Presents psychometric data on the Patient Health Questionnaire-9 (PHQ-9), a measure used to identify major depressive disorder (MDD) in people with spinal cord injury (SCI). Data collected from 849 participants 1 year after SCI were used to compute descriptive statistics on rates of depressive symptoms and probable MDD, evaluate ...
Article reporting on a survey intended to determine the level of alcohol use and motivation to change drinking habits among persons with recent spinal cord injury (SCI). Data are from a survey of 68 persons with recent SCI during inpatient rehabilitation. It was found that soon after SCI, most ...
Study investigated whether a history of alcohol-related problems is associated with progress during inpatient rehabilitation among people with spinal cord injury (SCI). Analysis revealed that problem drinkers had significantly lower Functional Independence Measure admission, discharge, and efficiency scores and a longer rehabilitation length of stay than those without a ...
Chapter examines issues regarding the diagnosis, etiology, treatment, and prevention of musculoskeletal pain and overuse injuries in individuals with spinal cord injury (SCI). The relationship between pain and injuries of the shoulder, elbow, wrist, back and neck are discussed in detail. Options for treatment and prevention of musculoskeletal injuries ...
Questionnaires and physical exams were used to evaluate neck pain in a group of wheelchair users. Main outcome measures included reported neck pain, visual analog scale of neck complaints, the Neck Disability Index, and physical exam findings of trigger points. Of the 68 participants, 66.2 percent reported experiencing neck ...
Study examined the relationship between wheelchair pushrim biomechanics and progressive shoulder injury in manual wheelchair users. Biomechanical data were obtained on 14 subjects with spinal cord injury who used manual wheelchairs. Magnetic resonance images (MRIs) of both shoulders were completed for each subject on 2 occasions, approximately 2 years ...
Study analyzed median and ulnar nerve function and their relationship with the range of motion (ROM) of the wrist during wheelchair propulsion. The kinematic data of 35 manual wheelchair users with spinal cord injury were analyzed. Subjects also underwent bilateral nerve conduction studies to determine if nerve function was ...
Article presents practical recommendations related to wheelchair setup and propulsion based on work completed at the University of Pittsburgh and the Pittsburgh Veterans Administration for the Collaboration on Upper Limb Pain in SCI (CULP-SCI) study. Authors recommend that wheelchair users take long, smooth propulsive strokes that use as much ...
Study examined the preventive health behaviors of women with spinal cord injury (SCI) by comparing the frequency of mammograms or Pap smears between women with SCI and women in the general population, and among women with SCI as a function of racial/ethnic status and socioeconomic status (income and education ...
Continuous sitting and standing tolerance was measured by: (1) covert observation of 154 patients with chronic back pain and (2) blinded expert physician prediction based on complete history and physical examination. One hundred twenty-four of the 154 patients (80.5 percent) were able to sit continuously for 60 minutes or ...
Article briefly discusses research on environmental factors that act as barriers in the daily lives of people with spinal cord injuries (SCI). In a survey of more than 2,700 people with SCI, about 20 percent said none of the 12 environmental factors they were asked about were barriers to ...
Article discusses the value of service dogs as assistants to people with mobility limitations. Author offers advice on determining the need for, selecting, and caring for a service animal.
Article discusses the healing benefits of gardening. The horticultural program for people with spinal cord injury program at Craig Hospital in Englewood, California is described. A list of resources for additional information and adapted tools and equipment is included.
Article provides strategies and tools for people with spinal cord injury (SCI) to use to manage stress. It defines stress, describes its impact on the mind and body, and discusses ways to ease its effects.
Article describes the effects of cold-weather temperatures on the body temperatures of people with spinal cord injury (SCI). Generally, after SCI, body temperature had a tendency to take on the temperature of the environment. Author offers advice for how to keep warm.
Article discusses the use of manual therapy to treat musculoskeletal following spinal cord injury. Treatment includes specific exercises and movements to stretch joints and soft tissues, as opposed to exercises that build strength. Tips are offered for finding a therapist certified to administer manual therapy.
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Article describes changes to the spinal cord following spinal cord injury (SCI). These changes usually involve scarring of the cord, referred to as tethering, or the development of a fluid-filled space, or cyst, above or below the level of the original injury. Signs and symptoms and treatment for spinal-cord ...
Self-directed learning module on the documentation of acute, subacute, and chronic pain. Topics in the module include: self-report tools; physical and functional tools; expert testimony; and medicolegal aspects. This module is part of the chapter on pain in the Self-Directed Physiatric Education Program for practitioners and trainees in physical ...
Study examined the interrater reliability of the Bryce/Ragnarsson spinal cord injury (SCI) pain taxonomy (BR-SCI-PT). Thirty-nine physicians specializing in SCI evaluated 135 vignettes, each of which described a person with SCI with one or more different etiologic subtypes of pain. Physician classifications were compared with those made by the ...
Article reviews various measures of pain and pain treatments and examines their usefulness in clinical trials on pain after spinal cord injury (SCI). Authors conclude that sufficient knowledge does exist on SCI pain and its measurement to make treatment progress possible.