Peer mentoring reduces unplanned readmissions and improves self-efficacy following inpatient rehabilitation for individuals with spinal cord injury.
CONCLUSIONS: One-to-one peer mentoring improves self-efficacy and reduces unplanned hospital readmissions following inpatient rehabilitation for persons with SCI. PMID: 31403374 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Clinical introduction and benefits of non-invasive ventilation for above C3 cervical spinal cord injury.
Authors: Toki A, Nakamura T, Nishimura Y, Sumida M, Tajima F Abstract STUDY DESIGN: Retrospective study. OBJECTIVES: To determine the best time to introduce non-invasive ventilation (NIV), clinical effectiveness of NIV, and complications of long-term use of NIV in patients with high-level cervical spinal cord injuries (CSCI). SETTING: Public Hospital, Japan. METHODS: The subjects were 14 tracheostomy ventilator-dependent patients, with above C3 spinal lesions, and American Spinal Cord Injury Association Impairment Scale A (ASIA A). They were referred to our clinic between 2005 and 2010 for switching mec...
Source: Journal of Spinal Cord Medicine - August 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Scoping review of peer reviewed publications addressing rehabilitation for people sustaining traumatic spinal cord injury.
Conclusion: Our study revealed a paucity of intervention trials and RCTs, indicating a dearth of knowledge that would be needed to establish evidence-based practice guidelines. This is particularly true for tetraplegia. While standard measures of function were frequently used, providing valuable data, there is no consensus about what exact outcome measure to use. Using newer measurement techniques, for instance based on the application of item response theory, should be considered to enhance uniformity. PMID: 31403376 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Retrospective study of functional outcomes and disability after non-ischaemic vascular causes of spinal cord dysfunction.
Conclusion: Most patients returned home with significantly improved functional outcomes compared to rehabilitation admission, but with the majority having ongoing major disabilities based on FIM motor scores. PMID: 31403383 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

What do physiotherapists and physiotherapy students know about autonomic dysreflexia?
Conclusion: In the studied population the knowledge of causality and consequences of AD presented by undergraduate and postgraduate physiotherapists was low. Lower test scores were associated with a lower level of professional education achieved, having an outpatient practice only and having fewer patients with spinal cord injury. Efforts should be made to improve undergraduate and postgraduate education on AD of physiotherapists. PMID: 31403393 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - August 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A brief fall prevention intervention for manual wheelchair users with spinal cord injuries: A pilot study.
Conclusion: The feasibility of the structured intervention was established and the intervention has the potential to reduce fall incidence and improve quality of life among individuals living with SCI who use a wheelchair. Appropriately powered randomized controlled trials of the program are warranted. PMID: 31343950 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 26, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Engaging readers of the Journal of Spinal Cord Medicine: Trending topics in research, care and rehabilitation.
Authors: Thomas FP, Murphy C PMID: 31283467 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - July 11, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Extracorporeal shock wave therapy to treat neurogenic heterotopic ossification in a patient with spinal cord injury: A case report.
Conclusion: The application of ESWT could be a possible alternative to other treatments for NHO in persons with SCI. Clinical Trial Registry Number: 2019-03-003. PMID: 31242091 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 28, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Sexual abuse in people with spinal cord damage †.
Conclusion: Sexual abuse was relatively common and was not associated with an adverse relationship with the covariates assessed. Further research is needed to better determine the prevalence of sexual abuse in people with SCD and its impact. PMID: 31233376 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 26, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Methodological considerations for near-infrared spectroscopy to assess mitochondrial capacity after spinal cord injury.
Conclusions: Several limitations may challenge the use of NIRS to assess mitochondrial capacity after SCI. Acknowledging these limitations and applying additional data processing techniques may overcome the discussed limitations and facilitate data sparing. PMID: 31233377 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 26, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Adjacent segment degeneration and spinal cord compression in rigid angular kyphosis of spinal tuberculosis and its intraoperative management strategy.
Conclusion: PVCR is an effective procedure for the correction of rigid angular kyphosis in patients with spinal tuberculosis. Adjacent segment degeneration is an important risk factor for causing neurologic deficits, and posterior surgical management for angular kyphosis of thoracolumbar tuberculosis and spinal decompression using mPSO are recommended. PMID: 31204907 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Reliability of S3 pressure sensation and voluntary hip adduction/toe flexion and agreement with deep anal pressure and voluntary anal contraction in classifying persons with traumatic spinal cord injury.
Conclusion: S3P and VHTC show promise as alternatives to DAP and VAC for determining sacral sparing in persons with neurologic levels T10 and above. Reliability and agreement should be evaluated at earlier timepoints and in children with SCI. PMID: 31204908 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Novel approach to an early assessment of a patient's potential for neurological remission after acute spinal cord injury: Analysis of hemoglobin concentration dynamics.
Conclusion: Elevated Hb concentrations are associated with a higher likelihood of neurological remission. Elevated concentrations of Hb in G1 compared to G0 over time might be linked to both a better initial oxygen supply response and a decreased ECM (extracellular matrix) degradation highlighting the role of Hb as a valuable biomarker for neural regeneration after TSCI. PMID: 31211658 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Functional passive range of motion of individuals with chronic cervical spinal cord injury.
Conclusion: Based on our results healthcare providers should work with individuals with cervical SCI to develop long term PROM plans to optimize functional abilities. PMID: 31192777 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 15, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Identification and Management of Cardiometabolic Risk after Spinal Cord Injury: Clinical Practice Guideline for Health Care Providers.
Authors: PMID: 31180274 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 12, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Assessment of spinal cord relative vulnerability in C4-C5 compressive cervical myelopathy using multi-modal spinal cord evoked potentials and neurological findings.
Conclusions: The relative vulnerability of spinal cord occurred in the order of the Burdach tract, the lateral corticospinal tract, posterior horns (4, 5 layers), and the Goll tract in most patients with CCM at the C4-C5 intervertebral level. PMID: 31180810 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 12, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Treatment of single-segment suppurative spondylitis with the transforaminal endoscopic focal cleaning and drainage.
Conclusion: The transforaminal endoscopic focal cleaning and drainage is a minimally invasive, effective and safe surgical procedure for suppurative spondylitis. PMID: 31180827 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 12, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Curcumin promotes functional recovery and inhibits neuronal apoptosis after spinal cord injury through the modulation of autophagy.
Conclusion: Curcumin may exert its therapeutic effect on SCI through the enhancement of autophagy, in which, inhibition of the Akt/mTOR signaling pathway may be also involved. PMID: 31162984 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

PRES secondary to autonomic dysreflexia: A case series and review of the literature.
Conclusions/Clinical Relevance: In SCI patients who present with new seizures, visual deficits, or other neurologic signs, PRES should be considered as a part of the differential diagnosis as a good outcome relies on rapid recognition and treatment of AD. PMID: 31140946 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 30, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Long-term neurogenic lower urinary tract dysfunction: A case of cardiovascular nightmares.
Conclusions This case raises awareness of serious considerations when treating NDO-related AD in individuals with longstanding neurogenic LUT dysfunction and compromised dexterity following SCI. Given the limited improvement in LUT function and persisting bladder-related AD following treatment, urinary diversion as advocated in the wider literature should be considered to protect an individual's urinary tract from further deterioration and thus eliminate bladder-related AD consequences long-term. Early treatment and management of NDO and AD is crucial to minimize complications associated with these two major health risks i...
Source: Journal of Spinal Cord Medicine - May 30, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Global and domain-specific life satisfaction among older adults with long-term spinal cord injury.
CONCLUSION: Life satisfaction can be affected many years after SCI. The social context, participation in meaningful activities and minimizing secondary health conditions seem to be important for maintaining life satisfaction in older adults with a long-term injury. PMID: 31099721 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A single intravesical instillation of Lactobacillus rhamnosus GG is safe in children and adults with neuropathic bladder: A phase Ia clinical trial.
Authors: Forster CS, Hsieh MH, Pérez-Losada M, Caldovic L, Pohl H, Ljungberg I, Sprague B, Stroud C, Groah S Abstract CONTEXT/OBJECTIVE: Manipulation of the microbiome is an emerging approach to promote health. We conducted a Phase Ia safety study of a single bladder instillation of probiotics in asymptomatic patients with neuropathic bladder to determine the tolerability and safety of a single Lactobacillus instillation. DESIGN: Phase Ia safety study. SETTING: Outpatient rehabilitation clinic at a rehabilitation hospital (adults) and urology clinic at a free-standing children's hospital (children). ...
Source: Journal of Spinal Cord Medicine - May 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Development of the Parent Forum: An in-person approach to supporting caregivers of youth with spinal cord injury.
CONCLUSION: The purpose of this manuscript was to share our development process to inform other teams engaged in intervention design for this or similar populations. Our experience emphasized the need to not only involve multiple stakeholders, but to pilot test intervention components, and be open to modifying them after receiving participant feedback. The final intervention model yielded positive reactions, but also emphasized the need for ongoing caregiver support. PMID: 31084483 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 17, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Implementing a self-management mobile app for spinal cord injury during inpatient rehabilitation and following community discharge: A feasibility study.
This study focused on feasibility indicators including recruitment, retention, respondent characteristics, adherence, and app usage. Additionally, participants' self-management confidence relating to SCI (e.g. medication, skin, bladder, pain) was evaluated over time. RESULTS: Twenty participants (median age 39, IQR: 31 years, 85% male) enrolled in the study. Participants' Spinal Cord Injury Independence Measure (SCIM-III) mean score was 33.1 ± 21.5 (range: 7-84), which did not correlate with app usage. Retention from admission to discharge was 85% and 70% from discharge to 3-months post discharge. ...
Source: Journal of Spinal Cord Medicine - May 17, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Recurrent priapism in spinal cord injury: A case report.
CONCLUSION: The presentation of this case is to remind clinicians this rare but distressing condition of recurrent priapism seen in men with complete spinal cord lesions and to summarize the use of medications, most commonly baclofen, to alleviate the condition. PMID: 31074709 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 12, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

One-stage combined anterior-posterior surgery for thoracic and lumbar spinal tuberculosis.
CONCLUSION: One-stage surgical treatment via a combined anterior-posterior approach is an effective and feasible method for treating spinal TB. PMID: 31050607 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Patient outcomes and survival following surgery for spinal metastases.
CONCLUSION: In our cohort, Frankel score and walking capability of patients with CC did not change postoperatively, but continence status deteriorated over time. Surgeons should advise patients on expected surgical outcomes, especially in non-ambulatory and incontinent patients. PMID: 31050608 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Measured and predicted resting energy expenditure in wheelchair rugby athletes.
CONCLUSION: Prediction models regressed on persons with and without SCI under-predicted REE of competitive wheelchair rugby athletes. This outcome may be explained by the higher REE/fat-free mass (FFM) ratio of current athletes compared to less active samples. Findings from the current study will help practitioners to determine nutrient intake needs on training days of varied intensity. PMID: 31017540 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 26, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Granulomatous spondylodiscitis: A case series with focus on histopathological features.
CONCLUSION: Granuloma with caseous necrosis is highly suggestive of TS but does not rule out FS. Certain fungi can exhibit this type of necrosis as do tuberculosis species. Suppurative inflammation, although rare in TS, does exist. Histiocytic type granuloma without necrosis is suggestive of brucellosis. PMID: 31012811 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 25, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Myelopathy after zoster virus infection in immunocompetent patients: A case series.
CONCLUSION /CLINICAL RELEVANCE: Based on our patients and on previous reports, we highlight the possibility of the occurrence of VZV myelopathy in immunocompetent subjects. The diagnosis must be evoked even in the absence of typical skin lesions. In this case, spinal cord MRI and virological tests are useful tools for the diagnosis. We also emphasize on the importance of accurate diagnosis to enable the specific treatment and ameliorate the outcome. PMID: 31013469 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 25, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Reliability and validity of the function in sitting test among non-ambulatory individuals with spinal cord injury.
CONCLUSION: These observations provide evidence that the FIST is a reliable clinical measure with partially established validity for non-ambulatory individuals with SCI. Further studies are needed to strengthen the validity of the FIST and explore this measure in a larger sample. PMID: 30998421 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 20, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Intravesical electromotive administration of botulinum toxin type A in improving the bladder and bowel functions: Evidence for novel mechanism of action.
CONCLUSIONS: The presence of BoNTA in lower and upper spinal cord suggests the possibility of retrograde trans-axonal transfer of toxin to lower and upper neural pathways which may result in simultaneous improvement in bladder and bowel functions. PMID: 30998432 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 20, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Ultrasonographic comparison of the lateral epicondyle in wheelchair-user (and able-bodied) tennis players: A pilot study.
CONCLUSIONS: Tennis playing in able bodied controls did not increase risk of LE. In wheelchair users, tennis playing does not appear to be associated with LE, though duration of wheelchair use appears to be a significant predictor of LE. LEVEL OF EVIDENCE: Level II. PMID: 30994414 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Hemorrhagic encephalitis in a patient with neuromyelitis optica: A case report.
CONCLUSION: This case report is the first documented instance of hemorrhagic encephalitis identified in a patient with NMO. Among the manifestations of brain involvement in patients with NMO, hemorrhagic encephalitis is rare but can be observed. PMID: 30985265 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 17, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Two episodes of remote ischemia preconditioning improve motor and sensory function of hind limbs after spinal cord ischemic injury.
CONCLUSION: applying two preconditioning episodes of 3 cycles of 10 min ischemia/10 min perfusion, separated by 24 h, boost the neuro-protection effect of RIPC maneuver in rats after ischemic induced SCI in rats. PMID: 30985269 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 17, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A comparison of isokinetic rotator cuff performance in wheelchair basketball athletes vs. non-athletes with spinal cord injury.
This study aimed to compare the isokinetic peak torque and, secondarily, other parameters of the rotator cuff in the shoulders of paraplegic wheelchair basketball athletes and non-athletes controls. DESIGN: Cross-sectional study. METHODS: Thirty-six complete spinal cord injured individuals aged between 18 and 45 years performed an isokinetic evaluation of peak torque, power, and work exerted by the rotator cuff muscle group, in a Biodex System. All Concentric isokinetic tests were performed in the seated position with the shoulder at a 45° abduction from the scapular plane and flexed at 30° to the frontal p...
Source: Journal of Spinal Cord Medicine - April 17, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Measurement of self-propulsion distance of wheelchair using cycle computer excluding assistance distance by touch switch: A pilot study.
CONCLUSION: The present study showed that our modified device could measure the self-propulsion distance, excluding assistance propulsion distance in wheelchair users. PMID: 30971190 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 13, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Neuroprotective effect of neuregulin-1 β on spinal cord ischemia reperfusion injury.
This study was designed to see if neuregulin-1β (NRG-1β) plays a protective role in spinal cord ischemia and reperfusion injury (SCII). DESIGN: Animal research. SETTING: China. PARTICIPANTS: NA. INTERVENTIONS: Forty-eight SD rats were randomly divided into control group (n = 16), SCII model group (n = 16) and NRG-1β-treated group (n = 16). In control group, the abdominal aorta was isolated but not clipped. The rats in NRG-1β-treated group were treated with 10μg/kg NRG-1β during developing SCII model. OUTCOME MEASURES: Neurological sco...
Source: Journal of Spinal Cord Medicine - April 13, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A systematic review of the effect of dietary interventions on cardiovascular disease risk in adults with spinal cord injury.
CONCLUSION: Despite documented evidence of the benefits of diet on CVD risk reduction, this review has identified a dearth of research in SCI. Nonetheless, the review emphasizes the potential of diet in conjunction with exercise in minimizing CVD risk in SCI. Further good quality research backed by robust data collection, simple, actionable strategies and knowledge translation techniques are essential to ascertain the effects of dietary intervention in lowering CVD risk in SCI. PMID: 30945998 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Burn on the buttocks caused by gel wheelchair cushion left on driver's seat of hand control car.
CONCLUSION: In modern times, the lives of people with paralysis are no longer restricted to the bed and wheelchair. Active people with spinal cord injuries inevitably diversify the use of wheelchair cushions in many ways; therefore, there is a greater possibility for the occurrence of associated hazards. This is a preventable issue, so both the user and manufacturers should recognize this potential hazard of gel wheelchair cushions. PMID: 30946002 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Activity-based interventions and the continuum of spinal cord injury research.
Authors: Thomas FP, Murphy C PMID: 30947644 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Reviewer Recognition 2018.
Authors: PMID: 30947645 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Traumatic vs non-traumatic spinal cord injury: A comparison of primary rehabilitation outcomes and complications during hospitalization.
CONCLUSIONS: Patients with SCI have a rehabilitation potential regardless of etiology. Complications are frequent in both groups and often prolong hospitalization. Complication patterns differ in the two groups, and specific prevention and optimal treatment will shorten and optimize the length of primary rehabilitation. PMID: 30943115 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 5, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Motor demands of cognitive testing may artificially reduce executive function scores in individuals with spinal cord injury.
Authors: Lee J, Dudley-Javoroski S, Shields RK Abstract OBJECTIVE: To determine whether the motor demands of cognitive tests contribute to differences in cognitive function scores in participants with and without spinal cord injury (SCI). DESIGN: Cohort study. SETTING: Rehabilitation research laboratory. PARTICIPANTS: 68 individuals without SCI ("NON") and 22 individuals with motor complete SCI ("SCI"). INTERVENTIONS: None. OUTCOME MEASURES: NIH Toolbox cognitive assessments, including two with motor demands and reaction-time based scoring (Dimensional Change Card Sort (DCCS)...
Source: Journal of Spinal Cord Medicine - April 5, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Posterior cord syndrome: Demographics and rehabilitation outcomes.
CONCLUSIONS: We can conclude that PCS most often results in paraparesis due to tumor compression. Typical SCI-related medical complications are encountered. These patients often experience significant functional improvements during SCI rehabilitation with the majority also having bladder and bowel continence allowing them to return home at discharge. PMID: 30939076 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 3, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Duplex ultrasound surveillance for deep vein thrombosis after acute traumatic spinal cord injury at rehabilitation admission.
CONCLUSION: In acute traumatic SCI, older age and more severe neurological impairment (AIS A, B, and C) are independent risk factors for positive duplex screening for any (proximal and/or distal) DVT detected on rehabilitation admission. Individuals with an acute distal DVT have a high likelihood for future thrombus progression. Routine surveillance for these patients may be warranted. PMID: 30939080 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 3, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Is anterior decompression and fusion superior to laminoplasty for cervical myelopathy due to ossification of posterior longitudinal ligament? A systematic review and meta-analysis.
Authors: Xu P, Zhuang JS, Huang YS, Chen JT, Zhong ZM Abstract CONTEXT: Considerable controversy exists over surgical procedures for ossification of the posterior longitudinal ligament (OPLL). OBJECTIVE: The purpose of the meta-analysis was to compare the clinical outcome of anterior decompression and fusion (ADF) with laminoplasty (LAMP) in treatment of cervical myelopathy due to OPLL. METHODS: PubMed, EMBASE and the Cochrane Register of Controlled Trials database were searched to identify potential clinical studies compared ADF with LAMP for cervical myelopathy owing to OPLL. We also manually searched the...
Source: Journal of Spinal Cord Medicine - March 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Dissemination and use of the professional standards of practice for psychologists, social workers, and counselors in spinal cord injury rehabilitation.
CONCLUSIONS: The Standards are being used (in order of frequency) to improve clinical work, improve treatment efficacy, orientation of new staff, confirm current practice, education, advocacy, and other ways. PMID: 30888259 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Patient preferences for order of the sensory portion of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examination.
CONCLUSIONS: First-time examinees including those who did not recall previous sensory testing, may experience more pain/discomfort from PP testing especially when PP is tested first. Therefore, testing LT first, especially for the first-time examinee and those who do not recall a previous exam, may allow for a more comfortable experience. PMID: 30888263 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Factors associated with an excellent outcome after conservative treatment for patients with proximal cervical spondylotic amyotrophy using electrophysiological, neurological and radiological findings.
CONCLUSIONS: Patients with excellent outcomes originally had wide WIF at C4-C5 and C5-C6 levels and the absence of symptomatic spinal cord compression at C3-C4 and C4-C5 levels. PMID: 30888308 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research