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Study explored the roles fulfilled by peer health coaches (PHCs) with spinal cord injury (SCI) during a randomized controlled trial called My Care My Call, a novel telephone-based, peer-led self-management intervention for adults with chronic SCI. The intervention consisted of 8 weekly calls, 4 bi-weekly calls, and 2 monthly ...

Study identified behaviors associated with the management of neurogenic bowel and bladder among individuals with chronic spinal cord injury (SCI) and explored whether relationships exist between the performance of those behaviors and outcomes related to health and quality of life (QOL). A survey developed to collect self-report information about ...

Study identified predictors of shoulder joint pain in people with paraplegia who used a manual wheelchair for at least 50 percent of their mobility and were asymptomatic for shoulder pain at study entry. Participants were classi?ed as having developed shoulder pain if they experienced an increase of 10 points ...

Study evaluated a home-based strategy for diagnosing sleep-disordered breathing and nocturnal hypercapnia in individuals with spinal cord injury (SCI). A total of 81 adults with C1-T6 SCI underwent an unsupervised home sleep apnea test combined with transcutaneous partial pressure of carbon dioxide/oxygen saturation by pulse oximetry monitoring. The main ...

Article provides a brief review of the Spinal Cord Injury Model Systems (SCIMS) program throughout its history, to facilitate a better understanding and interpretation of the data presented in SCIMS research publications, including the articles published in this special journal issue. The SCIMS centers have provided continuous, comprehensive multidisciplinary ...

Study investigated whether spinal cord injury-induced immune deficiency syndrome (SCI-IDS) may account for the enhanced infection susceptibility based on spinal cord injury (SCI) lesion level. Pneumonia is the leading cause of death after acute SCI and is associated with poor neurological outcome. Researchers applied a clinically relevant model of ...

Article discusses the hospital-wide changes implemented to eliminate opioid overuse and reduce polypharmacy in spinal cord injury (SCI) inpatients at Rancho Los Amigos National Rehabilitation Center (RLANRC). An interdisciplinary ad hoc committee of clinicians was assembled to ensure the safety of patients, educate patients and providers to the danger ...

Study demonstrated the feasibility of a device for monitoring pressure relief maneuvers and physical activity for wheelchair users. The device counts the number of wheel pushes based on wheelchair acceleration and measures pressure relief maneuvers using a seat sensor consisting of three force sensing resistors. To establish the feasibility ...

Study examined the relationship between metabolic syndrome (MetS) and pressure ulcers (PrU), after controlling for demographic and injury characteristics, socioeconomic factors, health behaviors and fatigue among 350 participants with spinal cord injury (SCI). Blood tests and physical examination were performed. Waist circumference, high-density cholesterol, triglycerides, blood pressure and fasting ...

Study examined the relationship between the type of mobility devices used and social participation in wheelchairs users who have spinal cord injuries (SCI). It was hypothesized that using wheelchairs with external power and driving a modified vehicle (MV), with or without driving in a wheelchair, facilitates social participation for ...

Study assessed sacral interface pressure and sensing area in healthy volunteers on a spine board and the effects of a gel pressure dispersion liner. Sacral pressure ulcers are a significant problem following spinal cord injury and are felt to be in part due to the high interface pressures generated ...

Study used musculoskeletal modeling and forward dynamics simulations to investigate the influence of the hand pattern used during manual wheelchair propulsion on specific measures of upper-extremity muscle demand. The hand pattern (i.e., full-cycle hand path) used during manual wheelchair propulsion is frequently classified as one of four distinct hand ...

Article describes the development of the International Spinal Cord Injury Pain Extended Data Set (ISCIPEDS) to guide the assessment and treatment of pain after spinal cord injury (SCI). Members of the interdisciplinary working group recommended four assessment domains for the ISCIPEDS: (1) pain symptoms, including variables related to pain type, ...

Article describes the main conceptual frameworks that have been used in analyzing disparities in healthcare access and quality and evaluates those frameworks in the context of healthcare for individuals with disabilities. The specific models examined include: the Aday and Anderson Model, the Grossman Utility Model, the Institute of Medicine ...

Study examined the level of severity and impact on quality of life of bowel dysfunction in people with neurogenic bladder, identified patient variables that correlate with worse bowel symptoms, and investigated whether the severity of bowel dysfunction correlates with the severity of bladder dysfunction. Of the 175 patients evaluated, ...

Study presents yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower-extremity fracture, lower-extremity joint replacement, traumatic spinal cord injury (SCI), or debility. Data were obtained from more than 300 inpatient rehabilitation ...

This study was conducted to describe individual-level temporal change in life satisfaction after spinal cord injury (SCI) using individual growth curve (IGC) analysis of prospectively collected data from the National Spinal Cord Injury Database (NSCID). IGC methodology allows researchers and clinicians to anticipate patient-specific trajectories through use of an ...

Study examined whether transcranial direct current stimulation (tDCS) reduces both acute pain perception and the resultant cardiovascular responses and if it impacts basal hemodynamics. Data were acquired on 15 healthy subjects at rest and in response to three cold pressor tests: 0, 7, and 14 degrees centigrade. Subsequently, single ...