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Study examined clinical algorithms relevant for diagnosis and treatment of spinal cord injury (SCI)-associated pneumonia (SCI-AP) in Germany. The clinical decision-making on SCI-AP and the utility of the Centers for Disease Control and Prevention (CDC) criteria for diagnosis of ‘clinically defined pneumonia’ were assessed using a standardized questionnaire including eight ...

Study compared the gut microbiome composition among 7 individuals with acute spinal cord injury (A-SCI) and 25 long-standing SCI (L-SCI) versus 25 able-bodied (AB) controls. Stool samples were collected after a median of 7 days and 18 years after injury in the A-SCI and L-SCI groups, respectively. Gut microbiome composition ...

Study investigated whether fatigue-inducing wheelchair propulsion changes neuromuscular activation and propulsion biomechanics and identified variables predicting susceptibility to fatigue. Muscular activation and propulsion biomechanics during treadmill propulsion at 25W and 45W were assessed before and after a protocol designed to cause fatigue in 34 wheelchair users with a spinal cord ...

Study evaluated the psychometric properties of the Transfer Assessment Instrument Questionnaire (TAI-Q), a self-assessment measure to evaluate wheelchair transfer quality, compared with clinician-reported measures. Forty-four full-time wheelchair users 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 ...

Study re-evaluated recent work identifying pneumonia and postoperative wound infections (Pn/Wi) as risk markers for impaired long-term functional recovery and survival after spinal cord injury (SCI). The study was considered as a strong statistical analysis. However, some unexplored putative confounders in terms of nonrandom loss to follow-up, temporal changes in ...

Study estimated the cost-effectiveness of overground robotic locomotor training versus conventional locomotor training following spinal cord injury (SCI) by injury status (complete versus incomplete). A probabilistic cost-effectiveness analysis was conducted using a prospective, practice-based cohort from four participating SCI Model System sites. The outcome measures included the calculation of quality ...

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 the research on the axon’s response after spina cord injury (SCI), including axonal dieback and degeneration, then discusses the current understanding of intrinsic pathways affecting central nervous system (CNS) axon growth potential. Finally, the authors describe the extrinsic factors that have been identified as inhibitors of axonal regeneration. ...

Study examined the experiences of people with chronic motor incomplete tetraplegia using rehabilitation technology. Semi-structured interviews were conducted with seven participants with chronic upper-extremity impairment due to spinal cord injury as they used five different rehabilitation technology devices for 30 to 45 minutes. The interviews were analyzed using a qualitative ...

Article describes the methodology for a two-phase, mixed-methods study to develop consensus around diagnostic and decision-making criteria for complicated urinary tract infection (cUTI) among people with spinal cord injury and disease (SCI/D) and the clinicians who treat them. Phase 1 (qualitative) will engage Spinal Cord Injury Model Systems (SCIMS) clinicians ...

The objective of this study was to develop an International Spinal Cord Injury (SCI) Activities and Participation (A&P) Basic Data Set. A committee of experts was established to select and define A&P data elements to be included in this data set. A draft data set was developed and posted on ...

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 identified the characteristics of participants who were responders and non-responders in a wellness intervention developed specifically for individuals with spinal cord injury (SCI). Participants who received a wellness intervention engaged in six in-person workshops over a 3-month period, led by wellness experts with peer mentors available. Individual intervention participant ...

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 explored feasibility of smartphone-based digital phenotyping methods to examine depression and its relationship to psychosocial well-being indicators after spinal cord injury (SCI). A smartphone research platform obtained smartphone sensor and survey data among 43 community-living adult wheelchair users with SCI. Weekly measurements for 4 months included the Patient Health ...

Study examined functional status during the first 10 years after traumatic brain injury (TBI) among individuals with disorders of consciousness (i.e., coma, vegetative state, minimally conscious state). Participants included 110 individuals with TBI who were unable to follow commands prior to inpatient rehabilitation and for whom follow-up data were available ...

Study determined the prevalence of deep vein thrombosis (DVT) detected through routine duplex screening and factors associated with DVT in patients with spinal cord injury (SCI) on admission to rehabilitation. A retrospective review was conducted of medical records for 189 individuals admitted to rehabilitation within 2 weeks of initial traumatic ...

Study evaluated the effect of a low-carbohydrate, high-protein (LC/HP) diet that includes healthy dietary components (e.g., lean meat, whole grains, fruits and vegetables, fiber, etc.) on the gut microbiome composition in individuals with chronic spinal cord injury (SCI). Participants were 19 adults with chronic SCI who were insulin resistant and ...