Abstract Introduction Individuals with spinal cord injury (SCI) experience alterations in metabolism that result increased central obesity, insulin resistance, and dyslipidemia placing them at elevated risk for developing cardiometabolic disease (CMD). Increased exercise dietary modifications are the primary interventions preventing CMD. However, people SCI face unique challenges prevent from increasing their physical activity easily modifying nutritional intake. Tirzepatide is a medication...

In individuals with cervical spinal cord injury (SCI), respiratory complications arise within hours to days of injury. Paralysis the muscles predisposes patient toward failure. Respiratory after SCI include hypoventilation, hypercapnea, reduction in surfactant production, mucus plugging, atelectasis, and pneumonia. Ultimately, must use increased work breathe, which results fatigue may eventually require intubation for mechanical ventilation. Without specialized management tetraplegia,...

Introduction: Neurogenic bladder disorders after spinal cord injury (SCI) are often problematic with urinary incontinence (UI) and recurrent tract infections (UTIs) contributing to patient morbidity. Our study objective was provide a current snapshot of the frequency UI UTIs in SCI population while also quantifying their association hospitalization. Methods: The National Spinal Cord Injury Database (2016–2021) accessed for persons within five years injury. self-reported last month (none,...

Dysphagia is a relatively common secondary complication that occurs after acute cervical spinal cord injury (SCI). The detrimental consequences of dysphagia in SCI include transient hypoxemia, chemical pneumonitis, atelectasis, bronchospasm, and pneumonia. expedient diagnosis imperative to reduce the risk development life-threatening complications.The objective this study was identify factors for associated respiratory considerations SCI.Bedside swallow evaluation (BSE) conducted 68...

Dysphagia following cervical spinal cord injury (SCI) can increase risk for pulmonary complications that may delay the rehabilitative process. The objective of this study was to identify factors dysphagia after SCI.Prospective cohort study.Individuals with SCI within 31 days underwent a bedside swallow evaluation (BSE) followed by videofluoroscopy (VFSS) 72 hours BSE. Subjects were diagnosed as having if they had positive findings in either BSE or VFSS.Twenty-nine patients (7 female and 22...

IntroductionCarpal tunnel syndrome (CTS) is the most common nerve entrapment worldwide. There are limited studies on effectiveness of carpal ligament stretching symptomatic and electrophysiologic outcomes.Purpose StudyThe purpose this study was to evaluate effect self-myofascial symptom outcomes conduction findings in persons with CTS.Study DesignThis a prospective, double-blinded, randomized, placebo-controlled trial.MethodsEighty-three participants diagnosed median mononeuropathy across...

Objective To assess the accuracy of bedside swallow evaluation (BSE) compared with videofluorosopic study (VFSS) in diagnosing dysphagia individuals tetraplegia due to spinal cord injury (SCI). Design A prospective diagnostic according STAndards for Reporting Diagnostic studies (STARD) criteria. Setting county hospital acute inpatient SCI unit. Patients Thirty‐nine subjects and were enrolled. All underwent BSE, 26 completed VFSS. Methods Individuals a BSE followed by VFSS within 72 hours...

Spinal cord injury (SCI) is a potentially disabling neurologic that can occur in horseback riding. To date, no published study has examined the epidemiology of SCI from riding United States, and few international studies exist on this topic. Several have described traumatic brain injuries, spine fractures, extremity injuries; however, patterns outcomes riders are poorly understood.This was undertaken to characterize demographics, patterns, persons with SCIs related riding.Descriptive...

Abstract Study design Prospective observational. Objectives To explore participants’ experience, satisfaction, and utility of telemedicine. Setting Spinal cord injury (SCI) rehabilitation clinic at a county hospital. Methods Participants in this study received telemedicine appointments for routine scheduled care and/or urgent consults with spinal specialist via iPad on FaceTime. Demographic changes, health utilization, medical complications were assessed. A Program Satisfaction Survey (PSS)...

Dysphagia occurs in a significant number of individuals with spinal cord injury (SCI) presenting to acute care and inpatient rehabilitation. This prospective study has found dysphagia nearly 40% tetraplegia. Tracheostomy, mechanical ventilation, nasogastric tube, age are risk factors. The detrimental complications SCI can cause morbidity delays Thus, early accurate diagnosis is imperative reduce the developing life-threatening complications. Incidence factors use bedside swallow evaluation...

Information is presented on a community-based mentoring program, developed to work with existing community agencies and provide structure the frequently confusing network of services for young adults, ages 16 26 years, recently acquired

Individuals with spinal cord injury (SCI) must often travel long distances to see a rehabilitation specialist. While telemedicine (TM) for pressure ulcer management has been used in this population, real-time video telecommunication using iPad never described. The objective of study was provide specialized care persons SCI through TM consultation expediently order address medical needs, manage secondary complications, and improve quality life (QoL) individuals SCI. Ten participated the...

To evaluate the effect of a tele-nutrition counseling program on diet quality, weight, waist circumference, and quality life in people with spinal cord injury (SCI). Prospective observational study. Fifteen participants SCI were enrolled from an acute inpatient rehabilitation unit outpatient clinic; ten completed intervention. Six sessions over 3 months, utilizing videoconferencing photographic food diary. Weight, Life Satisfaction Index A (LSIA), Knowledge Nutrition Evaluation Supplement...

In April 2008, Medicare amended its policy for clean intermittent catheterization, increasing coverage from 4 reused catheters per month to up 200 single-use catheters. The primary reason the change was an assumed decrease in risk of urinary tract infection with Given economic/environmental impact (∼50-fold increase cost and plastic waste) a paucity supporting evidence, we retrospectively evaluate policy's effect prospective spinal cord injury registry.We accessed data years 1995 2020...

In many individuals with spinal cord injury a return of volitional bladder voiding is considered more important than regaining motor function. Recently predictive model using only composite bilateral lower extremity scores for levels L2-S1 (range 0 to 50) was proposed by the EMSCI (European Multicenter Study about Spinal Cord Injury) group. The showed exceptional power an AUC 0.912. We sought further validate in national cohort.We created models United States NSCID (National Injury Database)...

Previous research studies have confirmed therapeutic physical and psychological benefits of Tai Chi for both the able-bodied disabled populations. However, given limited availability seated Chi, there not been any to date that examined effectiveness in individuals with spinal cord disorder (SCD). We designed a customized program meet need improved exercise options SCD.Twenty-six participants were enrolled 12-week course consisting weekly sessions. After each session, patients reported visual...

Background: While clean intermittent catheterization (CIC) is the gold standard for bladder management after spinal cord injury (SCI), many individuals with SCI, reasons not fully understood, choose alternative management. We hypothesized that CIC associated an increased time burden in SCI. Objectives: To investigate required to perform neurogenic Methods: An electronic nonvalidated questionnaire was designed determine self-reported spent performing It sent participants Neurogenic Bladder...

Introduction Clean intermittent catheterization (CIC) is the gold standard for neurogenic bladder management in most patients with spinal cord injury (SCI). There nonetheless a lack of long‐term adherence to CIC, up 50% discontinuance at 5‐year follow‐up. We hypothesize that limitations upper extremity (UE) motor function represent strong predictor CIC adoption. Methods assessed Forms I and II data from 2000‐2013 National SCI Database. Bladder was determined initial discharge 1‐year Upper...