SCI Publications

Two studies evaluated the responsiveness of 3 Spinal Cord Injury−Functional Index/Capacity (SCI-FI/C) item banks in the first year after spinal cord injury (SCI). Participants were recruited from 8 SCI Model Systems rehabilitation hospitals in the United States. In study 1, SCI-FI/C computer adaptive tests were presented in a standardized interview ...

Study investigated the relationship between rehabilitation length of stay (LOS) and the Functional Independence Measure motor (mFIM) score between rehabilitation admission and discharge among patients with traumatic spinal cord injury (SCI). Data were analyzed for 3,386 patients with traumatic SCI enrolled in the SCI Model Systems Database from 2011 to ...

Article describes the protocol for a study that will assess the ability of the Brief Prolonged Exposure Therapy (PE) intervention to prevent posttraumatic stress disorder (PTSD) among patients with spinal cord injury (SCI). Brief PE includes education about common reactions to trauma, breathing retraining, prolonged (repeated) imaginal exposure to trauma ...

Study utilized the Spinal Cord Injury-Functional Index (SCI-FI) to explore trajectories of functional recovery that occur during the first two years after spinal cord injury (SCI). The 479 adult participants with SCI, recruited from eight SCI Model System sites, completed four (SCI-FI) item banks within 4 months of injury and ...

Article provides an overview of the Spinal Cord Injury−Functional Index (SCI-FI) and introduces a special section of articles that describe the psychometric properties and clinical utility of the SCI-FI item banks and short forms. The SCI-FI is a system of patient-reported outcome measures of functional activities developed specifically with and ...

Study investigated healthcare utilization among community-dwelling people with spinal cord injury (SCI) and assessed disparities across demographic, socioeconomic, and injury-related subgroups. Telephone interviews were conducted with 617 adults with chronic, traumatic SCI who were living in the community for at least one year after the completion of an inpatient rehabilitation ...

Study assessed changes in carpal tunnel syndrome (CTS) symptoms and median nerve (MN) ultrasound parameters occurring between discharge from initial rehabilitation and 1 year post discharge in individuals with spinal cord injury (SCI). Thirty-four participants with acute SCI evaluated for CTS using quantitative ultrasound were compared to 35 participants without ...

Study linked three Spinal Cord Injury−Functional Index (SCI-FI) item banks (Basic Mobility, Fine Motor Function, Self-Care) to the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) metric. Data were collected from six SCI Model Systems rehabilitation hospitals in the United States. SCI-FI item banks (including 30 items from the ...

Article describes the protocol for a comparative effectiveness randomized controlled trial of intravesical Lactobacillus rhamnosus GG (LGG) versus saline bladder wash for self-management of urinary symptoms. Comparative effectiveness trial of self-administered LGG versus saline bladder wash among 120 participants with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction ...

Study determined the routine turning frequency of people with chronic spinal cord injury (SCI) in bed at night in their home environment. An online questionnaire consisting of 22 questions on turning frequency was administered to adults aged 18 to 75 years, with a traumatic SCI for at least 3 months, ...

Study evaluated the effect of a low-carbohydrate, high-protein (LC/HP) diet that includes healthy dietary components (e.g., lean meat, whole grains, fruits and vegetables, fiber, etc.) on the gut microbiome composition in individuals with chronic spinal cord injury (SCI). Participants were 19 adults with chronic SCI who were insulin resistant and ...

Article describes the methodology for a two-phase, mixed-methods study to develop consensus around diagnostic and decision-making criteria for complicated urinary tract infection (cUTI) among people with spinal cord injury and disease (SCI/D) and the clinicians who treat them. Phase 1 (qualitative) will engage Spinal Cord Injury Model Systems (SCIMS) clinicians ...

Study examined the experiences of people with chronic motor incomplete tetraplegia using rehabilitation technology. Semi-structured interviews were conducted with seven participants with chronic upper-extremity impairment due to spinal cord injury as they used five different rehabilitation technology devices for 30 to 45 minutes. The interviews were analyzed using a qualitative ...

Study compared the gut microbiome composition among 7 individuals with acute spinal cord injury (A-SCI) and 25 long-standing SCI (L-SCI) versus 25 able-bodied (AB) controls. Stool samples were collected after a median of 7 days and 18 years after injury in the A-SCI and L-SCI groups, respectively. Gut microbiome composition ...

Study assessed the accuracy of self-reported level of injury (LOI) and severity in individuals with chronic spinal cord injury (SCI) as compared with clinical examination. Twenty-eight individuals with SCI completed a 20-item survey that evaluated demographics, physical abilities, and self-reported injury level and severity. A decision-tree algorithm used responses to ...

Study described pain intensity and interference at baseline and 1 year post injury in burn, traumatic brain injury (TBI), and spinal cord injury (SCI) survivors compared to each other and with the general population (GP). It also evaluated the feasibility and utility of custom Patient Reported Outcomes Measurement Information System ...

Objective: To investigate the changes in total internet and mobile internet use over time and determine how demographic characteristics are related to changes in internet and mobile internet use among individuals with spinal cord injury (SCI). Design: Cross-sectional analysis of a multicenter cohort study. Setting: National SCI Database. Participants: Individuals with traumatic SCI ...

Objective: To investigate residential mobility among community-living adults with spinal cord injury (SCI) and the individual, health, and neighborhood factors associated with the propensity to relocate. Design: Retrospective analysis of data from the National SCI Model Systems (SCIMS) Database collected between 2006 and 2018 and linked with the American Community Survey ...

Objective: To evaluate the reliability, standard error of measurement, minimum detectable change, and item-level consistency of the Transfer Assessment Instrument (TAI) version 4.0 when used to evaluate transfer quality remotely. Design: Participants transferred from their wheelchair to a mat table (transfer 1), repeated this after a 10-minute delay to assess intrarater ...

Objective: To determine the effectiveness of a web-based, direct-to-user transfer training program in improving transfer quality and maintaining improvements for up to 1 month after training as compared with a control group.Design: Randomized controlled trial with participants randomized to an immediate intervention group (IIG) or waitlist control group (WLCG) that ...