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  • Publications

    Activity-based rehabilitation interventions of the neurologically impaired upper extremity: Description of a scoping review protocol

    Article describes the scoping review protocol that will be used to evaluate peer-reviewed articles focused on activity-based therapy (ABT) interventions for individuals with neurologically impaired upper extremities. A scoping review provides a means to synthesize and present a large body of literature on a broad topic, such as methods for ...
  • James Wilson

    Dr. Wilson is a fellowship trained and ABPMR board certified SCI physician. He is the Director of SCI Medicine at MHS as well as the Director of the SCI Fellowship Training Program. He is an ...
  • Publications

    Acute and non-resolving inflammation associate with oxidative injury after human spinal cord injury

    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. ...
  • Publications

    An interview based approach to the anorectal portion of the international standards of neurological classification of spinal cord injury exam (I-A-ISNCSCI): A pilot study

    Study designed and evaluated the use of an interview-based version of the anorectal portion of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam in the acute inpatient rehabilitation (AIR) setting. Participants admitted to AIR underwent standard ISNCSCI exams (S-ISNCSCI) as part of routine inpatient care within ...
  • Publications

    Anal reflex versus bulbocavernosus reflex in evaluation of patients with spinal cord injury

    Article describes two sacral reflexes used in the clinical evaluation of patients with spinal cord injury (SCI). The examination of sacral reflexes provides an important method to differentiate an upper motor neuron versus lower motor neuron SCI. Two common sacral mediated reflexes used as part of the neurological assessment include ...
  • Publications

    Antispasmodic medications may be associated with reduced recovery during inpatient rehabilitation after traumatic spinal cord injury

    Study investigated whether antispasmodic medications are associated with neurological and functional outcomes during the first year after traumatic spinal cord injury (SCI). A retrospective analysis was conducted of data collected prospectively from six inpatient SCI rehabilitation centers. Baseline-adjusted outcomes at discharge and one-year follow-up were compared using analysis of covariance ...
  • Publications

    Applications of complementary therapies during rehabilitation for individuals with traumatic spinal cordiInjury: Findings from the SCIRehab Project

    Study examined the use of complementary therapies during rehabilitation for patients with traumatic spinal cord injury (SCI). Secondary analyses were conducted to identify the use and associated outcomes of complementary therapies provided by occupational therapists (OTs) and physical therapists (PTs) during rehabilitation, using a public dataset composed of 1376 patients ...
  • Publications

    Assessing rat forelimb and hindlimb motor unit connectivity as objective and robust biomarkers of spinal motor neuron function

    Study evaluated the feasibility and robustness of compound muscle action potential (CMAP) and motor unit (MU) number estimation (MUNE) recording techniques in the wild type rat forelimb and hindlimb through repeated measurements to determine mean values and test-retest reliability. CMAP and MUNE are well-established methods that allow longitudinal MU integrity ...
  • Publications

    Assessing the ability of comorbidity indexes to capture comorbid disease in the inpatient rehabilitation spinal cord injury population

    Study examined whether commonly used comorbidity indexes capture comorbidities in the acute traumatic and nontraumatic spinal cord injury (SCI) inpatient rehabilitation population. Data were obtained from the Uniform Data System for Medical Rehabilitation for 66,235 adults with SCI discharged from 833 inpatient rehabilitation facilities. International Classification of Diseases-10th Revision-Clinical Modifications ...
  • Publications

    Assessing the ability of the sacral autonomic standards to document bladder and bowel function based upon the Asia impairment scale

    Study investigated the relationship between the Asia Impairment Scale (AIS) and bladder and bowel functions after spinal cord injury (SCI). Participants underwent an International Standards for Neurologic Classification After SCI (ISNCSCI) examination along with evaluation of the sacral components of bladder and bowel function from the International Standards to Document ...
  • Publications

    Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury

    Study examined the associations among spiritual well-being, demographic characteristics, quality of life (QOL) and depressive symptoms following spinal cord injury (SCI). It was hypothesized that QOL and depressed mood would both be explained by extent of spiritual well-being, and meaning-focused spirituality would have a stronger impact than faith-focused spirituality. A ...
  • Publications

    Association of age with the timing of acute spine surgery -- effects on neurological outcome after traumatic spinal cord injury

    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 ...
  • Megan Hammond

    As the NORSCIS Program Manager, Ms. Hammond is responsible for overseeing the National SCI Database collection process and ensuring that the prescribed benchmarks are met, training and providing support to the primary data collectors, and providing day-to-day ...
  • Publications

    Associations between insurance provider and assistive technology use for computer and electronic devices 1 year after tetraplegia: Findings from the spinal cord injury model systems national database

    Study investigated the association between insurance provider and reported assistive technology (AT) use to access computers and electronic devices 1 year after sustaining tetraplegia. Data were analyzed for 498 men and women with tetraplegia who were enrolled in the Spinal Cord Injury Model Systems National Database. The primary study outcome ...
  • Publications

    Associations between lean mass and leptin in men with chronic spinal cord injury: Results from the FRASCI-muscle study

    Study investigated the relationship between leptin, an adipo-myokine that regulates appetite and energy expenditure, and lean mass in men with chronic spinal cord injury (SCI). Leptin levels are positively correlated with obesity in the general population, positively associated with sedentary behavior, and greater in individuals with SCI compared to uninjured ...
  • Publications

    Budget impact analysis of robotic exoskeleton use for locomotor training following spinal cord injury in four SCI Model Systems

    Study estimated the budget impact of adding robotic exoskeleton over-ground training to existing locomotor training strategies in the rehabilitation of people with spinal cord injury (SCI). A budget impact analysis (BIA) was conducted using data provided by four SCI Model Systems rehabilitation hospitals. Hospitals provided estimates of therapy utilization and ...
  • Publications

    Cardiometabolic disease and dysfunction following spinal cord injury: Origins and guideline-based countermeasures

    Article provides an overview of the risks and health hazards of the cardiometabolic syndrome (CMS) that are commonly reported in people with spinal cord injuries (SCI) and disorders. Overweight/obesity, insulin resistance, hypertension, and dyslipidemia are highly prevalent after SCI. Early surveillance of cardiometabolic risks should be undertaken to identify and ...
  • Publications

    Changes in alcohol use after the onset of spinal cord injury

    Study examined the rate of alcohol consumption and binge drinking among recently injured individuals with spinal cord injury (SCI), compared these rates to data from the general population, and identified changes in alcohol use over time. Self-reported assessments were completed during inpatient rehabilitation and at follow-up approximately 17 months later. ...
  • Publications

    Changes in pain and quality of life in depressed individuals with spinal cord injury: Does type of pain matter?

    Study examined the association of neuropathic and nociceptive pain severity with interference with quality of life (QoL) in people with spinal cord injury (SCI) who underwent a randomized controlled 12-week trial of an antidepressant to treat depression. A secondary objective was to assess the effect of changes in pain on ...
  • Publications

    Characterizing natural recovery after traumatic spinal cord injury

    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 ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.