Arrani Senthinathan, Mina Tadrous, Swaleh Hussain, B Catharine Craven, Susan B Jaglal, Rahim Moineddin, John Shepherd, Lauren Cadel, Vanessa K Noonan, Sandra McKay, Karen Tu, Sara J T Guilcher
STUDY DESIGN: A retrospective longitudinal cohort time-series analysis study. OBJECTIVES: To examine healthcare utilization and delivery during the COVID-19 pandemic in individuals with spinal cord injury/dysfunction (SCI/D). SETTING: Health administrative database in Ontario, Canada. METHODS: In 5754 individuals with SCI/D diagnosed from 2004-2014 and living in the community, healthcare utilization (physician visits, primary care visits, specialist visits, urologist visits, physiatrist visits, emergency department (ED) visits, and hospital admissions) and delivery (total, in-person, virtual) were determined at the (1) pre-pandemic period (March 2015 to February 2020), (2) initial pandemic onset period (March 2020-May 2020), and (3) pandemic period (June 2020 to March 2022)...
September 2, 2023: Spinal Cord
Paola Paglierani, Manuela Marani, Elisa Maietti, Carlotte Kiekens, Stefano Negrini, Ilaria Baroncini
STUDY DESIGN: Prospective cohort study. OBJECTIVES: To investigate the sensitivity to change and prognostic validity of Trunk Control Test (TCT) and Thoracic-Lumbar Control Scale (TLC) in terms of mobility in persons with motor complete thoracic spinal cord injury (SCI). SETTING: Participants were recruited at an Italian SCI rehabilitation facility from October 2015 to January 2020. METHODS: Inclusion criteria were acute traumatic or non-traumatic event and T1-L1 neurological level...
August 30, 2023: Spinal Cord
Auwal B Hassan, Abubakar T Salihu, Mamman A Masta, Hilary Gunn, Jonathan Marsden, Auwal Abdullahi, Rufa'i Y Ahmad, Musa S Danazumi
STUDY DESIGN: A systematic review and meta-analysis of clinical trials. OBJECTIVES: To determine the effect of non-invasive transcutaneous spinal direct current stimulation (tsDCS) on spasticity, activity limitations and participation restrictions in various upper motor neuron diseases. METHODS: Six databases including CINAHL plus, Cochrane CENTRAL, Embase, MEDLINE, SCOPUS and Web of Science were searched for the relevant records from January 2008 to December 2022...
August 28, 2023: Spinal Cord
Toshiki Okubo, Kanehiro Fujiyoshi, Yoshiomi Kobayashi, Kohei Matsubayashi, Tsunehiko Konomi, Mitsuru Furukawa, Takashi Asazuma, Yoshiyuki Yato
STUDY DESIGN: Retrospective comparative study. OBJECTIVE: This study aimed to determine whether the degree of preoperative gait disturbance remains following surgical resection in patients with intradural extramedullary spinal cord tumors (IDEMSCTs), and to investigate any factors that may influence poor improvement in postoperative gait disturbance. SETTING: The single institution in Japan. METHODS: In total, 78 IDEMSCTs patients who required surgical excision between 2010 and 2019 were included...
August 28, 2023: Spinal Cord
Claire G Poublon, Eline W M Scholten, Michel I A Wyndaele, Marcel W M Post, Janneke M Stolwijk-Swüste
STUDY DESIGN: Secondary analysis of multicentre prospective observational data. OBJECTIVES: To describe methods of bladder emptying at admission and discharge in patients with recently acquired spinal cord injury (SCI) and to describe predictors of bladder emptying methods at discharge. SETTING: First inpatient rehabilitation in specialised rehabilitation centres in the Netherlands. METHODS: Data from the Dutch Spinal Cord Injury Database collected between 2015 and 2019 were used...
August 22, 2023: Spinal Cord
Heather A Hong, Nader Fallah, Di Wang, Christiana L Cheng, Suzanne Humphreys, Jessica Parsons, Vanessa K Noonan
STUDY DESIGN: Cross-sectional survey in Canada. OBJECTIVES: To explore multimorbidity (the coexistence of two/more health conditions) in persons with non-traumatic spinal cord injury (NTSCI) and evaluate its impact on healthcare utilization (HCU) and health outcomes. SETTING: Community-dwelling persons. METHODS: Data from the Spinal Cord Injury Community Survey (SCICS) was used. A multimorbidity index (MMI) consisting of 30 secondary health conditions (SHCs), the 7-item HCU questionnaire, the Short Form-12 (SF-12), Life Satisfaction-11 first question, and single-item Quality of Life (QoL) measure were administered...
August 21, 2023: Spinal Cord
Stephen L Luther, Susan S Thomason, Sunil Sabharwal, Dezon K Finch, James McCart, Peter Toyinbo, Lina Bouayad, William Lapcevic, Bridget Hahm, Ronald G Hauser, Michael E Matheny, Gail Powell-Cope
STUDY DESIGN: A 5-year longitudinal, retrospective, cohort study. OBJECTIVES: Develop a prediction model based on electronic health record (EHR) data to identify veterans with spinal cord injury/diseases (SCI/D) at highest risk for new pressure injuries (PIs). SETTING: Structured (coded) and text EHR data, for veterans with SCI/D treated in a VHA SCI/D Center between October 1, 2008, and September 30, 2013. METHODS: A total of 4709 veterans were available for analysis after randomly selecting 175 to act as a validation (gold standard) sample...
August 19, 2023: Spinal Cord
John Kim, Veronica Stewart, Gaurav Talwar, Michael Uy, Jen Hoogenes, Edward D Matsumoto
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVES: To evaluate outcomes of surgical treatment for nephrolithiasis in individuals with spinal cord injury (SCI). METHODS: We systematically reviewed the Ovid MEDLINE, Embase, CENTRAL, and Web of Science databases for studies examining outcomes of kidney stone procedures in individuals with SCI. Our primary outcomes were stone-free rate (SFR) and complications as categorized by Clavien-Dindo classification...
August 18, 2023: Spinal Cord
Olivia M Biller, Jason Biundo, Edward S-L Mitchell, Bonnie Richardson, Ian Burkhart, Rachel Y Kim, Nicole M Gerhardt, M J Mulcahey
Community engagement is an important method of knowledge translation in spinal cord injury (SCI) research where researchers collaborate with people with lived experience, care partners, and other research users to improve the quality of research. This perspective article aims to promote community engagement in SCI research by describing useful resources for its implementation and providing an example project using the North American Spinal Cord Injury Consortium (NASCIC) process for such partnerships. Researchers from the Jefferson College of Rehabilitation Sciences' (JCRS) Center for Outcomes and Measurement engaged NASCIC to create an advisory committee composed of four people living with SCI to make recommendations for the methods of a large-scale study to develop a clinical outcome assessment...
August 17, 2023: Spinal Cord
Billy L Luu, R H Chaminda Lewis, Rachel A McBain, Simon C Gandevia, Claire L Boswell-Ruys, Jane E Butler
STUDY DESIGN: Secondary analysis of a randomised controlled trial. OBJECTIVES: Our primary study showed that increasing inspiratory muscle strength with training in people with chronic (>1 year) tetraplegia corresponded with reduced sensations of breathlessness when inspiration was loaded. This study investigated whether respiratory muscle training also affected the respiratory sensations for load detection and magnitude perception. SETTING: Independent research institute in Sydney, Australia...
August 16, 2023: Spinal Cord
Joanne V Glinsky, Jocemar Ilha, Yuan Xiong, Guillermo Gomez, Stephan Rostagnor, Soraya Martín-Manjarrés, Keira Tranter, Stephen Muldoon, Eric Weerts, Lisa A Harvey
STUDY DESIGN: Observational. OBJECTIVES: To determine the learners' experience and the impact of a Massive Open Online Course (MOOC) conducted to teach physiotherapists about the management of people with spinal cord injuries (SCI). METHODS: A SCI MOOC for physiotherapists was run in 5 different languages at the end of 2022. Qualitative and quantitative data were collected from different sources including registration details, pre- and post-MOOC Knowledge Assessments, a post-MOOC Evaluation, social media posts and online tracking of websites and emails...
August 14, 2023: Spinal Cord
Josefine Lindén, Gunilla Stenberg, Anestis Divanoglou
STUDY DESIGN: Qualitative study. OBJECTIVES: To explore how peer mentors with spinal cord injury (SCI) experience their role in Active Rehabilitation programs in Sweden. SETTING: Community peer-based training programs in Sweden. METHODS: Twenty active peer mentors were strategically selected and invited to participate. Nine individuals of diverse age, level of SCI and time since injury participated in semi-structured interviews via video link...
August 3, 2023: Spinal Cord
Sara Ngan, Jean-François Lemay, Katherine Chan, Kristen Walden, Dany H Gagnon, Kristin E Musselman
STUDY DESIGN: Psychometric study. OBJECTIVES: The Standing and Walking Assessment Tool (SWAT) is a standardized approach to the evaluation of standing and walking capacity following traumatic spinal cord injury (tSCI) in Canada. The SWAT classifies individuals with a tSCI into 12 stages of standing and walking capacity that are paired with well-established outcome measures, such as the Berg Balance Scale and 10-m Walk Test. Prior research has demonstrated the validity and responsiveness of the SWAT stages; however, the reliability remains unknown...
July 31, 2023: Spinal Cord
Nadia M J Rupniak, Silvia Fernandes, Shaoping Hou, Karl B Thor, Lesley Marson
STUDY DESIGN: Preclinical pharmacology. OBJECTIVES: To determine whether blocking substance P signaling attenuates the hypertension and bradycardia evoked by colorectal distension (CRD) in spinal cord injured (SCI) rats. SETTING: University laboratory in Pennsylvania, U.S.A. METHODS: Tachykinin NK1 receptor antagonists were administered 30 min prior to CRD three weeks after complete spinal cord transection at the 4th thoracic (T4) level...
July 26, 2023: Spinal Cord
Eva Widerström-Noga, Fin Biering-Sørensen, Thomas N Bryce, Diana D Cardenas, Nanna B Finnerup, Mark P Jensen, J Scott Richards, Jan Rosner, Julian Taylor
STUDY DESIGN: Expert opinion, feedback, revisions, and final consensus. OBJECTIVES: To update the International Spinal Cord Injury Pain Basic Data Set (ISCIPBDS version 2.0) and incorporate suggestions from the SCI pain clinical and research community with respect to overall utility. SETTING: International. METHODS: The ISCIPBDS working group evaluated these suggestions and made modifications. The revised ISCIPBDS (Version 3...
July 25, 2023: Spinal Cord
Buddharaksa Rajchagool, Pakpoom Wongyikul, Lalita Lumkul, Phichayut Phinyo, Sintip Pattanakuhar
OBJECTIVE: To perform external geographic and domain validation of the clinical prediction rule (CPR) of the ambulation outcome of patients with traumatic spinal cord injury (SCI) originally developed by van Middendorp, et al. (2011) in Thais with traumatic and non-traumatic SCI. STUDY DESIGN: Retrospective cohort study. SETTING: A tertiary rehabilitation facility in Chiang Mai, Thailand. METHODS: A validation data set, including predictive (age and four neurological variables) and outcome (ambulation status) parameters was retrospectively collected from medical records of patients with traumatic and non-traumatic SCI admitted between December 2007 and December 2019...
July 24, 2023: Spinal Cord
Nikki van der Veldt, Willemijn X M Faber, Ben J M Witteman, Janneke M Stolwijk-Swüste, Janneke Nachtegaal
STUDY DESIGN: Retrospective Observational Study. OBJECTIVES: To describe bowel management in individuals with a recently acquired spinal cord injury (SCI) both at admittance and discharge from first inpatient rehabilitation, and to determine factors that contribute to effective bowel management (EBM) at discharge. SETTING: Specialized rehabilitation centers in the Netherlands. METHODS: Data from the Dutch Spinal Cord Injury Database (DSCID) collected between 2015 and 2019 was used...
July 24, 2023: Spinal Cord
Jeanette Melin, Emelie Axwalter, Gunilla Åhrén, Katharina S Sunnerhagen, Åsa Lundgren-Nilsson, Johanna Wangdell
STUDY DESIGN: Mixed-method consensus development project. OBJECTIVE: To identify the top ten research priorities for spinal cord injury (SCI). SETTING: Nationwide in Sweden in 2021-22. METHODS: The PSP process proposed by the James Lind Alliance was used. It comprises two main phases: question identification and priority selection. People living with SCI, relatives of people with SCI as well as health professionals and personal care assistants working with people with SCI were included...
July 20, 2023: Spinal Cord
M Ben, J V Glinsky, J Chu, A I Spooren, S Roberts, L W Chen, S Denis, M Lorusso, V Jorgensen, E J Gollan, J Agostinello, C C M Van Laake-Geelen, C Lincoln, J M Stolwijk, C Bell, S Paddison, D Rainey, K Tranter, J Ilha, K Oostra, C Sherrington, L A Harvey
STUDY DESIGN: Descriptive. OBJECTIVES: The primary objective is to describe the intervention that will be provided in a large multi-centre randomised controlled trial titled: Early and Intensive Motor Training for people with Spinal Cord Injuries (the SCI-MT Trial). The secondary objective is to describe the strategies that will be used to operationalise and standardise the Motor Training provided to participants while keeping the intervention person-centred. METHODS: The paper focuses on the rationale and principles of Motor Training for people with spinal cord injuries (SCI)...
July 19, 2023: Spinal Cord
Heather F Cathcart, Somayyeh Mohammadi, Beth Erlander, Julie M Robillard, William C Miller
STUDY DESIGN: Quantitative study. OBJECTIVES: The study aimed to explore Family Caregivers of Individuals with Spinal Cord Injury (FC-SCI) social media use patterns, most frequently used platforms, importance of social media for receiving and providing support, and type of social support (i.e., social companionship, emotional support, informational support) that FC-SCI receive or provide online. SETTING: FC-SCI participants from Canada and USA...
July 13, 2023: Spinal Cord
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