 2019 (event medical services). Participants: Manual wheelchair users who attended the National Veteran Wheelchair Games (n = 87). Interventions: Participants completed a questionnaire then underwent an ultrasound assessment and a physical exam of their dominant arm evalu...
Source: Journal of Spinal Cord Medicine - June 14, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Endoscopic modified total laminoplasty for symptomatic lumbar spinal stenosis.
Authors: Du WJ, Wang J, Wang Q, Yuan LJ, Lu ZX Abstract Context/objective: At present, there is no consensus on the most effective surgical method for treating symptomatic lumbar spinal stenosis (LSS). Total laminectomy, which is frequently used at this time, destroys the posterior midline structure, causing many postoperative complications. We have designed a new surgical approach instead of total laminectomy. In this paper, we aimed to describe the surgical method of endoscopic modified total laminectomy for lumbar spinal stenosis as well as to explore its early efficacy.Participants: Patients with symptomatic LS...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Ibuprofen use is associated with reduced C-reactive protein and interleukin-6 levels in chronic spinal cord injury.
Conclusions: Our study suggests that self-reported ibuprofen use may be negatively associated with CRP and IL-6 levels in chronic SCI after adjusting for known confounding factors, and suggests ibuprofen use may be an important, potential variable to consider in future studies focused on systemic inflammation in SCI. Future prospective studies require assessing frequency, duration, and dosage-dependent effects of ibuprofen on systemic markers of inflammation in chronic SCI. These findings may support future clinical trials to determine safety and efficacy of ibuprofen treatment for various outcomes in chronic SCI. PMID...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Comparison of the gut microbiome composition among individuals with acute or long-standing spinal cord injury vs. able-bodied controls.
Authors: Li J, Van Der Pol W, Eraslan M, McLain A, Cetin H, Cetin B, Morrow C, Carson T, Yarar-Fisher C Abstract Objective: Compare the gut microbiome composition among individuals with acute spinal cord injury (A-SCI), long-standing SCI (L-SCI), vs. able-bodied (AB) controls.Design: Cross-sectional study.Setting: The University of Alabama at Birmingham.Participants: Seven adults with A-SCI (36 ± 12 years, 2F/5M, C4-T10, and American Spinal Injury Association Impairment Scale [AIS] A-D), 25 with L-SCI (46 ± 13 years, 6F/19M, C4-L1, and AIS A-D), and 25 AB controls (42&thins...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impact of tetraplegia vs. paraplegia on venoarteriolar, myogenic and maximal cutaneous vasodilation responses of the microvasculature: Implications for cardiovascular disease.
Conclusion: Increases in SkVR during cuff inflation (VAR) and limb dependency (VAR and MYO) are unaltered after SCI, however maximal vasodilation in the LE post-SCI is higher than AB persons. PMID: 32496962 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Relationship between pain, fatigue, and physical activity levels during a technology-based physical activity intervention.
Conclusion: Our results indicated that PA was associated with chronic pain, and the relationship differed based on intensity and amount of PA performed. Further research is necessary to refine PA recommendations for individuals with SCI who experience chronic pain.Trial registration: ClinicalTrials.gov identifier: NCT03773692. PMID: 32496966 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Absent sural responses in tethered cord syndrome.
Conclusion/clinical relevance: We believe that this finding is caused by a selective injury of sensory fibers at the level or distal to the dorsal root ganglia. PMID: 32496975 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Relationship between ultrasonographically low-echoic lesions under the skin, wheelchair sitting time, and interface pressure on ischial region in individuals with chronic spinal cord injury.
Authors: Kawasaki S, Nishimura Y, Kamijo YI, Uenishi H, Nakamura T, Kouda K, Koike Y, Nakamura T, Tajima F Abstract Objective: To determine the relationship between physical findings, wheelchair sitting time, and interface pressure on ischial region in subjects with spinal cord injury (SCI).Design: Cross-sectional study.Setting: Rehabilitation center in Japan.Participants: Manual wheelchair users with chronic SCI (n = 45).Interventions: Pressure ulcers (PU) were diagnosed by inspection, palpation, and ultrasonography. Self-reports were obtained on wheelchair sitting time and pressure mapping was recor...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Acupuncture combined with moxibustion promote the recovery of spinal cord injury in correlation with Shh/Gli-1 signaling pathway.
Authors: Ding LL, Hu SF, He XW, Zhang P, Zhao FF, Liu TP, Zhang Q, He F, Yu Y, Xiong P, Wang CK Abstract Objective: Acupuncture combined with moxibustion (AM) therapy has been applied to treat spinal cord injury (SCI), but the underlying mechanism is unclear. The present study aimed to confirm the effect and mechanism of AM treatment on the recovery of SCI.Design: Male Sprague-Dawley rats were used to establish the SCI model by impact method. SCI rat models were subjected to AM treatment at Dazhui (GV14) and Jiaji points (T7-T12), Yaoyangguan (GV3), Zusanli (ST36) and Ciliao (BL32).Outcome measures: Motor function ...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Swallowing rehabilitation following spinal injury: A case series.
This study explored viability and outcomes of swallowing rehabilitation programs for four patients with persisting dysphagia.Design: Prospective, quantitative experimental longitudinal case series.Setting: Spinal rehabilitation unit or patients' homes.Interventions: Four patients engaged in a 6-week (3×weekly) individualized progressive rehabilitation program.Outcome measures: Objective videofluoroscopic measures of timing and displacement and a validated self-reported questionnaire - the Eating Assessment Tool (EAT-10) were taken pre-therapy, immediately post-therapy and EAT-10 was repeated at 3 months. Feeling and ...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research