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Background: We know little about the budget impact of integrating robotic exoskeleton over-ground training into therapy services for locomotor training. The purpose of this study was to estimate the budget impact of adding robotic exoskeleton over-ground training to existing locomotor training strategies in the rehabilitation of people with spinal ...

Objective: To examine whether commonly used comorbidity indexes (Deyo-Charlson comorbidity index, Elixhauser comorbidity index, the Centers for Medicare and Medicaid Services [CMS] comorbidity tiers) capture comorbidities in the acute traumatic and nontraumatic SCI inpatient rehabilitation population. Design: Retrospective cross-sectional study. Participants: Data were obtained from the Uniform Data System ...

Objective: To determine if the "sacral sparing" definition for completeness of traumatic spinal cord injury (SCI) is a more stable definition than the previously used Frankel Classification. Design: Retrospective analysis of persons enrolled in the Spinal Cord Injury Model Systems (SCIMS) database from 2011-2018. Setting: SCIMS centers. Participants: Individuals ...

Background: There is a need to identify reliable biomarkers of spinal cord injury recovery for clinical practice and clinical trials. Objective: Our objective was to correlate serum albumin levels with spinal cord injury neurological outcomes. Methods: We performed a secondary analysis of patients with traumatic spinal cord injury (n ...

Background and purpose: Refinement of robotic exoskeletons for overground walking is progressing rapidly. We describe clinicians' experiences, evaluations, and training strategies using robotic exoskeletons in spinal cord injury rehabilitation and wellness settings and describe clinicians' perceptions of exoskeleton benefits and risks and developments that would enhance utility. Methods: We ...

      Research Objectives: To determine the effectiveness of a physical activity program on ASIA motor scores and HDL in persons with SCI.         Design: Randomized clinical trial.         Setting: Outpatient hospital setting.         Participants: Inclusion criteria were ≥1 year post-injury, SCI diagnosis, and ages 18-80 years. Those with cognitive deficits preventing learning, medical problems posing health risks, ...

OBJECTIVE. Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury. METHOD. Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire ...

Purpose: Investigate the type and frequency of wheelchair repairs and resulting adverse consequences in a Veteran population. Design: Convenience cross-sectional sample survey. Setting: Data were collected at the 2017 National Veterans Wheelchair Games. Participants: Veterans who use a wheelchair ≥ 40 h/wk (n = 60). Intervention: Not applicable. Main outcome measures: Repairs and associated adverse ...

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 ...

Objective: To determine if the motor response on the stimulated manual muscle test (SMMT) in muscles with a grade 0 motor score on the manual muscle test (MMT) can differentiate lower motor neuron (LMN) from upper motor neuron (UMN) injury based on the presence of spontaneous activity (SA) with needle ...

Context/Objective: The sacral examination components of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), namely deep anal pressure (DAP) and voluntary anal sphincter contraction (VAC), are often difficult to perform. We evaluated whether pressure sensation at the S3 dermatome (S3P), and voluntary hip adductor or toe ...

Study design: Randomized double blind, placebo-controlled trial. Objectives: To examine the effect of early intravenous zoledronic acid (ZA) on bone markers and areal bone mineral density (aBMD) in persons with acute ASIA Impairment Scale (AIS) A traumatic spinal cord injury (SCI). Setting: Two inpatient rehabilitation units. Methods: Thirteen men, ...