Nutrition counseling and monitoring via tele-nutrition for healthy diet for people with spinal cord injury: A case series analyses.
CONCLUSION: This study provides preliminary data suggesting that tele-nutrition is an efficacious intervention that may improve diet quality for individuals with SCI. PMID: 33606588 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 20, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Use and evaluation of assistive technologies for upper limb function in tetraplegia.
CONCLUSIONS: This study highlighted that assistive technologies can improve functions of the upper limbs in SCI patients. It was challenging to draw generalizable conclusions because of factors, such as heterogeneity of recruited participants, a wide range of outcome measures, and the different technologies employed. PMID: 33606599 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 20, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Timing and pattern of readmission in individuals with spinal cord injury in the setting of a specialized medical home.
CONCLUSION: The patient is at the greatest risk of readmission in the first 6 months, with a secondary increase in risk at 9 months. Possible reasons may include reduction in in-home and outpatient therapy and skilled nursing over the first year post-SCI. PMID: 33606601 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 20, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Association between sleep quality and participation in people with spinal cord injury: A preliminary study.
Authors: Conti A, Sperlinga R, Luciani M, Crenna MF, Piovan C, Scavino E, Campagna S Abstract OBJECTIVE: To explore the association between perceived sleep quality and participation in people with spinal cord injury (SCI). DESIGN: Cross-sectional study. SETTING: Spinal unit at the Città della Salute e della Scienza University Hospital of Turin, Italy. PARTICIPANTS: From May to July 2019, 55 consecutive outpatients were recruited. OUTCOME MEASURES: A set of structured questionnaires was administered. It included sociodemographic data, the Pittsburgh Sleep Quality Index, the Utrecht Scale for E...
Source: Journal of Spinal Cord Medicine - February 20, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Factors associated with post-acute functional status and discharge dispositions in individuals with spinal cord injury.
CONCLUSIONS: The regression models developed in this study were able to better classify discharge destinations compared to the functional outcomes at discharge from the acute hospital. Further research is necessary to determine how these factors and their associations vary nationally across the US, which have the potential to inform trauma and acute care post-SCI. PMID: 33606613 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 20, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Rehabilitation interventions to modify endocrine-metabolic disease risk in individuals with chronic spinal cord injury living in the community (RIISC): A systematic search and review of prospective cohort and case-control studies.
Conclusion: Longitudinal multicentre pragmatic studies involving longer-term exercise and dietary intervention and follow-up periods are needed to fully understand the impact of these rehabilitation approaches to mitigate EMD risk. Our broad evaluation of prospective cohort and case-control studies provides new perspectives on alternative study designs, a multi-impairment paradigm approach of studying EMD outcomes, and knowledge gaps related to SCI rehabilitation. PMID: 33596167 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 19, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Accidental boosting in an individual with tetraplegia - considerations for the interpretation of cardiopulmonary exercise testing.
CONCLUSION/CLINICAL RELEVANCE: This case raises important considerations around the nuances of CPET in this population. In individuals susceptible to BP instability, the physiologically boosted state may explain a significant proportion of the variance in peak aerobic capacity and should be closely monitored before and after clinical CPET. PMID: 33513073 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 31, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa.
CONCLUSION: Community reintegration achieved by individuals with a TSCI in this study is generally low. Individuals' perceptions about community reintegration are affected by the community in which one lives. Self-efficacy plays a major role in community reintegration following a TSCI. However, reintegration is largely dependent on social functioning rather than the activity of daily living factors of self-efficacy. PMID: 33476256 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 23, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The impact of a pressure ulcer prevention educational program based on the health belief model for persons with spinal cord injury.
This study was conducted between May 2016 and May 2018. We created a multidisciplinary structured PrU prevention education program based on the HBM, consisting of didactic lectures, open discussions and a practical session. The content of the program was based on several PrU prevention guidelines. The education program focused on a group of 6-10 participants, and was conducted by a multidisciplinary team; i.e. doctor, physiotherapist, occupational therapist and a nurse. The skin care belief scales (SCBS) questionnaire was administered pre, post and 8-week post intervention, which measured the 9 domains of HBM. The data fro...
Source: Journal of Spinal Cord Medicine - January 21, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

COVID-19 in spinal cord injury patients at a veterans administration hospital: A case series.
CONCLUSION: Level and completeness of SCI did not appear to correlate with COVID-19 severity, as mild and asymptomatic illness was noted in persons with high grade SCI. As has been shown to be the case in the general population, pre-existing comorbidities are the most reliable predictors of severe SARS-CoV-2 infection currently available for persons with chronic SCI. Contrary to concerns that SCI may mask the cardinal signs of COVID-19, such as fever and cough, by way of compromised thermoregulation and thoracoabdominal musculature, such signs were common in our series. To facilitate early detection, prompt treatment, and ...
Source: Journal of Spinal Cord Medicine - January 21, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Access and engagement with places in the community, and the quality of life among people with spinal cord damage.
This study aims to investigate the association between self-reported accessibility and engagement with health services and places in the community, and quality of life (QOL) for people with spinal cord damage (SCD). DESIGN: Cross-sectional survey. SETTING: Community. PARTICIPANTS: Two-hundred and sixty-six people with a SCD residing in Australia (Mage  = 62.34, SDage  = 15.95). OUTCOME MEASURE: The International Spinal Cord Injury Quality of Life Basic Data Set. RESULTS: Univariate regressions demonstrated that accessing a higher number of places in the community was signific...
Source: Journal of Spinal Cord Medicine - January 21, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A scoping review on the effect of cannabis on pain intensity in people with spinal cord injury.
CONCLUSIONS: The current quality and level of evidence is insufficient to draw reliable conclusions of the efficacy of cannabis upon SCI-related pain itensity. We identify specific limitations of past studies and present guidelines for future research. Trial registration: ClinicalTrials.gov identifier: Nct01606202.. PMID: 33465022 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 21, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impact of COVID-19 on the self-reported physical activity of people with complete thoracic spinal cord injury full-time manual wheelchair users.
Authors: Marco-Ahulló A, Montesinos-Magraner L, González LM, Morales J, Bernabéu-García JA, García-Massó X Abstract CONTEXT: The emergence of COVID-19 caused a new public health crisis, leading to major changes in daily life routines, often including physical activity (PA) levels. The main goal of this study was to analyze the differences in self-reported physical activity of people with complete spinal cord injuries between the time prior to the COVID-19 lockdown and the lockdown period itself. METHODS: A sample of 20 participants with complete thoracic spinal cord inj...
Source: Journal of Spinal Cord Medicine - January 21, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Trends in the presentation and management of traumatic spinal cord lesions above T6: 20-Year experience in a tertiary-level hospital in Spain.
Authors: Arijón IE, Galeiras R, Quiroga LS, Velasco MEF, Pértega Díaz S Abstract Objective: To analyze the changes in demographic and lesion characteristics of persons with acute traumatic spinal cord injury (ATSCI) above T6 over a period of 20 years, and to evaluate their impact on ICU resources use, length of stay and mortality. Design: Retrospective observational study. Setting: Intensive Care Unit (ICU) of the University Hospital Complex of A Coruña, Spain. Participants: The study included 241 persons between 1998 and 2017 with an ATSCI above T6. For the purposes of the analysis, the...
Source: Journal of Spinal Cord Medicine - January 16, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Effects of walking training on risk markers of cardiovascular disease in individuals with chronic spinal cord injury.
Authors: Alajam RA, Alqahtani AS, Moon S, Sarmento CVM, Frederick J, Smirnova IV, Liu W Abstract OBJECTIVE: To investigate the effects of an 8-week walking training program on glycemic control, lipid profile, and inflammatory markers in individuals with chronic spinal cord injury (SCI). DESIGN: A pilot, single-group, pretest-posttest study. SETTING: A neuromuscular research laboratory. PARTICIPANTS: Eleven participants with chronic SCI. INTERVENTION: An 8-week walking training program using a treadmill, a body weight-supported system, and an assistive gait training device. OUTCOME MEASURES: Leve...
Source: Journal of Spinal Cord Medicine - January 16, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Elevated levels of IgA and IgG2 in individuals with chronic spinal cord injury.
Authors: Shnawa A, Lee S, Papatheodorou A, Gibbs K, Stein A, Morrison D, Bloom O Abstract OBJECTIVES: To determine circulating levels of antibodies (IgA, IgM, IgG1-4) in individuals with SCI as compared to uninjured individuals. STUDY DESIGN: Prospective, observational study. SETTING: Outpatient clinic of a Department of Physical Medicine and Rehabilitation and research institute in an academic medical center. PARTICIPANTS: Individuals with chronic (≥ 1 year from injury) SCI and uninjured individuals. OUTCOME MEASURES: Serum antibody titers were determined by commercial multiplex ELISA. RESUL...
Source: Journal of Spinal Cord Medicine - January 16, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

More holistic assessment of research renews perspective on journal metrics.
Authors: Thomas FP, Murphy C PMID: 33393895 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 6, 2021 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Does lack of brain injury mean lack of cognitive impairment in traumatic spinal cord injury?
CONCLUSION: In some individuals with chronic tSCI, lower cognitive ability that is unrelated to emotional distress might result from spinal cord damage and its implications in a population who's medical records show no indication of brain injury. This highlights the importance of conducting cognitive evaluation following SCI, so that deficits can be effectively addressed during rehabilitation. PMID: 33320804 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 17, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A clinical review of the use of Botulinum Toxin type A in managing central neuropathic pain in patients with spinal cord injury.
CONCLUSION: While early results are interesting, the quality and quantity of research published is not yet high enough to provide formal guidance on the use of BTX-A in treating central neuropathic pain in the spinal cord injury population. Further high-quality research is therefore recommended going forward. PMID: 33263489 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 4, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Preliminary validation study of the WHO quality of life (WHOQOL) scales for people with spinal cord injury in Mainland China.
CONCLUSION: The WHOQOL Scales are valid and reliable, and they can be used to measure QOL in people with SCI in China. We suggest the WHOQOL-DIS be analyzed as one general item constituting a single 12-item domain. PMID: 33263492 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 4, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The measurement properties of the Lean-and-Release test in people with incomplete spinal cord injury or disease.
Authors: Unger J, Oates AR, Lanovaz J, Chan K, Lee JW, Theventhiran P, Masani K, Musselman KE Abstract OBJECTIVE: To evaluate test-retest reliability, agreement, and convergent validity of the Lean-and-Release test for the assessment of reactive stepping among individuals with incomplete spinal cord injury or disease (iSCI/D). DESIGN: Multi-center cross-sectional multiple test design. SETTING: SCI/D rehabilitation hospital and biomechanics laboratory. PARTICIPANTS: Individuals with motor incomplete SCI/D (iSCI/D). INTERVENTIONS: None. OUTCOME MEASURES: Twenty-six participants attended two sessio...
Source: Journal of Spinal Cord Medicine - December 4, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

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