Background: Proper transfer technique is associated with improved biomechanics and decreased pain and pathology. However, many users do not use proper technique, and appropriate assessment and training are needed to address these deficits. The transfer assessment instrument (TAI) 4.0 was designed to meet those needs and improve on past versions ...
Spasticity is the uncontrolled tightening or contracting of the muscles that is common in individuals with spinal cord injuries. About 65%–78% of the SCI population have some amount of spasticity, and it is more common in cervical (neck) than thoracic (chest) and lumbar (lower back) injuries.
What is the study about?
This study’s aim was to describe the relationship between spasticity and perceived quality of life as well as the perceived value of spasticity management approaches for individuals with spinal cord injury (SCI).
What did the study find?
This study found that spasms most often occurred in response to ...
Objective: To evaluate the psychometric properties of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM) using Rasch analysis to optimize their validity and efficiency.
Design: Rasch analysis of the SCI-SET and PRISM represents a secondary analysis of data collected as part of a collaborative ...
What is the study about?
This study aims to evaluate how valid (reliable) and efficient two measures are that are used in evaluating people with spinal cord injury. The measures are the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) and Patient-Reported Impact of Spasticity Measure (PRISM). The SCI-SET and PRISM are ...
How can I tell if I have a pressure sore?
First signs. One of the first signs of a possible skin sore is a reddened, discolored or darkened area (an African American’s skin may look purple, bluish or shiny). It may feel hard and warm to the touch.
A pressure sore has ...
Areas where bones are close to the surface (called "bony prominences") and areas that are under the most pressure are at greatest risk for developing pressure sores.
In bed, body parts can be padded with pillows or foam to keep bony prominences (areas where bones are close to the skin surface) ...
What is skin tolerance?
Skin tolerance is how much time your skin can stand to be under pressure before damage starts to occur. Each person's skin tolerance is different. Some people may need to relieve pressure very often, others may not have to do it as often, but they still need ...
What do I need to know?
Ninety-five percent of all pressure sores are preventable!
After spinal cord injury, your skin requires daily care and a lot of attention.
You will need to spend time daily cleaning the skin, keeping it dry (from incontinence or perspiration), checking the skin for problems or changes, moving ...
What do I need to know?
Individuals with SCI are at high risk for developing pressure sores.
Pressure sores can be life threatening.
Possible complications:
Infections can develop and spread to the blood, heart and bone.
Amputations
Prolonged bed rest necessary for healing can keep you out of work, school and social activities for months.
Because ...
A pressure sore (also called pressure ulcer, decubitus ulcer, decubiti (plural), bedsore or skin breakdown) is an area of the skin or underlying tissue (muscle, bone) that is damaged due to loss of blood flow to the area. Blood flow to the skin keeps it alive and healthy. If the ...
What is the study about?
Survival within two years after spinal cord injury (SCI) has greatly improved over the past few decades, although long-term survival after the first two years has not shown significant improvement. However, people with SCI still have higher rates of mortality than people without SCI. To better ...
What is the study about?
This study investigated the effectiveness of CareCall, an interactive, low-cost phone system developed for adults with spinal cord injury (SCI) and multiple sclerosis (MS). Callers to CareCall receive automated medical support and information. Researchers looked at how CareCall is used by and benefits people with SCI ...
The pressure relief technique you use will depend on your level of injury, the type of wheelchair you use and how much movement and strength you have in your arms and shoulders.
Tilting or reclining
If you are unable to perform independent pressure reliefs, you can use a power tilt wheelchair for ...
Transferring in and out of your wheelchair puts higher stress on your arms and shoulders than anything else you do on a regular basis. Learning the correct way to transfer is extremely important in order to keep your arms functioning and pain-free.
Objectives: To determine the efficacy of a web-based transfer training module at improving transfer technique across 3 groups: web-based training, in-person training (current standard of practice), and a waitlist control group (WLCG); and secondarily, to determine subject factors that can be used to predict improvements in transfer ability after training.
Design: ...
This is a podcast-brief from the Model Systems Knowledge Translation Center. Sports SFX Female Voice: “Is this your first time watching wheelchair basketball?” Male Voice: “Yeah, and it’s a lot different than I thought it would be. These guys are intense.” Female Voice: “I love the competition. Have you ...
Objectives: To evaluate the psychometric properties of the Transfer Assessment Instrument Questionnaire (TAI-Q), a self-assessment measure to evaluate transfer quality compared with clinician-reported measures.
Design: Participants self-assessed transfers from their wheelchair to a mat table using the TAI-Q. For session 1, participants self-assessed their transfer both before and after reviewing a ...
This is a podcast-brief from the Model Systems Knowledge Translation Center.
Patient: You want me to transfer on my own?
PT: Yes, you’re ready. We have practiced together what to do.
It’s important for most anyone who uses a wheelchair after spinal cord injury to learn proper transfer techniques. It helps you minimize ...
What is the study about?
This study examined changes to shoulder tendons as people with spinal cord injury (SCI) transferred to and from a wheelchair. When people with SCI transfer they repeatedly stress their shoulder tendons, including the biceps and supraspinatus. It is possible that overuse may lead to tendon changes ...