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Presents commentary on the evolving ethics of rehabilitation care, moving toward a philosophy that sees its goals as removing barriers to independent living and facilitating community integration. Article discusses methods to promote client autonomy and states that more research is needed to determine the best time to present information ...

Study to determine Rey Auditory Verbal Learning Test (AVLT) normative data for persons with recent-onset spinal cord injury (SCI). Participants were 184 persons (133 males and 51 females) with recent-onset SCI, who were assessed with the Rey AVLT during inpatient rehabilitation. Results show general trends toward decreased recall with increasing ...

Article reviewing research on medical treatment (including drug therapies) intended to improve neurological function in acute and chronic spinal cord injury (SCI). Acute therapies discussed include the drugs methylprednisolone, gangliosides, and tirilazad mesylate. Chronic therapies discussed include nerve growth factors and tissue implantation (peripheral nerve implants and fetal neuronal ...

Article discusses the neurorehabilitation management of injuries to the spinal cord resulting from lightning and electrical trauma. Knowledge of the various neurological presentations and the potential for associated trauma to the nervous system, skin, musculoskeletal system, and cardiovascular system should guide the clinical assessment and treatment approach. ...

Article presents a brief history of the Model Spinal Cord Injury Systems (MSCIS) program and highlights findings from the research articles included in this journal issue. In the current 5-year grant cycle, 2000 to 2005, there are 16 regional MSCIS centers. In addition to establishing a comprehensive system of ...

Semi-structured interviews were conducted with 24 women with spinal cord injury (SCI) to better understand their experiences and concerns related to inpatient sexual rehabilitation. Topics included the amount and type of inpatient sexual education and counseling experiences, sexual concerns after injury, and suggestions regarding sexual rehabilitation approaches and activities. ...

Interviews were conducted with 24 women with spinal cord injury to investigate how women with SCI experience their sexuality. A conceptual model of sexual domains was proposed based on content analysis of the narratives. The proposed domains are: (1) self- versus other focus, (2) genital versus whole-body focus, (3) ...

Brief report is presented to increase awareness of occult maxillary sinusitis as a potential cause of fever in recently injured patients with tetraplegia. Two cases are reported of patients with tetraplegic spinal cord injury who presented with fever of unknown origin. Common caused of fever in tetraplegia include urinary ...

Textbook designed for physicians, research scientists, and other health care professionals involved in the management of individuals with spinal cord injury (SCI) multiple sclerosis, and other spinal cord disorders. Begins with a review of the history of spinal cord medicine, anatomy and physiology, spinal cord imaging, epidemiology, and functional ...

Study evaluating risk factors for respiratory morbidity in adults with spinal cord injury (SCI). Data are from convention spirometric testing of pulmonary function in 222 adults with SCI of less than 1 year duration, not using mechanical respiration, including 98 with quadriplegia and 124 with paraplegia. Results indicate that ...

Study examined the relationship between measures of forced vital capacity and the risk for developing obstructive lung dysfunction in patients with spinal cord injury (SCI). Lung function data from patients at the Bronx Veterans Affairs Medical Center in New York (NY) and the Rancho Los Amigos National Rehabilitation Center ...

Study examined the impact of a-blockers on the upper urinary tracts in men with spinal cord injury (SCI) who used reflex voiding for bladder management. Part 1 of the study evaluated the effectiveness of a1-blockers on upper tract stasis. Part 2 of the study evaluated the effectiveness of a1-blockers ...

Chapter from a symposium on children with spinal cord injuries (SCI), focusing on use with children of the halo, an external skeletal fixation device intended for immobilization of the cervical spine. Discusses the implications of differences in physiology and biomechanics between children and adults; techniques of application; and results, ...

Chapter from a symposium on children with spinal cord injuries (SCI), focusing on diagnostic imaging of the cervical spine. Discusses indications for radiographs and computerized tomography (CT), then describes normal and abnormal radiographic anatomy for children with regard to atlanto-occipital and atlanto-dens interval (ADI), pseudosubluxation and pseudostability, cervical spine ...

Study describes the types and distribution of cervical spine injuries in elderly patients over a 5-year period. For each patient, initial admission imaging studies were reviewed and injuries were classified. Mechanism of injury (falling from a standing or seated height versus higher energy mechanism) and initial clinical and neurological ...

Study compares injured adolescents presenting to an emergency room with a positive serum alcohol concentration (SAC+) with those injured adolescents with a negative serum alcohol concentration (SAC-). Retrospective data was used from 176 injured patients (ages 13-18), who were admitted consecutively to a university hospital for two entire years ...

Prospective cohort study seeks to determine the prevalence of current alcohol abuse/alcohol dependence (AA/AD) among the full injury range of emergency department (ED), motor vehicle crash (MVC) patients, and in addition, compares AA/AD and non-AA/AD patient characteristics. From 1,161 patients studied, the weighted prevalence of current AA/AD was 22.5%; ...

Retrospective cohort study examines the accuracy of prehospital emergency care providers (PHECPs) in identifying motor vehicle crash victims who had positive serum alcohol concentrations. Data gathered included ambulance report forms and hospital records. Variables that were abstracted included the Revised Trauma Score (RTS), the PHECPs' impression of alcohol use, ...

Reports a study that evaluated the electromyographic (EMG) activity in a voluntary kinetic closed chain elbow extension of individuals with C6 motor level spinal cord injuries. Subjects were from a regional spinal cord injury center and had a C6 motor level on the right side. A total of six ...

Presents guidelines for assessing the neurological status of patients with spinal cord injury (SCI), as well as a standard approach to using such data for classifying and quantifying the injury. The goal is that both the measurement technique and the use of the resulting data, clinically and in research, ...