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Study examining factors contributing to secondary conditions in adults with spinal cord injury (SCI). Hierarchical multiple regression analysis was used with data collected from 117 individuals with predominantly high level SCI. Two independent predictors of a greater number of secondary conditions were identified: more difficulty with instrumental activities of ...

Researchers, focusing on quality of life issues, offered continent urinary diversion using an umbilical stoma to three women with quadriplegia who required cystectomy for end-stage neurogenic vesical dysfunction complicated by urethra destruction following chronic indwelling catheterization. All three subjects were opposed to having an incontinent abdominal urinary stoma. All ...

This study compares serum levels of vitamins A, C, and E among individuals with spinal cord injury (SCI) to those levels normally found in the general population and describes their association with demographic and injury-related data, health status, nutritional behaviors, and occurrence of pressure ulcers. A significant number of ...

Article describes the epidemiology of spinal cord injury (SCI) in children and discusses new surgical and rehabilitation techniques for select aspects of pediatric SCI care. Some of the outcomes of adults with childhood-onset SCI are discussed, the estimated lifetime costs of SCI in children are presented, and the priorities for ...

The demographic profiles of patients receiving inpatient physiatric consultations at a major teaching hospital over a 33-month period were analyzed. A comparison was also made between alternate methods of delivering physiatric consultation. During the study period, a change was made in the service delivery process for providing consultations. During ...

Study compared the effects of circuit resistance training (CRT) on a multistation isointertial exercise system (MultiGym) or on a customized system of resistance bands (ElasticGym) by persons with paraplegia. No significant effects of test condition were observed on acute metabolic response or heart rate. Average rating of perceived exertion ...

Study describes the incidence, etiology, location of fracture, treatment, and health care utilization of fall-related fracture in patients with spinal cord impairments (SCI). A retrospective review of 45 patients with SCI who sustained fractures, nonconcomitant with the onset of their initial injury, was completed at a Veterans Health Administration ...

Chapter from a book on pulmonary rehabilitation, focusing on habilitation of children with chronic pulmonary failure. Topics include: causes of pulmonary failure in children; making the decision for home ventilation; goals of home mechanical ventilation; long-term ventilation in children; facilitating oral communication in children using trach positive-pressure ventilation; habilitation ...

Prospective data collection and retrospective chart reviews were conducted to examine the physical outcomes and quality of life (QOL) for children with spinal cord injury (SCI) and long-term mechanical ventilation. Of the 49 children, 25 were alive, 16 died following initial hospital discharge, and 8 were lost to follow-up. ...

Chapter from a symposium on children with spinal cord injuries (SCI), focusing on high tetraplegia (injury at a neurological level of C4 and above). Discusses issues related to ventilation, communication, assistive technology (AT) and equipment, therapy, seating and positioning, and transportation. ...

Article proposing a culturally inclusive ecological model of spinal cord injury (SCI) adaptation. The model is intended to integrate and extend existing literature in order to examine racial/ethnic and other factors leading to differential psychosocial outcomes.

Article discusses issues relevant to rehabilitation providers who want to develop or improve their cultural competence in their practice and service delivery. Two case scenarios illustrate complex issues presented by increasing numbers of minority patients in medical rehabilitation. Professional codes of conduct and current practices regarding diversity education are ...

Article on orthostatic hypotension (symptomatic low blood pressure upon standing) in persons with spinal cord injury (SCI). The article first describes the treatment of a patient with orthostatic hypotension after SCI, then discusses aspects of the condition in the context of a review of the relevant medical literature. Aspects ...

Study of trends in demographics and injury characteristics of persons with spinal cord injury (SCI). Data are from a consecutive case series of 25,054 persons admitted to Model SCI Care Systems around the United States between 1973 and 1998. Changes and continuities during this period are noted regarding age ...

Study investigated to determine which cervical positions during normal range of motion might place the neural tissues of the spine at increased risk of injury. The authors instrumented 17 human cadaver spines with specially designed intervertebral foramen occlusion transducers and a spinal canal occlusion transducer. The specimens were loaded ...

Case report describes a patient with transverse myelitis associated with coexistent Lyme disease and babesiosis. Transverse myelitis is a demyelinating (loss of the fatty tissue around the nerves) disorder of the spinal cord. Babesiosis is a rare, severe, and sometimes fatal tick-borne disease caused by Babesia microti, a microscopic ...

Presents part of a chapter on rehabilitation in joint and connective tissue diseases in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Discusses ankylosing spondylitis and spinal stenosis, including differential features, diagnostic strategy, rehabilitation management, spinal complications of ankylosing spondylitis, and pathophysiology of ...

Article presenting the fundamentals of rough set theory in a non-technical manner, and outlining how it can be used for data mining and knowledge discovery in databases. An example is given of the use of rough set theory to mine a spinal cord injury (SCI) database to extract rules ...

Paper describes a framework to transfer and/or deliver wheelchair technology to developing countries. The framework is based on a literature review conducted by the authors, their personal experiences with wheelchair technology transfer to developing countries, and their combined expertise in the areas of service delivery, manufacturing, engineering, and assistive technology. ...

Article about the use of mechanical respirators to deliver respiratory assistance via a tracheostomy to persons with high tetraplegia. It focuses on the efficacy of high-volume respiration for clearing atelectasis and on speeding the ventilator weaning process. The authors present and discuss a theoretical rationale for the Rocky Mountain ...