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The purpose of this study is to review and compare empirical evidence for loneliness in people with spinal cord injuries and disorders (SCI/D) with a general population sample.

Introduction: Spinal Cord Injury is a devastating neurological and pathological condition that causes significant sensory, motor, and autonomic dysfunctions. Depending on the cause of the injury, it can be divided into traumatic and non-traumatic. Spinal cord injuries, dramatically, affect the life of patients, with obvious financial and social consequences, not only to themselves, but also to the community. Rehabilitation involves multiple interventions aimed at optimizing functionality and reducing disability. The term of rehabilitation refers to the contribution of an interdisciplinary team consisting of Physicians, Neurologists, Nurses, Physiotherapists, Occupational Therapists, Psychologists, Social Workers, Speech and Language therapists, with the purpose of preventing and promoting the health of the patient. Objective: To investigate the role of rehabilitation in traumatic and non-traumatic spinal cord injuries. Methods: The collection of scientific articles was carried out in the databases PubMed, Pedro, Cochrane, Scopus, Physiopedia. Main criteria for the selection of articles were randomized controlled trials, scoring on the Pedro scale ≥5/10 and publication within 10 years. Studies reporting on patients younger than 18 years old , patients with comorbidities and studies that were not in English Language were excluded. Key words: Spinal Cord Injury, Traumatic, Non-traumatic, Rehabilitation, Interdisciplinary Team, Physiotherapy, Nursing, Occupational Therapy, Psychology, Physician, Speech and Language Therapy, Social Workers.

Introduction: Spinal Cord Injury is a devastating neurological and pathological condition that causes significant sensory, motor, and autonomic dysfunctions. Depending on the cause of the injury, it can be divided into traumatic and non-traumatic. Spinal cord injuries, dramatically, affect the life of patients, with obvious financial and social consequences, not only to themselves, but also to the community. Rehabilitation involves multiple interventions aimed at optimizing functionality and reducing disability. The term of rehabilitation refers to the contribution of an interdisciplinary team consisting of Physicians, Neurologists, Nurses, Physiotherapists, Occupational Therapists, Psychologists, Social Workers, Speech and Language therapists, with the purpose of preventing and promoting the health of the patient. Objective: To investigate the role of rehabilitation in traumatic and non-traumatic spinal cord injuries. Methods: The collection of scientific articles was carried out in the databases PubMed, Pedro, Cochrane, Scopus, Physiopedia. Main criteria for the selection of articles were randomized controlled trials, scoring on the Pedro scale ≥5/10 and publication within 10 years. Studies reporting on patients younger than 18 years old , patients with comorbidities and studies that were not in English Language were excluded. Key words: Spinal Cord Injury, Traumatic, Non-traumatic, Rehabilitation, Interdisciplinary Team, Physiotherapy, Nursing, Occupational Therapy, Psychology, Physician, Speech and Language Therapy, Social Workers.

Introduction: Spinal Cord Injury is a devastating neurological and pathological condition that causes significant sensory, motor, and autonomic dysfunctions. Depending on the cause of the injury, it can be divided into traumatic and non-traumatic. Spinal cord injuries, dramatically, affect the life of patients, with obvious financial and social consequences, not only to themselves, but also to the community. Rehabilitation involves multiple interventions aimed at optimizing functionality and reducing disability. The term of rehabilitation refers to the contribution of an interdisciplinary team consisting of Physicians, Neurologists, Nurses, Physiotherapists, Occupational Therapists, Psychologists, Social Workers, Speech and Language therapists, with the purpose of preventing and promoting the health of the patient. Objective: To investigate the role of rehabilitation in traumatic and non-traumatic spinal cord injuries. Methods: The collection of scientific articles was carried out in the databases PubMed, Pedro, Cochrane, Scopus, Physiopedia. Main criteria for the selection of articles were randomized controlled trials, scoring on the Pedro scale ≥5/10 and publication within 10 years. Studies reporting on patients younger than 18 years old , patients with comorbidities and studies that were not in English Language were excluded. Key words: Spinal Cord Injury, Traumatic, Non-traumatic, Rehabilitation, Interdisciplinary Team, Physiotherapy, Nursing, Occupational Therapy, Psychology, Physician, Speech and Language Therapy, Social Workers.

Introduction: Spinal Cord Injury is a devastating neurological and pathological condition that causes significant sensory, motor, and autonomic dysfunctions. Depending on the cause of the injury, it can be divided into traumatic and non-traumatic. Spinal cord injuries, dramatically, affect the life of patients, with obvious financial and social consequences, not only to themselves, but also to the community. Rehabilitation involves multiple interventions aimed at optimizing functionality and reducing disability. The term of rehabilitation refers to the contribution of an interdisciplinary team consisting of Physicians, Neurologists, Nurses, Physiotherapists, Occupational Therapists, Psychologists, Social Workers, Speech and Language therapists, with the purpose of preventing and promoting the health of the patient. Objective: To investigate the role of rehabilitation in traumatic and non-traumatic spinal cord injuries. Methods: The collection of scientific articles was carried out in the databases PubMed, Pedro, Cochrane, Scopus, Physiopedia. Main criteria for the selection of articles were randomized controlled trials, scoring on the Pedro scale ≥5/10 and publication within 10 years. Studies reporting on patients younger than 18 years old , patients with comorbidities and studies that were not in English Language were excluded. Key words: Spinal Cord Injury, Traumatic, Non-traumatic, Rehabilitation, Interdisciplinary Team, Physiotherapy, Nursing, Occupational Therapy, Psychology, Physician, Speech and Language Therapy, Social Workers.

Introduction: Spinal Cord Injury is a devastating neurological and pathological condition that causes significant sensory, motor, and autonomic dysfunctions. Depending on the cause of the injury, it can be divided into traumatic and non-traumatic. Spinal cord injuries, dramatically, affect the life of patients, with obvious financial and social consequences, not only to themselves, but also to the community. Rehabilitation involves multiple interventions aimed at optimizing functionality and reducing disability. The term of rehabilitation refers to the contribution of an interdisciplinary team consisting of Physicians, Neurologists, Nurses, Physiotherapists, Occupational Therapists, Psychologists, Social Workers, Speech and Language therapists, with the purpose of preventing and promoting the health of the patient. Objective: To investigate the role of rehabilitation in traumatic and non-traumatic spinal cord injuries. Methods: The collection of scientific articles was carried out in the databases PubMed, Pedro, Cochrane, Scopus, Physiopedia. Main criteria for the selection of articles were randomized controlled trials, scoring on the Pedro scale ≥5/10 and publication within 10 years. Studies reporting on patients younger than 18 years old , patients with comorbidities and studies that were not in English Language were excluded. Key words: Spinal Cord Injury, Traumatic, Non-traumatic, Rehabilitation, Interdisciplinary Team, Physiotherapy, Nursing, Occupational Therapy, Psychology, Physician, Speech and Language Therapy, Social Workers.

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Nugget Of The Day: "The next time you want to withhold your help from another, for any reason ask yourself a simple question "Does the reason for withholding this help reflect more on them or you and what do you want defining your life?" This quote leads us into our guest, Tim Kelly, who is a sports performance coach at Virginia High Performance. Tim was recommended to us by past guest Danny Foley and he didn't let us down! Today Tim dove into the importance of training overhead athletes holistically and ways to implement that into your programming. He also goes into working with and communicating with clients that have suffered spinal cord injuries. Finally Tim discusses the importance of living your life to serve! I hope you guys get alot out of this podcast! Keep Chopping Wood

Nugget Of The Day: "The next time you want to withhold your help from another, for any reason ask yourself a simple question "Does the reason for withholding this help reflect more on them or you and what do you want defining your life?" This quote leads us into our guest, Tim Kelly, who is a sports performance coach at Virginia High Performance. Tim was recommended to us by past guest Danny Foley and he didn't let us down! Today Tim dove into the importance of training overhead athletes holistically and ways to implement that into your programming. He also goes into working with and communicating with clients that have suffered spinal cord injuries. Finally Tim discusses the importance of living your life to serve! I hope you guys get alot out of this podcast! Keep Chopping Wood

The RSA joined forces with the Back-Up Trust to run a three-day residential workshop in design for eight people with spinal-cord injuries. The workshop, held from 2-4 November, aimed to rebuild participants' confidence following their injury through creative thinking and resourcefulness.

The objective of this review was to identify and summarize mobile health technologies developed for self-management in spinal cord injuries. It aims to (1) describe these resources in relation to their volume, content, features and reporting, and (2) recommend future directions for the development, evaluation and reporting of these resources.

Book Source: Digital Library of India Item 2015.553015 dc.contributor.author: Prather, George C. dc.date.accessioned: 2015-10-14T22:28:16Z dc.date.available: 2015-10-14T22:28:16Z dc.date.copyright: 1953 dc.date.digitalpublicationdate: 2011/03 dc.date.citation: 1953 dc.identifier.barcode: 99999990042134 dc.identifier.origpath: /data8/upload/0239/417 dc.identifier.copyno: 1 dc.identifier.uri: http://www.new.dli.ernet.in/handle/2015/553015 dc.description.scannerno: Banasthali University dc.description.scanningcentre: Banasthali University dc.description.main: 1 dc.description.tagged: 0 dc.description.totalpages: 460 dc.format.mimetype: application/pdf dc.language.iso: Sanskrit dc.publisher.digitalrepublisher: Digital Library of India dc.publisher: U. S. A., Charles C Thomas dc.rights: Copyright permitted dc.source.library: Dr. Robert Heiling Library, S.m.s.medical College, Jaipur dc.subject.classification: Medical dc.title: Injuries Of The Spinal Cord dc.type: Print - Paper dc.type: Book

Bibliographical footnotes

TGH Spinal Cord Injuries PPT - Talk by Bonnie ARNP August 9 2011 - 49 min

A measure of mobility for spinal cord injured persons is introduced that is very useful in determining patient recovery. The index is utilized to obtain a prediction equation for motor skills one year after injury. Important predictor variables identified include sex, rectal status, total reflexes, two treatment combinations, motor and sensory neurologic history since injury, neurologic status, and initial mobility score. Interpretations are made to explain the meaning of the contributions of these variables and show the usefulness of the prediction equation. Insight is given for better understanding the recovery ability of spinal cord injured patients.

Book Source: Digital Library of India Item 2015.550414 dc.contributor.author: Prather, George C. dc.date.accessioned: 2015-10-14T21:42:43Z dc.date.available: 2015-10-14T21:42:43Z dc.date.copyright: 1953 dc.date.digitalpublicationdate: 2011/03 dc.date.citation: 1953 dc.identifier.barcode: 04990010031222 dc.identifier.origpath: /data8/upload/0228/504 dc.identifier.copyno: 1 dc.identifier.uri: http://www.new.dli.ernet.in/handle/2015/550414 dc.description.scannerno: Banasthali University dc.description.scanningcentre: C-DAK, Kolkata dc.description.main: 1 dc.description.tagged: 0 dc.description.totalpages: 460 dc.format.mimetype: application/pdf dc.language.iso: Sanskrit dc.publisher.digitalrepublisher: Digital Library of India dc.publisher: U. S. A., Charles C Thomas dc.rights: Copyright permitted dc.source.library: Dr. Robert Heiling Library, S.m.s.medical College, Jaipur dc.subject.classification: Medical dc.title: Injuries Of The Spinal Cord dc.type: Print - Paper dc.type: Book

This research conduct a rapid synthesis of meta-analysis that examine stem cell treatment for individuals diagnosed with spinal cord injuries.

This research conduct a rapid synthesis of meta-analysis that examine stem cell treatment for individuals diagnosed with spinal cord injuries.

This research conduct a rapid synthesis of meta-analysis that examine stem cell treatment for individuals diagnosed with spinal cord injuries.

This research conduct a rapid synthesis of meta-analysis that examine stem cell treatment for individuals diagnosed with spinal cord injuries.

This article is from Journal of Injury and Violence Research , volume 4 . Abstract Background:: Nowadays, the quality of life is considered among important and applied topics in various human studies, especially in the case of disabled groups.The objective of the present study is to investigate the quality of life in disabled people with spinal cord injuries who were member of Spinal Cord Injuries (SCI) institute of Tehran. Methods:: For this purpose, 86 persons of SCI members were selected by simple random sampling method. Data were collected by a self-administered questionnaire. The questions emphasized on the self-perception of individuals on the quality of life.The questionnaire used in this study was adapted from Lancashire and Wisconsin questionnaires in which the social-cultural aspects of Iranian people have been considered. The questionnaire consisted of two parts. The first part included 5 questions on demographic data including age, gender, lesion characteristics such as type and duration of injury. The second part consisted on questions related to the 11-fold dimensions of the quality of life (including employment, education, recreation, economic status, housing, daily living activities, family relationships, social relationships, physical health, mental well-being, self-concept, independence the environment). Results:: The results of the present study showed that 73.3% of patients with spinal cord injury assessed their quality of life as moderate and good with almost same percentage. The examination of 11-fold dimensions of the quality of life showed that the mean score of the quality of life of the studied group in the social relations was higher than the score obtained in the other dimensions (3.67 of 5 points). However, in the case of married individuals, the mean score of the quality of life in the family relationship was higher than this value (3.95 of 5 points).The examination of the relationship between the quality of life and age, gender, cause, type and duration of the lesion showed that the quality of life in women with spinal cord injury was superior than men (p less than 0.01). The mean score of the quality of life for women and men was 3.3 and 2.9 of 5 points, respectively. However, no significant relationship was found between the quality of life and age, cause of injury, type of injury and duration of injury. Conclusions:: The results indicate this fact that a high percentage of cases expressed the level of their life quality as moderate and good which is very close to the quality of life reported in individuals with spinal cord injury in other parts of the world. Keywords:: Quality of life, Spinal cord injury, Disable groups, Self administered questionnaire

Includes bibliographical references and indexes

Book digitized by Google from the library of Harvard University and uploaded to the Internet Archive by user tpb.

This project investigates the effects of robotic-assisted gait training on gait function, balance, and endurance in individuals with chronic partial spinal cord injury (AIS grades B, C, and D). A randomized controlled trial (RCT) design was employed to compare conventional rehabilitation with two training intensities using the Lokomat system. The study includes pre- and post-intervention assessments using standardized tests (10MWT, 6MWT, TUG, WISCI II, LEMS, stabilometry) and stratified subgroup analysis based on neurological status. Data collection, preprocessing, and statistical analysis (repeated-measures ANOVA) followed pre-registered methods. The study aims to guide rehabilitation protocol personalization for athletes and patients with SCI.

This article is from Annals of Rehabilitation Medicine , volume 36 . Abstract Objective: To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method: We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography. Results: The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion: The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.

This article is from Annals of Rehabilitation Medicine , volume 36 . Abstract Objective: To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method: We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography. Results: The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion: The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.

This article is from Annals of Rehabilitation Medicine , volume 36 . Abstract Objective: To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method: We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography. Results: The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion: The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.

This article is from Annals of Rehabilitation Medicine , volume 36 . Abstract Objective: To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method: We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography. Results: The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion: The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.

The aim of the present scoping review of the literature is to highlight the available evidence regarding the use of inertial measurement units (IMUs) in the post-injury period and rehabilitation process of patients with traumatic spinal cord injuries.

This paper is in the public domain in USA. Metadata comes from the CrossRef API, see full record in the source URL below.

This paper is in the public domain in USA. Metadata comes from the CrossRef API, see full record in the source URL below.

Educational material created by the Spinal Injuries Unit at the Royal North Shore Hospital, Sydney, in 1985. Produced by John Yeo, Director of the Unit. Archived here with permission from John Yeo.  CC BY 4.0

This paper is in the public domain in USA. Metadata comes from the CrossRef API, see full record in the source URL below.

This paper is in the public domain in USA. Metadata comes from the CrossRef API, see full record in the source URL below.

Tonight's Health Headline:Spinal Cord Injury, the damage goes beyond just walking, Maureen talks about the other, not often talked about ramifications behind a spinal cord injury.Nursetalk:Hold it! Before you buy more tech toys for the kids, Does your child have a digital addiction? We chatted with Jesse Miller with Mediated Reality about his take on technology and youth development. The BedroomBulletin:Maureen's bedroom bulletin features a bunch of questions that you might want to ask your spouse or partner to try and inject more fun into your relationship.

The impact of the timing of surgery on neurological recovery in thoracic spinal cord injuries (tSCI) is still a subject of discussion. Accumulating evidence is supporting early decompression (< 24 hours) following tSCI. However, the potential advantages of earlier decompression remain uncertain. Thus, the purpose of this meta-analysis is to summarize and analyze the current evidence on the effectiveness of ultra-early decompression surgery on clinical outcomes following tSCI. A search was conducted following PRISMA guidelines in the electronic databases Medline, Embase, Scopus, and Web of Science from their inception until May 2022. The authors initiated patient selection by identifying the studies that evaluated surgical intervention after thoracic spinal cord injury. The search included clinical trials and cohort studies. Surgery was considered ultra-early if performed within the first 8 hours of injury. The comparison group was defined as the patients operated after 8 hours of injury. The following exclusion criteria were applied: (1) studies that did not include a separate group for those operated on with 8 hours, (2) improvement not measured by the American Spinal Injury Association Impairment Scale (AIS), (3) letters to editors, commentaries, observational studies, and review articles. Only human studies and articles published in English were evaluated. The publications were assessed by two independent reviewers, and study parameters were collected using a predefined data extraction form. The authors included the study data from their institutional case series of thoracolumbar spinal cord injury from 2015-2018. An Institutional review board approval was obtained to use the patient data from the author's institution. The institutional data was referred to as Carr et al. The following search algorithm was used: ("ultra- early"[tiab] OR "8 hours"[tiab] OR "eight hours"[tiab] OR "Immediate"[ tiab] OR "early"[tiab] OR "prompt"[tiab]) AND ("surgical management"[tiab] OR "surgical decompression"[tiab] OR "stabilisation"[tiab] OR "stabilization"[tiab] OR "operative management"[tiab] OR "decompressive surgery"[tiab] OR "operative timing"[tiab]) AND ("spinal cord injury"[tiab] AND ("thoracic"[tiab] OR thoracolumbar [tiab]) AND ("neurological outcomes"[tiab] OR "recovery"[ tiab] OR "ASIA"[tiab] OR “AIS” [tiab] OR "improvement"[tiab]). The search algorithm resulted in 62 unique studies from four databases. These isolated studies were reviewed by two independent reviewers for title and abstract. 43 studies were excluded based on the pre-defined exclusion criteria (4 animal studies, 17 case reports/reviews/opinions, 13 non-operative management, 8 cervical spinal cord injury, and 1 with non-neurologic outcomes). The remaining nineteen studies underwent full-text screening for final inclusion. The institutional case series was added to the final study results.

This article is from PLoS ONE , volume 9 . Abstract Background: Spinal cord injuries are highly disabling and deadly injuries. Currently, few studies focus on non-traumatic spinal cord injuries, and there is little information regarding the risk factors for complete injuries. This study aims to describe the demographics and the injury characteristics for both traumatic and non-traumatic spinal cord injuries and to explore the risk factors for complete spinal cord injuries. Methods: A retrospective study was performed by reviewing the medical records of 3,832 patients with spinal cord injuries who were first admitted to the sampled hospitals in Guangdong, China. The demographics and injury characteristics of the patients were described and compared between the different groups using the chi-square test. Logistic regression was conducted to analyze the risk factors for complete spinal cord injuries. Results: The proportion of patients increased from 7.0% to 14.0% from 2003 to 2011. The male-to-female ratio was 3.0∶1. The major cause of spinal cord injuries was traffic accidents (21.7%). Many of the injured were workers (36.2%), peasants (22.8%), and unemployed people (13.9%); these occupations accounted for 72.9% of the total sample. A multivariate logistic regression model revealed that the OR (95% CI) for male gender compared to female gender was 1.25 (1.07–1.89), the OR (95%CI) for having a spinal fracture was 1.56 (1.35–2.60), the OR (95%CI) for having a thoracic injury was 1.23 (1.10–2.00), and the OR (95%CI) for having complications was 2.47 (1.96–3.13). Conclusion: The proportion of males was higher than the proportion of females. Workers, peasants and the unemployed comprised the high-risk occupational categories. Male gender, having a spinal fracture, having a thoracic injury, and having complications were the major risk factors for a complete injury. We recommend that preventive measures should focus on high-risk populations, such as young males.

This article is from Iranian Journal of Psychiatry , volume 5 . Abstract Spinal cord injury (SCI) leads to loss of nervous tissue and consequently to catastrophic neurological deficits. Up to now there is no definite treatment available that restores the loss of function to a degree that an independent life can be guaranteed.This justifies the cost of research into the new modalities for a treatment of SCIs. In current paper, recent developments and new approaches in pharmacological therapy have been reviewed

Bibliographical footnotes

This research conducts a synthesis of review papers with qualitative analysis of stem cell treatments for individuals diagnosed with spinal cord injuries.

This research conducts a synthesis of review papers with qualitative analysis of stem cell treatments for individuals diagnosed with spinal cord injuries.

Substance use histories were obtained from 103 persons (16 to 63 years of age) with recent spinal cord injuries (SCI). Lifetime exposure to and current use of substances with abuse potential were substantially greater in this sample compared to a like-age national sample. Exposure to and recent use of substances with abuse potential was considerably greater for persons who reported being intoxicated at injury. These results suggest that a significant number of persons with recent SCI have extensive drug use histories and may be at risk for poor rehabilitation outcome. Timely assessment and intervention of substance abuse problems could help enhance psychosocial and vocational outcomes. (Author/DB)

A 1992 Urinary Tract Infection Consensus Validation Conference brought together researchers, clinicians, and consumers to arrive at consensus on the best practices for preventing and treating urinary tract infections (UBI) in people with spinal cord injuries; the risk factors and diagnostic studies that should be done; indications for antibiotic use; appropriate follow-up management; and needed future research (with education and training issues covered on page 24). Urinary tract infection was defined as bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms. Risk factors were found to include: over-distention of bladder, vesicoureteral reflux, high pressure voiding, large post-void residuals, presence of stones in urinary tract, and outlet obstruction. Possible physiologic/structural, behavioral, and demographic risk factors were identified also. Indwelling catheterization, including suprapubic and urinary diversion are the drainage methods most likely to lead to persistent bacteriuria. Infection risk is found to be reduced with intermittent catheterization, but people with more severe disabilities who require catheterization by others are at greater risk for UTIs. Clean self-intermittent catheterization does not pose a greater risk of infection than sterile self-intermittent catheterization and is much more economical. Criteria for the diagnosis of UBI is discussed and symptomatic UBI is recommended to be treated with antibiotics for 7-14 days. (Author/CR)

The role of free radical lipid peroxidation in spinal cord injury has been studied. A potentiating effect of ethanol was observed in both acute and chronic models of spinal cord injury. Lipid peroxidation following spinal cord injury was determined by measuring lipid soluble fluorescence, found to be higher in the ethanol-treated animals than in the controls and non-ethanol treated animals. Attempts at treatment were made using free radical scavengers. DMSO and mannitol were selected. No improvement was seen with mannitol. Seven of 20 animals receiving DMSO improved in neurologic function. Studies on the role of catecholamines in spinal cord injury were extended to turnover studies. These demonstrated alterations in the membrane-bound enzymes, dopamine-beta-hydroxylase and monoamine oxidase. It is proposed that the damage to membranes may be mediated by free radical mechanisms and that the alterations in catecholamine metabolism seen may be due to inhibition of membrane-bound enzymes following free radical damage to the membrane itself. (Author)

This article is from Journal of Emergencies, Trauma, and Shock , volume 7 . Abstract None

This article is from Journal of Emergencies, Trauma, and Shock , volume 7 . Abstract None

ABSTRACT Aims: Falls from heights are a major cause of spinal cord injury. In developing countries such as Turkey, where fruit picking from trees is an important part of the agricultural economy, falls from trees are common. This study aims to comprehensively analyze the causes and consequences of spinal cord injuries due to falls from trees. Methods: This retrospective study reviewed cases of spinal cord injury resulting from falls from trees, treated at a tertiary rehabilitation center between March 2020 and November 2023. Data encompassed demographics (age, gender, occupation, education), spinal injury specifics (level, severity), additional injuries, tree fall details (type of tree, height of fall, cause of fall, safety precautions), and treatment details (surgery need, hospital stay duration). The patients who fell from trees were divided into two groups: those who fell from walnut trees and those who fell from other trees, and statistical analyses were performed accordingly. Results: Among the 49 patients falling from trees, the mean age was 52.3 ± 13.4 years, with 73.5% being male, 32 patients (%65.3) had graduated from primary or secondary school. No safety precautions were taken by any participants. Paraplegia (%87.8) and complete spinal cord injuries (57.1%) were common. Additional injuries occurred in %61.2 of cases. In terms of fall causes, the most common was branch breakage (%57.1), while walnut trees accounted for %44.9 of falls. There was a significant difference in education levels between the group that fell from walnut trees and the group that fell from other trees (p:0.028). Falls from walnut trees resulted in higher fall heights, complete injury rates, and longer hospital stays (p:0.003, p:0.047, p: 0.010). Conclusion: This study found that spinal cord injuries from falls often lead to additional injuries, with none of the patients taking safety precautions. This study found that walnut trees were the most common cause of spinal cord injury from falling trees. This study highlights the need for improved safety precautions and educational interventions.

ABSTRACT Aims: Falls from heights are a major cause of spinal cord injury. In developing countries such as Turkey, where fruit picking from trees is an important part of the agricultural economy, falls from trees are common. This study aims to comprehensively analyze the causes and consequences of spinal cord injuries due to falls from trees. Methods: This retrospective study reviewed cases of spinal cord injury resulting from falls from trees, treated at a tertiary rehabilitation center between March 2020 and November 2023. Data encompassed demographics (age, gender, occupation, education), spinal injury specifics (level, severity), additional injuries, tree fall details (type of tree, height of fall, cause of fall, safety precautions), and treatment details (surgery need, hospital stay duration). The patients who fell from trees were divided into two groups: those who fell from walnut trees and those who fell from other trees, and statistical analyses were performed accordingly. Results: Among the 49 patients falling from trees, the mean age was 52.3 ± 13.4 years, with 73.5% being male, 32 patients (%65.3) had graduated from primary or secondary school. No safety precautions were taken by any participants. Paraplegia (%87.8) and complete spinal cord injuries (57.1%) were common. Additional injuries occurred in %61.2 of cases. In terms of fall causes, the most common was branch breakage (%57.1), while walnut trees accounted for %44.9 of falls. There was a significant difference in education levels between the group that fell from walnut trees and the group that fell from other trees (p:0.028). Falls from walnut trees resulted in higher fall heights, complete injury rates, and longer hospital stays (p:0.003, p:0.047, p: 0.010). Conclusion: This study found that spinal cord injuries from falls often lead to additional injuries, with none of the patients taking safety precautions. This study found that walnut trees were the most common cause of spinal cord injury from falling trees. This study highlights the need for improved safety precautions and educational interventions.

This article is from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , volume 21 . Abstract Background: The effects of multiple injuries on the neurological and functional outcomes of patients with traumatic spinal cord injury (SCI) are debated—some groups have shown that subjects with multiple injuries have the same neurological and functional outcomes of those without them, whereas others have found that SCI patients with associated traumatic brain injury have worse functional status at admission and discharge and longer rehabilitation stays than patients without brain injury. Thus, the aim of this study was to compare the outcomes of SCI subjects with or without multiple injuries. Methods: A total of 245 patients with a traumatic SCI during the first rehabilitation stay after the development of the lesion (202 males and 43 females; age 39.8 ± 17 years; lesion to admission time 51.1 ± 58 days) were examined on a referral basis. Patients were assessed using the following measures: American Spinal Injury Association standards, Barthel Index, Rivermead Mobility Index, and Walking Index for Spinal Cord Injury. The statistical analysis comprised Poisson regression models with relative risks and 95% confidence intervals, adjusted for the following confounders: age, sex, lesion level, and ASIA impairment scale (AIS) grade. Student’s T test was used to compare the outcomes of patients divided by AIS impairment and lesion level. Results: SCI patients with and without multiple injuries differed significantly with regard to the level and completeness of the lesion. Overall, patients with multiple injuries had worse functional status at admission and discharge than monotraumatic subjects. However, when adjusted for neurological features, the populations had comparable functional and neurological status at admission and discharge and similar rates of complications and discharge destinations. The separate analysis per each level of lesion/AIS grade showed that in some groups, patients with multiple injuries had a significant longer length of stay or worse functional status at rehabilitation admission (but not at discharge) than their monotraumatic counterparts. Conclusions: Multiple injuries do not affect the neurological or rehabilitative prognosis of spinal cord injuries. At discharge, patients with spinal cord injuries with and without multiple injuries achieved similar results with regard to neurological and functional improvement. Some groups of patients with multiple injuries had a longer length of stay.

This article is from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , volume 21 . Abstract Background: The effects of multiple injuries on the neurological and functional outcomes of patients with traumatic spinal cord injury (SCI) are debated—some groups have shown that subjects with multiple injuries have the same neurological and functional outcomes of those without them, whereas others have found that SCI patients with associated traumatic brain injury have worse functional status at admission and discharge and longer rehabilitation stays than patients without brain injury. Thus, the aim of this study was to compare the outcomes of SCI subjects with or without multiple injuries. Methods: A total of 245 patients with a traumatic SCI during the first rehabilitation stay after the development of the lesion (202 males and 43 females; age 39.8 ± 17 years; lesion to admission time 51.1 ± 58 days) were examined on a referral basis. Patients were assessed using the following measures: American Spinal Injury Association standards, Barthel Index, Rivermead Mobility Index, and Walking Index for Spinal Cord Injury. The statistical analysis comprised Poisson regression models with relative risks and 95% confidence intervals, adjusted for the following confounders: age, sex, lesion level, and ASIA impairment scale (AIS) grade. Student’s T test was used to compare the outcomes of patients divided by AIS impairment and lesion level. Results: SCI patients with and without multiple injuries differed significantly with regard to the level and completeness of the lesion. Overall, patients with multiple injuries had worse functional status at admission and discharge than monotraumatic subjects. However, when adjusted for neurological features, the populations had comparable functional and neurological status at admission and discharge and similar rates of complications and discharge destinations. The separate analysis per each level of lesion/AIS grade showed that in some groups, patients with multiple injuries had a significant longer length of stay or worse functional status at rehabilitation admission (but not at discharge) than their monotraumatic counterparts. Conclusions: Multiple injuries do not affect the neurological or rehabilitative prognosis of spinal cord injuries. At discharge, patients with spinal cord injuries with and without multiple injuries achieved similar results with regard to neurological and functional improvement. Some groups of patients with multiple injuries had a longer length of stay.