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Breaking the bad news in terms of prognosis for significant motor recovery following a neurologically complete spinal cord injury (SCI) is one of the most difficult tasks for the spinal cord medicine specialist. Learning the skills to facilitate this communication is extremely important to better assist patients to understand ...

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Repair of the injured spinal cord by regeneration therapy remains an elusive goal. In contrast, progress in medical care and rehabilitation has resulted in improved health and function of persons with spinal cord injury (SCI). In the absence of a cure, raising the level of achievable function in mobility ...

BACKGROUND/OBJECTIVES: To examine the reliability, validity, sensitivity, and practicality of various outcome measures for pain after spinal cord injury (SCI), and to provide recommendations for specific measures for use in clinical trials. DATA SOURCES: Relevant articles were obtained through a search of MEDLINE, EMBASE, CINAHL, and PubMed databases from ...

This article summarizes the research and health policy recommendations developed by participants at the symposium "State-of-the-Science on Post-Acute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy," held in February 2007. A diverse group of participants represented federal government agencies, private insurers, professional ...

Pain following spinal cord injury (SCI) has been well described in the literature over the years, but both SCI pain research and clinical care have been hampered by the lack of a uniform method for assessing pain. There have been a large number of proposed classification systems published, but ...

The authors identified perceived barriers to employment in 1998 among 343 unemployed participants with spinal cord injury and correlated these data with employment status 5 years later. Actively looking for work was associated with the greatest likelihood of employment. Health factors, not disincentives or resources, were the primary barriers ...

BACKGROUND/OBJECTIVE: To determine factors associated with falls among a sample of ambulatory individuals with incomplete spinal cord injury (SCI). STUDY DESIGN: Cross-sectional mail survey. METHODS: A survey instrument of participant characteristics and fall-related variables was developed using relevant items from existing measures and was mailed to 221 individuals with ...

BACKGROUND: Recent advancements in microsurgery allow the free tissue transfer for reconstruction of soft-tissue defects on the plantar surface of the foot. Fasciocutaneous flaps are one available option to the reconstructive surgeon. However, their functional weight-bearing capabilities have never been adequately evaluated. This study investigated the dynamic loading performance ...

Method: To answer the question of what people with spinal cord injury (SCI) can likely expect in terms of quality of life (QOL) and health as they approach the end of life, longitudinal data from the Spinal Cord Injury Model Systems Collaborative Aging Study were examined. Result: Over the ...

Purpose/Objective: To test a mediational model that hypothesizes pain interference mediates the relationship between ambulatory status and depressive symptoms among participants with traumatic spinal cord injury (SCI). Research Method/Design: Responses to the Brief Pain Index (pain interference) and the Older Adult Health and Mood Questionnaire (depressive symptoms) were obtained ...

Objectives: The purpose of this study was to compare pain interference scores as a function of dependence in ambulation, as defined by need of assistance from another person, and to identify the association of pain interference with aging parameters (current age, years since injury). Method: Secondary analysis of existing ...

The purpose of this study was to identify self-reported problems among people with spinal cord injury (SCI), their relationship with aging after SCI, and how they change over time. Data on self-reported problems were collected during the second and third stages of a longitudinal aging study. Factor analysis of ...

Purpose. This study describes the prevalence of probable major depressive disorder (MDD) as well as other depressive disorders (ODD) and severity of depressive symptoms in a national sample of women with spinal cord injury (SCI) and compares them with a case-matched sample of men with SCI. Methods. A sample ...

STUDY DESIGN: Direct observation of a constrained consensus-building process in three culturally independent five-person panels of rehabilitation professionals from the US, Italy and Canada. OBJECTIVES: To illustrate cultural differences in belief among rehabilitation professionals about the relative importance of alternative functional goals during spinal cord injury (SCI) rehabilitation. SETTING: ...

Objective: To examine the relationship between adult attachment style and physical disability in intimate romantic relationships. Method: Participants were 50 individuals with adult-onset spinal cord injuries (SCI) and 50 individuals with congenital disabilities (CON) living in the community. The main outcome measures were adult attachment style and dyadic relationship ...

Abstract—With about 2.2 million Americans currently using wheeled mobility devices, wheelchairs are frequently provided to people with impaired mobility to provide accessibility to the community. Individuals with spinal cord injuries, arthritis, balance disorders, and other conditions or diseases are typical users of wheelchairs. However, secondary injuries and wheelchair-related accidents ...

Purpose. Few studies have considered the impact of masculine role variables on outcome and adjustment to SCI among men. The present study examined the relations among SCI, views of masculinity, psychological adjustment, and rehabilitation outcomes among men with SCI. Method. The sample included 20 men with SCI receiving inpatient ...

Abstract not available