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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. This study evaluated the reliability of voluntary hip adductor and toe flexor muscle contraction (VHTC) as an alternative ...

Study investigated whether serum albumin is significantly associated with long-term neurological outcome in a contemporary cohort of individuals with spinal cord injury (SCI), to confirm previous research findings. A secondary analysis of neurological outcomes and serum albumin concentrations was performed on data from the Spinal Cord Injury Rehabilitation (SCIRehab) study, ...

Study examined the utility of serum albumin concentrations early after spinal cord injury (SCI) in predicting long-term neurological outcomes after an acute traumatic SCI. A secondary analysis was performed on data from 591 patients with traumatic SCI participating in a clinical trial testing the efficacy of monosialotetrahexosylganglioside (GM-1) ganglioside therapy ...

Study compared prevalence of shoulder pain (SP) onset over 3 years for individuals with paraplegia who participate in one of two shoulder pain prevention program (SPPP) formats with that of a similar population without intervention. It also compared exercise adherence between two SPPP formats. The randomized clinical trial (compared to ...

This literature review examined specific issues related to sleep disordered breathing (SDB) in spinal cord injury (SCI), including the incidence, prevalence, symptoms, evaluation, treatment, and outcomes. An extensive search of PubMed, Cochrane Library, CINAHL and Web of Science databases was conducted to identify relevant studies. Of the 703 articles identified, ...

Two studies evaluated the responsiveness of 3 Spinal Cord Injury−Functional Index/Capacity (SCI-FI/C) item banks in the first year after spinal cord injury (SCI). Participants were recruited from 8 SCI Model Systems rehabilitation hospitals in the United States. In study 1, SCI-FI/C computer adaptive tests were presented in a standardized interview ...

Study evaluated the effects of task-specific versus impairment-based interventions on walking outcomes in individuals with motor incomplete spinal cord injury (SCI). Using a crossover design, 16 ambulatory participants with incomplete SCI for more than 1 year were randomized to perform either task-specific (upright stepping) or impairment-based training for up to ...

Study examined the effect of early intravenous zoledronic acid (ZA) on bone markers and areal bone mineral density (aBMD) in people with acute traumatic spinal cord injury (SCI). ZA is the most potent of the bisphosphonates, a class of medication that affects the ability of the osteoclast to further resorb ...

Study examined the relationship between lesion level and cognitive performance in individuals with spinal cord injury (SCI). Fifty-nine individuals with SCI (30 with tetraplegia and 29 with paraplegia) and 30 age-matched healthy controls (HC) completed neuropsychological tests in the domains of attention, working memory, processing speed, executive control, and learning ...

Article describes the neuroanatomical–functional paradox in the context of traumatic spinal cord injury (SCI) and discusses the underlying mechanisms of the paradox, including the concepts of lesion-affected and recovery-related networks. This neuroanatomical–functional paradox is likely to contribute to the many failed attempts to independently replicate findings from animal models of ...

Study identified secondary and chronic health conditions associated with self-reported emergency department (ED) visits and ED-related hospitalizations among people with traumatic spinal cord injury (SCI). Data collected from 648 adults with chronic traumatic SCI through their Form II annual follow-up within the SCI Model System, as well as self-reported ED ...

Study evaluated the perceived helpfulness of pharmacological and non-pharmacological interventions and their combinations for neuropathic pain (NeuP) and subcategories of NeuP after spinal cord injury (SCI). Three hundred ninety-one individuals at least one year post traumatic SCI were recruited from six SCI Model System centers. A telephone survey was conducted ...

Study examined the rate of American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade conversion over time after complete spinal cord injury (SCI), accounting for demographic and injury characteristics. Data obtained from the SCI Model Systems database were grouped into 3-year intervals, and trends in AIS grade conversion over time ...

Study investigated the frequency and types of wheelchair repairs and associated adverse consequences among people with spinal cord injury (SCI). Individuals who received care at 9 SCI Model Systems Centers and who use a wheelchair more than 40 hours each week were surveyed. Survey questions addressed the number of repairs ...

Study tested the safety and treatment effect of an ultrasound-guided platelet-rich plasma (PRP) injection for shoulder pain in wheelchair users with spinal cord injury (SCI). Six wheelchair users (3 paraplegia, 3 tetraplegia) who had chronic shoulder pain due to rotator cuff disease received ultrasound-guided PRP injection into pathological shoulder tendons, ...

Study explored changing healthcare needs of individuals aging with spinal cord injury (SCI) and their caregivers and identified the environmental supports and barriers to achieving long-term health and treatment outcomes. Inclusion criteria were age greater than 60 years old and 5 years post SCI. Between October 2014 and January 2016, ...

The International Standards for Neurologic Classification of Spinal Cord Injury (ISNCSCI) are the most widely used classification system in spinal cord injury medicine. The purpose of the ISNCSCI is to ensure accurate and consistent communication among patients, clinicians, and researchers. Since its first publication in 1982, the ISNCSCI has continued ...

Study examined the process of adapting an evidence-based patient engagement intervention, enhanced medical rehabilitation (E-MR), for inpatient spinal cord injury/disease (SCI/D) rehabilitation using an implementation science framework. The collaborative intervention planning framework was applied and included a community advisory board (CAB) in an intervention mapping process. Seven stakeholders from inpatient ...

Study examined the use of complementary and integrative healthcare (CIH) by people with spinal cord injury (SCI). Data were obtained from 411 people enrolled in five SCI Model Systems (SCIMS) centers across the United States who completed their SCIMS follow-up interview between January 2017 and July 2019. Participants completed a ...