SCI Publications

Objective: To estimate the population profile of people living with traumatic spinal cord injury (TSCI) to help evaluate health care needs of this aging population. Design: Cross-sectional study. Setting: SCI Model Systems (SCIMS) centers in the United States. Participants: Individuals (N=20,437) who: (1) incurred a TSCI between 1972 and 2019, (2) were initially ...

Objective: To characterize the use of complementary and integrative health care (CIH) by people with spinal cord injury. Design: Cross-sectional self-report study. Setting: Participants were recruited from 5 Spinal Cord Injury Model Systems (SCIMS) centers across the United States. Interventions: Not applicable. Participants: A total of 411 persons enrolled in the SCIMS completing their ...

Objective: To investigate the relationship between blood alcohol concentration (BAC) and neurologic recovery after traumatic spinal cord injury (TSCI) using standardized outcome measures from the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) examination. Method: This is a retrospective review of merged, prospectively collected, multicenter data from the ...

Study examined the rate of readmission from inpatient rehabilitation facilities (IRFs) to acute care hospitals (ACHs) during the first 30 days of rehabilitation stay, the variation in 30-day readmission rate across IRFs, and the extent that patient and facility characteristics contribute to this variation. Adult IRF discharges from 944 IRFs ...

Article describes the neuroanatomical–functional paradox in the context of traumatic spinal cord injury (SCI) and discusses the underlying mechanisms of the paradox, including the concepts of lesion-affected and recovery-related networks. This neuroanatomical–functional paradox is likely to contribute to the many failed attempts to independently replicate findings from animal models of ...

Study compared prevalence of shoulder pain (SP) onset over 3 years for individuals with paraplegia who participate in one of two shoulder pain prevention program (SPPP) formats with that of a similar population without intervention. It also compared exercise adherence between two SPPP formats. The randomized clinical trial (compared to ...

Study investigated whether serum albumin is significantly associated with long-term neurological outcome in a contemporary cohort of individuals with spinal cord injury (SCI), to confirm previous research findings. A secondary analysis of neurological outcomes and serum albumin concentrations was performed on data from the Spinal Cord Injury Rehabilitation (SCIRehab) study, ...

Study compared associations of patient characteristics and treatment quantity delivered during inpatient spinal cord injury (SCI) rehabilitation with outcomes at 1 year and 5 years after injury. It was hypothesized that the relationships between the quantity of treatment and outcomes found at 1-year post-injury would be maintained at 5-years post-injury. ...

Study examined changes in cardiac structure and function that occur within the first 24 months after spinal cord injury (SCI). It was hypothesized that increasing time since injury would be associated with progressively smaller heart structures and lower indices of function and that those with high levels of injury would ...

Study explored relationships between early changes in circulating white blood cells (WBCs), injury characteristics, and long-term patient outcomes in individuals admitted to the hospital with traumatic spinal cord injury (SCI). Data were obtained from 161 SCI patients admitted to Brisbane’s Princess Alexandra Hospital (exploration cohort). Logistic regression models in conjunction ...

This scoping review examined the high-intensity, activity-based interventions used in neurological conditions for their current and potential application to subacute and chronic spinal cord injury (SCI). MEDLINE, CINAHL, Cochrane CENTRAL, and OTSeeker databases were searched for studies that included the following criteria: non-invasive activity-based interventions delivered at least three times/week ...

Study examined physiological adaptations and generalizable fitness effects of 6 months of whole-body exercise training using volitional arm and functional electrical stimulation (FES) tests. Twenty-seven adults with tetraplegic or paraplegic spinal cord injury (SCI) performed hybrid FES-row training (FESRT) and completed peak exercise tests with arms-only (AO; baseline and 6 ...

Study examined differences in resting cerebral blood flow s in persons with spinal cord injury (SCI)-related neuropathic pain compared to healthy, pain-free able-bodied controls. Five people with paraplegia and 10 able-bodied participants were included in this study. Resting blood flow, as measured by a continuous arterial spin labeling (ASL) method ...

Study evaluated diastolic blood pressure (DBP) changes associated with autonomic dysreflexia (AD) episodes during urodynamics in individuals with spinal cord injury (SCI) at or above the sixth thoracic level (T6). The current diagnostic criteria of AD is based solely on systolic blood pressure (SBP) increases from baseline without regard to ...

Study assessed the interface pressures and sensing area between the body and the standard spine board (SSB) and a proof-of-concept spine board prototype (P-5). Pressure injuries are a significant problem following spinal cord injury. High interface pressures while lying on a spine board during emergency transport appear to play a ...

Article reviews published data on neurological recovery after traumatic spinal cord injury (SCI) from multiple sources, focusing on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) data in which the sacral sparing definition was applied for determination of completeness. Additional variables influencing outcomes, such as zones of preserved function ...

Study investigated the association of age with delay in spine surgery and the effects of the injury to surgery interval and age on neurological outcome after traumatic spinal cord injury (SCI). Data were collected from 213 patients enrolled in a Level I trauma center with SCI care in Germany. Age-related ...

Article provides an in-depth characterization of innate and adaptive inflammatory responses as well as oxidative tissue injury in human traumatic spinal cord injury (SCI) lesions compared to non-traumatic control cords. In the lesion core, microglia were rapidly lost while intermediate (co-expressing pro- as well as anti-inflammatory molecules) blood-borne macrophages dominated. ...

Study examined the safety and effectiveness 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). Ten wheelchair users with chronic SCI who had moderate-to-severe shoulder pain caused by refractory rotator cuff ...

Objectives: To investigate the relationship between early trauma indicators and neurologic recovery after traumatic SCI using standardized outcome measures from the ISNCSCI examination and standardized functional outcome measures for rehabilitation populations. Methods: This is a retrospective review of merged, prospectively collected, multicenter data from the Spinal Cord Injury Model Systems (SCIMS) ...