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The United States is undergoing a transformative shift in the demographic composition of adults. Indeed, there is an emergent and staggering rate of growth in the percentage of adults aged 65 years or older and this has been termed the Graying of America. The proportion of the population aged ...

Study design: This study used qualitative analysis of focus group discussions. Objective: The primary objective was to select functional activities to include in an item pool, which is the first step in developing a spinal cord injury computer adaptive test (SCI-CAT). Setting: This multisite study was conducted at six ...

The objective of this article was to identify the relationship between race-ethnicity and employment after spinal cord injury (SCI), while evaluating interrelationships with gender, injury severity, and education. The authors used a cohort design using the most current status from a post-injury interview from the National SCI Statistical Center. ...

Objective: To demonstrate the inter-/intrarater reliability of the Walking Index for Spinal Cord Injury version 2 scale and the repeatability of the time to walk 10 m in chronic subjects. Design: In this reliability study, 26 subjects from the United States and Italy with spinal cord injury/disorder were tested ...

Objective: To test the hypotheses that hydrophilic catheters reduce the incidence of symptomatic urinary tract infections (UTIs) in persons with spinal cord injury on self-intermittent catheterization (IC). Design: Randomized controlled trial.Setting: Community. Participants: Subjects (N=56) on IC with recurrent UTIs and who met eligibility cIitelia. Intervention: Use of hydrophilic catheters ...

Objective: To evaluate a theoretical model for mortality after spinal cord injury (SCI) by sequentially analyzing 4 sets of risk factors in relation to mortality (ie, adding 1 set of factorsto the regression equation at a time) Design: Prospective cohort study of data collected in late 1997 and early ...

OBJECTIVES: To investigate the frequency of repairs that occurred in a 6-month period and the consequences of breakdowns on wheelchair users living with spinal cord injuries (SCIs), and to determine whether certain wheelchair and subject characteristics are associated with an increased number of repairs and adverse consequences. DESIGN: Convenience ...

Background: In individuals with motor incomplete spinal cord injury (SCI), ambulatory function determined in the clinical setting is related to specific measures of body structure and function and activity limitations, although few studies have quantified the relationship of these variables with daily stepping (steps/day). Objective: The aim of this ...

For rehabilitation and disability research, participation and environment are 2 crucial constlUcts that have been placed center stage by the International Classification of Functioning. Disability and Health (ICF). However, neither construct is adequately conceptualized by the ICF, and both are difficult to measure. This article addresses conceptual and methodologIc ...

Objective: To examine menopause transition characteristics and symptom bother in women with spinal cord injury (SCI). Design: Prospective cohort (4 data collection periods across 4 years). Setting: Community. Participants: Women (n 62) with SCI (injury levels C6–T12, nonambulatory, 36mo postinjury; 86.1% retention) and women without SCI (n 66; 92.9% retention) ...

The need to determine the beneficial effect of the treatment of spinal cord injury (SCI) requires clearly defined standardized measures of the severity of injury and how well the the function is restored. Improved neurological recovery should be linked to increased capacity to perform tasks such as walking, reaching ...

Study design:Single-blind randomized controlled trial of 6 months' duration.Objectives:To evaluate the efficacy of a novel telehealth intervention, 'CareCall', on reducing pressure ulcers and depression and enhancing the use of appropriate health care.Setting:General community, Massachusetts and Connecticut, United StatesMethods:'CareCall' is an automated, interactive voice response system that combines patient education, ...

OBJECTIVES: To describe the calibration of the Spinal Cord Injury-Functional Index (SCI-FI) and report on the initial psychometric evaluation of the SCI-FI scales in each content domain. DESIGN: Cross-sectional survey followed by calibration data simulations. SETTING: Inpatient and community settings. PARTICIPANTS: A sample of participants (N=855) with traumatic spinal ...

Study analyzed the specific causes of spinal cord injury (SCI) by age, sex, race, ethnicity, day and month of injury, and neurologic outcomes, using data from the National SCI Database and the National Shriners SCI Database. A total of 7,834 participants who had a traumatic SCI from 2005 to ...

Study examined the effects of the type and quantity of physical therapy (PT) interventions delivered during inpatient spinal cord injury (SCI) rehabilitation and patient characteristics on outcomes at the time of discharge and at 1 year post-injury. Physical therapists delivering routine care documented details of PT interventions provided. Regression ...

This article, based on the keynote address at the 5th National Spinal Cord Injury Conference in Toronto, addresses methods to neurophysiologically characterize patients after spinal cord injury and proposes how those methods could be used to individualize therapeutic interventions and monitor their efficacy over the course of neurorehabilitation. ...

Article reviews the literature on methods for the restoration of the neuromuscular lower-limb functions. One consequence of central nervous system injury or disease is the impairment of neural control of movement, resulting in spasticity and paralysis. To enhance recovery, restorative neurology procedures modify altered, yet preserved nervous system function. ...

Study investigated the extent to which manually assisted locomotor training (LT) with body weight supported treadmill stepping can change respiratory function in individuals with chronic spinal cord injury (SCI). Surface electromyographic (sEMG) measures of respiratory muscles activity during respiratory tasks were obtained from 8 individuals with chronic SCI before ...

Study evaluated three sets of risk and protective factors in relation to mortality after spinal cord injury (SCI): basic demographic and injury severity variables, socio-environmental factors, and health and secondary conditions. Assessment of these variables enhances the ability to identify individuals at risk for excess mortality. A total of ...

Study examined the relationship between participation in organized sports programs and employment in 149 adults with chronic spinal cord injury (SCI). Motor level and completeness of injury were confirmed by physical examination. Information related to demographics, employment, level of education, body mass index, duration of injury, participation in individually ...