Objective The purpose of this study was to compare trunk mechanics, distance covered, and average instantaneous velocity and acceleration recorded with caregivers performing transfer tasks using a research mannequin with both a prototype robotic assisted transfer device (RATD) and a mobile floor lift. Design Cross-Sectional. Setting Biomechanics Lab and Human Engineering Research Laboratories. Participants

Context/objective Chronic pain is common in patients with spinal cord injury (SCI), for whom it negatively affects quality of life, and its treatment requires an integrated approach. To this end, lower limb functional electrical stimulation (FES) cycling holds promise. Objective To investigate pain reduction in a sample of patients with SCI by means of lower limb rehabilitation using FES cycling. Design

Context Persons with spinal cord injury (SCI) present with low fat oxidation that is associated with poor cardiometabolic health. This study compared changes in fat and carbohydrate (CHO) oxidation during moderate intensity continuous exercise in persons with SCI and able-bodied adults (AB). Design Repeated measures, within-subjects study. Setting University laboratory in San Diego, CA. Participants

Objective To understand the progression in parameters of functional electrical stimulation (FES) cycling dosage (including duration, velocity, stimulation amplitudes, power output), and the resulting changes in muscle mass early after acute spinal cord injury (SCI). Methods Three participants, 24–38 years old, with neurological injury level C4–T4, severity AIS (American Spinal Injury Association Impairment

Objectives To measure buttock pressure during toilet seating in persons with spinal cord injury (SCI). Design A case series study. Setting Kibikogen Rehabilitation Center for Employment Injuries. Methods The study included 41 persons with SCI. Buttock pressure was measured during toilet seating, with or without a toilet seat cushion (foam cushion, gel cushion, air cushion) on the toilet seat. Results

Context The COVID-19 pandemic has forced people to maintain social distance and to refrain from going out. As a result, home-based patients with spinal cord injuries (SCI) are not only less able to go out, but they may have difficulty in easily receiving long-term care services. There are concerns that their health-related quality of life (HRQOL) may have deteriorated. We aimed to clarify the effect

Objective To identify factors that are associated with sports participation following spinal cord injury (SCI). Study Design Case–control study. Setting Spinal Rehabilitation outpatient clinic in a tertiary hospital in Kuala Lumpur, Malaysia. Participants Thirty-one sports participants (SP) and thirty-four non-sports participants (NSP) (N = 65) met the following inclusion criteria; chronic SCI more

Objective To investigate the incidence of cardiac arrhythmias at six months following traumatic spinal cord injury (SCI) and to compare the prevalence of arrhythmias between participants with cervical and thoracic SCI. Design A prospective observational study using continuous twenty-four-hour Holter monitoring. Setting Inpatient rehabilitation unit of a university research hospital and patient home

Objective: People living with spinal cord injury (SCI) are often immunocompromised, and at increased risk of respiratory infection. Given the restrictions in response to the COVID-19 pandemic, those with SCI may be at increased risk of health deterioration, though how this is experienced is poorly understood. This study explored the experiences of people living with SCI during the COVID-19 pandemic

(2021). Evidence-based care for individuals with spinal cord injury: Role of the Clinical Practice Guidelines. The Journal of Spinal Cord Medicine: Vol. 44, No. 4, pp. 511-512.

(2021). Impact of long-term epidural electrical stimulation enabled task-specific training on secondary conditions of chronic paraplegia in two humans. The Journal of Spinal Cord Medicine: Vol. 44, No. 4, pp. 513-514.

(2021). Potential impact of epidural stimulation on neurogenic bladder function and the value of urodynamic studies throughout usage. The Journal of Spinal Cord Medicine: Vol. 44, No. 4, pp. 515-516.

(2021). Evaluation and Management of Autonomic Dysreflexia and Other Autonomic Dysfunctions: Preventing the Highs and Lows. The Journal of Spinal Cord Medicine: Vol. 44, No. 4, pp. 631-683.

(2021). Correction. The Journal of Spinal Cord Medicine: Vol. 44, No. 4, pp. 684-684.

Objective To describe the adult functional, participation, education, employment, and quality of life outcomes of children who incurred spinal cord injury (SCI) as the result of gun injuries vs. non-violent etiologies, as well as their utilization of health services. Design Retrospective-cohort study. Eligibility criteria were current age at least 18 years, at least 5 years after SCI, and injury prior

Context The implantation of commercially available phrenic nerve/diaphragm pacers has been available for more than 40 years and has enabled thousands of patients in over 40 countries to achieve freedom from invasive mechanical ventilation. Objective The cervical approach to implantation of these pacers is described, as are the pros and cons of using this technique compared to intrathoracic and sub-diaphragmatic

Objective To compare the safety and effectiveness of wire (WE) vs. disc (DE) electrodes to restore cough in subjects with spinal cord injury (SCI). Design Clinical trials assessing the effectiveness and clinical outcomes associated with two electrode systems to activate the expiratory muscles. Setting Inpatient hospital setting for DE or WE electrode insertion; outpatient evaluation of cough efficacy

Context Indonesia, Japan, Korea, Thailand. Objective To culturally validate and translate the Scientific Exercise Guidelines for Adults with Spinal Cord Injury (SEG-SCI) for use in four Asian countries. Design Systematic Review Participants N/A Methods A systematic review was conducted to identify all published English- and local-language studies conducted in Indonesia, Japan, Korea, and Thailand,

Objective To inform clinicians’ equipment recommendations by characterizing the experiences, skin integrity, and interface pressures in a series of recently discharged individuals with spinal cord injury (SCI) who chose to use an alternative adjustable bed system at home rather than a standard of care hospital bed with mattress overlay. Design Mixed methods, observational case series. Setting Community

Objective (1) to describe environmental barriers and participation restrictions experienced by people with spinal cord injury (SCI) from China, (2) to examine associations between lesion characteristics and participation restrictions, considering a mediating role of environmental barriers, (3) to identify those environmental barriers that have the largest influence on participation. Design Cross-sectional

Context Extreme conditioning programs (ECPs), such as CrossFit®, are a relatively new method of fitness with rapid growth in individuals with paraplegia. However, it is unknown if wheelchair users are at an additional risk of musculoskeletal injury during these exercises. Biomechanical characterization is necessary to determine the safety and efficacy of ECPs as an exercise modality for wheelchair

Background The multipotency of adipose-derived mesenchymal stem cells (ADMSC) could be an advantage to regenerate tissues with multiple cell types. However, due to the hostile nature, trauma sites like spinal cord injury can augment the ADMSC differentiation into undesirable lineages. Immersing pre-differentiated neural progenitors in a biomimetic niche during delivery could guard them against any

Objective This study investigated the expectations of individuals with spinal cord injury (SCI) regarding exoskeletons. Design The survey consisted out of questions regarding multiple aspects of exoskeleton technology. Setting An online survey was distributed via the monthly newsletter of the Dutch Patient Association for Spinal Cord Injury (SCI). Participants Individuals with SCI who are members of

Context/objective Compare community integration, quality of life, anxiety and depression of people with chronic spinal cord injury (SCI) living in the community before the outbreak of coronavirus SARS-CoV-2 disease (COVID-19) and during it. Design Prospective observational cohort study. Setting In-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during

Background: The COVID-19 pandemic has created opportunity for multiple rehabilitation science learners and clinicians to critically evaluate and synthesize published research in the field of spinal cord injury (SCI) rehabilitation. Objective: To provide a step-by-step guide for rehabilitation science learners and clinicians outlining how to conduct rigorous systematic reviews in the field of SCI. Results:

Context/Objective Prolonged unemployment is common for people living with a spinal cord injury or disorder (SCI/D) and can impact negatively on quality of life. The present study examines stakeholder perspectives and experiences with the job search process in order to identify service gaps and return-to-work solutions. Design In-depth semi-structured interviews were thematically analysed, with questions

Context Pyocystis is an infection of the epithelium of the bladder and a frequent complication of anuria. Patients with spinal cord injury (SCI) at the sixth thoracic vertebra (T6) or higher are at a greater risk for autonomic dysreflexia (AD), which can be induced by infections such as pyocystis. Cases of pyocystis treatment with aminoglycoside instillations have been reported in the literature. Findings

Context Wearable cameras have great potential for producing novel outcome measures of upper limb (UL) function and guiding care in individuals with cervical spinal cord injury (cSCI) living in the community. However, little is known about the perspectives of individuals with cSCI on the potential adoption of this technology. Objective To analyze feedback from individuals with cSCI regarding the use

Objective: To investigate the baseline knowledge of autonomic functions and specifically the International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) among medical students and to present the effective methods in learning of the ISAFSCI Design: Interventional training session Setting: A tertiary hospital. Participants: 37 medical students Interventions: Before

Objective The purpose of this study was to find the most and least commonly prescribed medications for treating secondary health complications associated with spinal cord injury (SCI); and determine overall polypharmacy rates and risk factors associated with it. Design Observational design, cross-sectional analysis. Setting Community; Canada. Participants Individuals with spinal cord injury (n = 108)

(2021). Addressing disparities in care and research: New ideas for ensuring that all voices are heard. The Journal of Spinal Cord Medicine: Vol. 44, No. 3, pp. 339-339.

(2021). Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury. The Journal of Spinal Cord Medicine: Vol. 44, No. 3, pp. 442-510.

Objective Spinal cord injury (SCI) is a severe traumatic disease in the central nervous system, and can result in neuronal injury. Altered miRNA expression is identified to be involved in the pathogenesis of SCI. Design This study investigated the clinical value of miR-142-5p in SCI patients, and explored its functional role in the regulation of inflammatory. Setting The First Affiliated Hospital of

Context Pressure ulcers or injuries, arise from ischemic damage to soft tissues induced by unrelieved pressure over a bony prominence. They are usually difficult to treat with standard medical therapy and often they recur. In the search for better treatment options, promising alternative forms of treatment are today emerging. Within the field of regenerative medicine, ongoing research on advanced therapies

Objective The present study was designed to examine the relationship between the dietary inflammatory index (DII) and depression, anxiety and stress in Iranian men with spinal cord injury (SCI). Design Cross-sectional study. Setting Mottahary SCI clinic, Isfahan, Iran. Participants The current study was conducted on 150 men with SCI aged 40–65 years. Outcome Measures Dietary data were collected using

Context Patients with spinal cord injury (SCI) are at high risk for venous thromboembolism (VTE). The risk factors for VTE in patients with SCI are complex. Objective This meta-analysis was conducted to clarify the risk factors for VTE in patients with SCI. Methods The Cochrane Library, PubMed, EBSCO, Web of Science, China National Knowledge Infrastructure (CNKI), China Biomedical Literature Database

Background Spinal cord injuries cause great damage to the central nervous system as well as the peripheral vasculature. While treatments for spinal cord injury typically focus on the spine itself, improvements in the function of the peripheral vasculature after spinal cord injury have shown to improve overall neurological recovery. Objective This study focused on the use of near-infrared spectroscopy

Objectives To identify the demographic and clinical characteristics of patients with transverse myelitis (TM) and to compare functional status between those patients and a matched group with traumatic spinal cord injury (T-SCI). Study Design Retrospective study. Setting A tertiary rehabilitation hospital Participants The demographic and clinical characteristics of 484 T-SCI patients and 25 TM patients

Context/objective This study aimed to assess the clinical practice for long-term follow-up (FU) of neurogenic lower urinary tract dysfunction (NLUTD) due to spinal cord injury (SCI) in Italy and compare this practice with the clinical practice in other countries and with the international guidelines. Design Data concerning the long-term urological FU of individuals with SCI were collected using a questionnaire

Context/Objective To describe patient experiences with fracture prevention and management among persons with spinal cord injuries/disorders (SCI/D). Design Qualitative data collected via semi-structured telephone interviews. Setting Veterans Health Administration (VA) SCI/D System of Care. Participants Veterans with SCI/D (n = 32) who had experienced at least one lower-extremity fracture in the prior

Context/Objectives Wheelchair users with chronic shoulder pain have few options after conservative treatments fail. This pilot study’s purpose was to establish safety and treatment effects of micro-fragmented adipose tissue (MFAT) injections under ultrasound guidance for treatment of refractory shoulder pain caused by rotator cuff disease in wheelchair users with spinal cord injury (SCI) to prepare

Objective To investigate the usefulness of the combination of neurological findings and magnetic resonance imaging (MRI) as a prognostic predictor in patients with motor complete cervical spinal cord injury (CSCI) in the acute phase. Design A cross-sectional analysis Setting Department of Orthopaedic Surgery, Spinal Injuries Center Participants/Methods Forty-two patients with an initial diagnosis of

Context/objectives Aquatic therapy (AT) has been reported to be beneficial for individuals with spinal cord injury or disorder (SCI/D); however, AT has also been reported to be underutilized in SCI/D rehabilitation. We aimed to understand the knowledge and current practice of AT for clients with SCI/D by physiotherapists, physiotherapy assistants and kinesiologists across Canada. Design/Method A survey

Objective Recent studies revealed the neuroprotective effects of hyperbaric oxygen (HBO) on spinal cord injury (SCI). Meanwhile, the use of methylprednisolone (MP) is one of the current protocols with limited effects in SCI patients. Accordingly, the aim of the present study was to investigate the effect of combined HBO and MP treatment on SCI. Design The present study was conducted on five groups

Objective To investigate the effect of honokiol on demyelination after compressed spinal cord injury (CSCI) and it's possible mechanism. Design Animal experiment study. Setting Institute of Neuroscience of Chongqing Medical University. Interventions Total of 69 Sprague–Dawley (SD) rats were randomly divided into 3 groups: sham group (n=15), honokiol group (n=27) and vehicle group (n=27). After established

Context/Objective Magnetic resonance imaging (MRI) indices of spinal cord damage are predictive of future motor function after spinal cord injury (SCI): hyperintensity length, midsagittal tissue bridges, and Brain and Spinal Injury Center (BASIC) scores. Whether these indices are predictive of outdoor walking after SCI is unknown. The primary purpose was to see if these MRI indices predict the ability

Context/Objective The risk of lower extremity (LE) fractures in persons with spinal cord injury or disorders (SCI/D) is double that of the able-bodied population. LE fractures are the most common fracture location in SCI/D. Physical therapists (PTs) and occupational therapists (OTs) play an important role in rehabilitating LE fractures in Veterans with SCI/D. This paper describes their role in assisting

Objective Mobility prognosis is a key focus during rehabilitation following spinal cord injury (SCI). The goal of this study was to prospectively evaluate the clinical utility of the van Middendorp clinical prediction rule (CPR). Design Observational study Setting Inpatient rehabilitation unit Participants Physical therapists and their patients with acute SCI and SCI disorders (SCI/D) for whom long-term

Context Recent literature points towards myelitis, like encephalitis, as a common central nervous system complication of COVID-19. This review elaborates on disorders of the spinal cord caused by the SARS-CoV-2 virus. Objectives To review the published data about SARS-CoV-2-associated spinal cord disorders and assess their clinical, neuroimaging, treatment, and prognostic aspects. Methods The PubMed

Objective To study body composition, measures of insulin resistance and dyslipidemia in Indian men with paraplegia as compared to age and body mass index (BMI) matched able-bodied men. Design Cross sectional study Setting Departments of Physical Medicine and Rehabilitation and Endocrinology Participants Males aged 18–45 years with chronic traumatic paraplegia versus age and BMI-matched able-bodied

Objective To examine associations of patient characteristics and treatment quantity delivered during inpatient spinal cord injury (SCI) rehabilitation with outcomes at 5 years post-injury and compare them to the associations found at 1 year post-injury. Design Observational study using Practice-Based Evidence research methodology in which clinicians documented treatment details. Regression modeling

Context Spinal-generated movement disorders are a complex group of medical conditions, frequently misdiagnosed, originating in the spinal cord or from combined peripheral and central nervous system involvement. In this case report, we describe a novel form of position-dependent dyskinesia due to severe craniocervical malformation. Findings An 83-year-old woman with basilar invagination at the C2 vertebra

Context/Objective: There are no wheelchair products designed to allow users to dynamically control trunk posture to both significantly improve functional reach and provide pressure relief during forward lean. This pilot study sought to (1) gather stakeholder desires regarding necessary features for a trunk control system and (2) subsequently develop and pilot test a first-generation trunk control prototype

(2021). Serving the diverse community of spinal cord injury professionals: Topics and trends in research and care. The Journal of Spinal Cord Medicine: Vol. 44, No. 2, pp. 167-168.

(2021). Improving care for mental health disorders: The urgent needs of the population with spinal cord injury. The Journal of Spinal Cord Medicine: Vol. 44, No. 1, pp. 1-1.

(2021). Management of Mental Health Disorders, Substance Use Disorders, and Suicide in Adults with Spinal Cord Injury. The Journal of Spinal Cord Medicine: Vol. 44, No. 1, pp. 102-162.

(2021). Reviewer Recognition 2020. The Journal of Spinal Cord Medicine: Vol. 44, No. 1, pp. 163-166.

Objective To describe the number, specifics and co-occurrence of shoulder pathologies detected by MRI in manual wheelchair users with spinal cord injury and to evaluate the association between shoulder pathologies and presence of shoulder pain. Design Cross-sectional observation study. Setting Community. Participants Fifty-one wheelchair-dependent persons with spinal cord injury (44 males, 7 females

Background Research has evaluated the effect of surgical timing on patient functional recovery in individuals with spinal cord injury (SCI); however, there is a critical need to assess how demographics, clinical characteristics, and process of care affect functional outcomes. Objective We examined the association between demographic, clinical, and process of care factors with post-acute functional

Objective To evaluate the effect of a tele-nutrition counseling program on diet quality, weight, waist circumference, and quality of life in people with spinal cord injury (SCI). Design Prospective observational study. Participants Fifteen participants with SCI were enrolled from an acute inpatient rehabilitation unit and outpatient SCI clinic; ten participants completed the intervention. Interventions