Spinal Cord Series and Cases

http://www.nature.com/scsandc

List of Papers (Total 93)

Assessment of pain symptoms and quality of life using the International Spinal Cord Injury Data Sets in persons with chronic spinal cord injury

IntroductionTraumatic spinal cord injury (SCI) triggers complex changes that can negatively impact health and quality of life. The International SCI Data Sets were developed to enable more comparable data collection on the complex sequelae of SCI across studies. This should facilitate progress in mechanistic understanding and improving treatments of SCI.Study designProspective...

International Spinal Cord Injury Lower Urinary Tract Function Basic Data Set (version 2.0)

Study designRevision, review, and presentation of the International Spinal Cord Injury (SCI) Lower Urinary Tract (LUT) Function Basic Data Set (version 2.0).ObjectivesDescribe the revision and review and present the data set.SettingInternational.MethodsThe first version of the data set was revised according to new knowledge and suggestions. The review included International SCI...

Persistent urine leakage around a suprapubic catheter: the experience of a person with chronic tetraplegia

IntroductionPersistent urine leakage after suprapubic cystostomy in tetraplegic subjects occurs due to shrinkage of the urinary bladder and bladder spasms. The patient’s social life is adversely affected as clothes become wet, smelly, and require frequent changing, thus increasing the workload of carers.Case presentationA 48-year-old male sustained C-4 complete (AIS:A...

Stigma and self-management: an Interpretative Phenomenological Analysis of the impact of chronic recurrent urinary tract infections after spinal cord injury

Study designQualitative, phenomenological design.ObjectivesNeurogenic bladder dysfunction and urinary tract infection (UTI) are common secondary consequences to neurological damage to the spinal cord. This study sought to establish the impact of chronic, recurrent UTIs on people with spinal cord injury (SCI).SettingCommunity sample, United Kingdom.MethodsTwelve participants with...

Health status of regularly physically active persons with spinal cord injury

Study designA non-controlled cross-sectional study.ObjectivesTo make a descriptive examination of health status in persons with paraplegia and tetraplegia who exercise regularly according to Canadian guidelines.SettingsSunnaas Rehabilitation Hospital and the Norwegian School of Sport Sciences.MethodsEighteen persons (men/women = 9/9), aged 41‒72 years with spinal cord injury (SCI...

Retraining walking adaptability following incomplete spinal cord injury

IntroductionFunctional walking requires the ability to modify one’s gait pattern to environmental demands and task goals—gait adaptability. Following incomplete spinal cord injury (ISCI), gait rehabilitation such as locomotor training (Basic-LT) emphasizes intense, repetitive stepping practice. Rehabilitation approaches focusing on practice of gait adaptability tasks have not...

A profile of traumatic spinal cord injury and medical complications in Latvia

Study designA single centre retrospective study.ObjectivesTo collect data and analyse the epidemiological profile of traumatic spinal cord injury and its medical complications during the subacute rehabilitation period.SettingSpinal Cord Injury Rehabilitation Programme of the National Rehabilitation Centre, ‘Vaivari’, Jurmala, Latvia.MethodsInformation was collected in 2015 from...

The Austrian Spinal Cord Injury Study: a registry for patients living with a traumatic spinal cord injury

Study designEstablishing the structure of a prospective spinal cord injury (SCI) patient registry.ObjectivesTo develop a registry for patients with traumatic spinal cord injury (tSCI) in Austria as a base for addressing research questions, improving patient outcomes, and establishing a platform for future clinical trials.SettingsCoordinating institution: Paracelsus Medical...

Effective management of spasticity and impacts on weight change and resting energy expenditure in a female with spinal cord injury: a case report

Introduction:The impact of muscle spasticity on weight change and energy expenditure after spinal cord injury (SCI) is not well understood.Case presentation:This case study reports changes to body weight and resting energy expenditure (REE) in a 36-year-old female (T3 AIS A SCI; 80 kg; body mass index=28 kg m−2 at injury) requiring escalating therapies to manage severe spasticity...

Spinal cord injury during the second trimester of pregnancy

Introduction:Pregnancies in women with spinal cord injury (SCI) are at greater risk of morbidity and mortality. Although pregnancy after SCI is well elaborated in the literature, SCI occurring during pregnancy is rarely reported. Abrupt changes in the body physiology because of SCI and the resulting disability add a risk to maternal and fetal well-being. Not only is the burden of...

International spinal cord injury male sexual function and female sexual and reproductive function basic data sets—version 2.0

Study design:Data set review and modification.Objective:To describe modifications in the International Spinal Cord Injury (SCI) Male Sexual Function Basic Data Set Version 2.0 and the International SCI Female Sexual and Reproductive Function Basic Data Set Version 2.0.Setting:International expert work group using on line communication.Methods:An international team of experts was...

A randomized controlled trial to test the efficacy of the SCI Get Fit Toolkit on leisure-time physical activity behaviour and social-cognitive processes in adults with spinal cord injury

Study Design:Single blind, two-group randomized controlled trial.Objectives:To evaluate the efficacy of the SCI Get Fit Toolkit delivered online on theoretical constructs and moderate-to-vigorous physical activity (MVPA) among adults with SCI.Setting:Ontario and Quebec, Canada.Eligibility:Inactive, English- and French-speaking Canadian adults with traumatic SCI with Internet...

Consequences of traumatic spinal cord injury during pregnancy in Pakistan

Introduction:Traumatic spinal cord injury (SCI) is one of the major causes for poor outcomes of pregnancy. Injury during pregnancy is uncommon; therefore, outcome data are scarce. This case series presents outcomes of pregnancy in five women who sustained SCI during their pregnancies.Case Presentation:Five women who sustained SCIs during pregnancy (age range: 24–38 years) were...

Expectations of persons with paraplegia regarding their care in India: a qualitative study

Study Design:A qualitative study.Objective:The aim of this study was to understand expectations of persons with paraplegia in India regarding their care.Setting:India.Methods:This study used a qualitative methodology to have a focus group interview of persons with paraplegia in India. Focus group consisted of two to four participants with paraplegia. Adults with level T6 and...

Physiological and lipid profile response to acute exercise at different intensities in individuals with spinal cord injury

Study design:Experimental and cross-sectional study.Objective:To assess the immediate effect of exercise on heart rate (HR), oxygen uptake (VO2), pulmonary ventilation (PV), oxygen pulse (OP), glucose and lipids of wheelchair basketball players with spinal cord injury (SCI).Setting:Center of Studies in Psychobiology and Exercise—São Paulo, Brazil.Methods:In all, nine wheelchair...

Spinal dural arteriovenous fistula: a case series and review of imaging findings

Introduction:Spinal dural arteriovenous fistulae (sdAVF) are rare lesions. Patients typically present with slowly progressive myelopathy that is often mistaken for degenerative cervical or lumbar stenosis. On spinal magnetic resonance imaging (MRI), multisegmental T2 hyperintensities along with associated flow voids are pathognomonic of sdAVF. However, diagnosis can be difficult...

A feasibility pilot using telehealth videoconference monitoring of home-based NMES resistance training in persons with spinal cord injury

Introduction:The objective of the study was to investigate the feasibility and initial efficacy of telehealth communication in conjunction with surface neuromuscular electrical stimulation (NMES) resistance training (RT) to induce muscle hypertrophy.Materials and Methods:This was a home-based setting of within-subject control design of trained vs controlled limbs. Five men with...

The effect of 'Sensor Lock', a knee–ankle–foot orthosis with an electromechanical stance control knee joint, on walking parameters and gait symmetry of subjects with quadriceps weakness: a pilot study

Study design:Pilot study.Objectives:This study aimed to evaluate an electromechanical stance control (SC) knee joint, 'sensor lock', which could potentially solve the problems of walking parameters and gait symmetry in subjects with poliomyelitis.Setting:University of Social Welfare and Rehabilitation Sciences.Methods:Six subjects with quadriceps weakness were enrolled in this...

White matter changes in corticospinal tract associated with improvement in arm and hand functions in incomplete cervical spinal cord injury: pilot case series

Introduction:This is a prospective clinical pilot case series. Improvement of arm and hand functions after spinal cord injury (SCI) is one of the major rehabilitation goals. Electrical stimulation of the primary motor cortex via transcranial direct current stimulation (tDCS) coupled with high-intensity repetitive motor training may have potential to facilitate improvement in...

Nerve entrapment as a cause of shoulder pain in the spinal cord injured patient

Introduction:Many people with chronic spinal cord injury (SCI) develop shoulder pain, which can adversely impact transfers and independence. Yet effective treatments remain elusive.Case Presentation:This report presents two patients with tetraplegia who had long-standing shoulder pain. Our exam showed muscle weakness and point tenderness, suggestive of nerve entrapments of the...

Hyperphosphatemia in a patient with spinal cord injury who received etidronate for the treatment of heterotopic ossification

Introduction:Heterotopic ossification (HO) is defined as ectopic bone formation around peripheral joints and in soft tissues. HO is a common complication of diseases of the central nervous system, such as spinal cord injury (SCI) and traumatic brain injury. HO is seen in up to 50% of patients with SCI and typically occurs in the first 12 weeks after onset of injury. Although no...

The therapeutic effects of ablative neurosurgical procedures on the spinal cord for intractable spinal spasticity

Study design:This research is a retrospective study.Objective:To study the therapeutic effects of operative procedures, including dorsal longitudinal myelotomy (DLM) and dorsal root entry zone lesion (DREZL) on spasticity and associated aspects.Setting:Tertiary university hospital in Bangkok, Thailand.Methods:Eighteen patients with refractory spasticity of spinal origin who...