Spinal cord最新文献_第7页

Correction: Classification of upper-limb dysfunction severity and prediction of independence in activities of daily living after cervical spinal-cord injury 更正：颈脊髓损伤后上肢功能障碍严重程度的分类和日常生活自理能力的预测。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-22 DOI: 10.1038/s41393-024-01017-1

Kazumasa Jimbo, Kazuhiro Miyata, Hiroshi Yuine, Kousuke Takahama, Tomohiro Yoshimura, Honoka Shiba, Taichi Yasumori, Naohisa Kikuchi, Hideki Shiraishi

引用次数: 0

Muscle Excitability Scale for the assessment of spastic reflexes in spinal cord injury: development and evaluation 用于评估脊髓损伤痉挛反射的肌肉兴奋性量表：开发与评估。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-17 DOI: 10.1038/s41393-024-01016-2

Jiri Kriz, Zuzana Nasincova, Veronika Gallusova, Tomas Vyskocil, Martin Gregor, Krystof Slaby, Kristyna Sediva

{"title":"Muscle Excitability Scale for the assessment of spastic reflexes in spinal cord injury: development and evaluation","authors":"Jiri Kriz, Zuzana Nasincova, Veronika Gallusova, Tomas Vyskocil, Martin Gregor, Krystof Slaby, Kristyna Sediva","doi":"10.1038/s41393-024-01016-2","DOIUrl":"10.1038/s41393-024-01016-2","url":null,"abstract":"A psychometric study. To introduce a novel simple tool designed to evaluate the intensity of the phasic (dynamic) component of spastic motor behavior in spinal cord injury (SCI) people and to assess its reliability and validity. The study was developed in the Spinal Cord Unit at University Hospital Motol and Paraple Centre in Prague, Czech Republic. The Muscle Excitability Scale (MES) is designed to rate muscle motor response to exteroceptive and proprioceptive stimuli. The impairment rating ranges from zero muscle/muscle group spasm or clonus to generalized spastic response. The selected 0 to 4 scale allows for comparing the MES results with those of the Modified Ashworth Scale (MAS). After long-term use and repeated revisions, a psychometric analysis was conducted. According to the algorithm, two physiotherapists examined 50 individuals in the chronic stage after SCI. The inter-rater reliability of MES for both legs showed κ = 0.52. The intra-rater reliability of MES for both legs showed κ = 0.50. The inter-rater reliability of simultaneously assessed MAS for both legs was higher, with κ = 0.69. The intra-rater reliability of MAS for both legs showed κ = 0.72. Spearman’s rank correlation coefficient between MES and spasm frequency of Penn Spasm Frequency Scale (PSFS) was low, while the correlation coefficient between MES and the severity part of PSFS was moderate. The MES is a complementary tool for assessing the dynamic component of spastic motor behavior in SCI people. It allows a more comprehensive clinical characterization of spastic reflexes when used along with the MAS.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 9","pages":"532-538"},"PeriodicalIF":2.1,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01016-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bowel burdens: a systematic review and meta-analysis examining the relationships between bowel dysfunction and quality of life after spinal cord injury 肠道负担：对脊髓损伤后肠道功能障碍与生活质量之间关系的系统回顾和荟萃分析。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-16 DOI: 10.1038/s41393-024-01002-8

Elin K. Sober-Williams, Rebekah H. Y. Lee, David G. T. Whitehurst, Christopher B. McBride, Rhonda Willms, Victoria E. Claydon

{"title":"Bowel burdens: a systematic review and meta-analysis examining the relationships between bowel dysfunction and quality of life after spinal cord injury","authors":"Elin K. Sober-Williams, Rebekah H. Y. Lee, David G. T. Whitehurst, Christopher B. McBride, Rhonda Willms, Victoria E. Claydon","doi":"10.1038/s41393-024-01002-8","DOIUrl":"10.1038/s41393-024-01002-8","url":null,"abstract":"Systematic review and meta-analysis. Many individuals with spinal cord injury (SCI) experience autonomic dysfunction, including profound impairments to bowel and cardiovascular function. Neurogenic bowel dysfunction (NBD) is emerging as a potential determinant of quality of life (QoL) after SCI. For individuals with high-level lesions ( > T6), bowel care-related autonomic dysreflexia (B-AD; profound episodic hypertension) further complicates bowel care. We aimed to evaluate the extent of bowel dysfunction after SCI, and the impact of bowel dysfunction on QoL after SCI. We searched five databases to identify research assessing the influence of NBD or B-AD on QoL after SCI. Metrics of bowel dysfunction (fecal incontinence [FI], constipation, time to complete, and B-AD) and QoL data were extracted and synthesised. Where possible, meta-analyses were performed. Our search identified 2042 titles, of which 39 met our inclusion criteria. Individuals with SCI identified problems with NBD (74.7%), FI (56.9%), and constipation (54.6%), and 49.3% of individuals with SCI > T6 experienced B-AD. Additionally, 40.3% of individuals experienced prolonged defecation ( > 30 min). Moderate/severe deterioration in QoL due to NBD was reported by 55.5% of individuals with SCI, with negative impacts on physical, emotional, and social health-related QoL associated with inflexibility of bowel routines, fear of accidents, and loss of independence. Bowel dysfunction and bowel care challenges are prevalent and disabling for individuals with SCI, with a profoundly negative impact on QoL. Improving bowel management is a key target to improve QoL for those living with SCI.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 9","pages":"495-506"},"PeriodicalIF":2.1,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01002-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and validation of a novel screening tool for deep vein thrombosis in patients with spinal cord injury: A five-year cross-sectional study 脊髓损伤患者深静脉血栓形成新型筛查工具的开发与验证：一项为期五年的横断面研究。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-12 DOI: 10.1038/s41393-024-01014-4

Jinlong Zhang, Cheng Wang, Chengqi He, Yonghong Yang

{"title":"Development and validation of a novel screening tool for deep vein thrombosis in patients with spinal cord injury: A five-year cross-sectional study","authors":"Jinlong Zhang, Cheng Wang, Chengqi He, Yonghong Yang","doi":"10.1038/s41393-024-01014-4","DOIUrl":"10.1038/s41393-024-01014-4","url":null,"abstract":"Cross-sectional study. Deep vein thrombosis (DVT) presents a significant risk of complication in patients with spinal cord injury (SCI), necessitating accurate screening methods. While the Caprini Risk Assessment Model (Caprini RAM) has seen extensive use for DVT screening, its efficacy remains under scrutiny. First Affiliated Hospital of China University of Science and Technology. We created and evaluated three nomograms for their effectiveness in DVT screening. Model 1 incorporated variables such as age, D-dimer level, red blood cell (RBC) counts, platelet counts, presence of type 2 diabetes mellitus, high blood pressure, mode and level of injury, degree of impairments, and Caprini scores. Model 2 was derived from Caprini scores alone, and Model 3 focused on independent risk factors. We assessed these models using the area under the curve (AUC) of the receiver operating characteristic (ROC), calibration curves, and decision curve analysis (DCA), employing bootstrap resampling tests (500 iterations) to determine their accuracy, discriminative ability, and clinical utility. Internal validation was performed on a separate cohort. Nomogram was established with well-fitted calibration curves for model 1, 2 and 3(AUC = 0.808, 0.751 and 0.797; 95%CI = 0.76–0.86, 0.70–0.80 and 0.75–0.84; respectively), indicating model 1 outperformed the others in prediction DVT risk, followed by model 3 and 2. These findings were consistent in the validation cohort, with DCA further corroborating our conclusions. A nomogram integrating clinical data with Caprini RAM provides a superior option for DVT screening in SCI patients within rehabilitation settings, outperforming Caprini RAM.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 9","pages":"523-531"},"PeriodicalIF":2.1,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary field validity of ActiGraph-based energy expenditure estimation in wheelchair users with spinal cord injury 基于 ActiGraph 的脊髓损伤轮椅使用者能量消耗估算的初步实地有效性。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-06 DOI: 10.1038/s41393-024-01012-6

Zijian Huang, Akhila L. Veerubhotla, James P. DeLany, Dan Ding

{"title":"Preliminary field validity of ActiGraph-based energy expenditure estimation in wheelchair users with spinal cord injury","authors":"Zijian Huang, Akhila L. Veerubhotla, James P. DeLany, Dan Ding","doi":"10.1038/s41393-024-01012-6","DOIUrl":"10.1038/s41393-024-01012-6","url":null,"abstract":"Cross-sectional validation study. To develop a raw acceleration signal-based random forest (RF) model for predicting total energy expenditure (TEE) in manual wheelchair users (MWUs) and evaluate the preliminary field validity of this new model, along with four existing models published in prior literature, using the Doubly Labeled Water (DLW) method. General community and research institution in Pittsburgh, USA. A total of 78 participants’ data from two previous studies were used to develop the new RF model. A seven-day cross-sectional study was conducted to collect participants’ free-living physical activity and TEE data, resting metabolic rate, demographics, and anthropometrics. Ten MWUs with spinal cord injury (SCI) completed the study, with seven participants having valid data for evaluating the preliminary field validity of the five models. The RF model achieved a mean absolute error (MAE) of 0.59 ± 0.60 kcal/min and a mean absolute percentage error (MAPE) of 23.6% ± 24.3% on the validation set. For preliminary field validation, the five assessed models yielded MAE from 136 kcal/day to 1141 kcal/day and MAPE from 6.1% to 50.2%. The model developed by Nightingale et al. in 2015 achieved the best performance (MAE: 136 ± 96 kcal/day, MAPE: 6.1% ± 4.7%), while the RF model achieved comparable performance (MAE: 167 ± 99 kcal/day, MAPE: 7.4% ± 5.1%). Two existing models and our newly developed RF model showed good preliminary field validity for assessing TEE in MWUs with SCI and the potential to detect lifestyle change in this population. Future large-scale field validation studies and model iteration are recommended.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 9","pages":"514-522"},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial differences in serological markers across the first year of injury in spinal cord injury: a retrospective analysis of a multi-center interventional study 脊髓损伤患者受伤第一年血清标志物的种族差异：一项多中心干预研究的回顾性分析。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-07-03 DOI: 10.1038/s41393-024-00998-3

Jia Li, Matthew Farrow, Kerollos Ibrahim, Dana M. McTigue, John Kramer, Bobo Tong, Catherine Jutzeler, Linda Jones, Ceren Yarar-Fisher

{"title":"Racial differences in serological markers across the first year of injury in spinal cord injury: a retrospective analysis of a multi-center interventional study","authors":"Jia Li, Matthew Farrow, Kerollos Ibrahim, Dana M. McTigue, John Kramer, Bobo Tong, Catherine Jutzeler, Linda Jones, Ceren Yarar-Fisher","doi":"10.1038/s41393-024-00998-3","DOIUrl":"10.1038/s41393-024-00998-3","url":null,"abstract":"Secondary analysis of a randomized, multi-center, placebo-controlled study(Sygen®). To evaluate racial differences in serological markers in individuals with spinal cord injury(SCI) across the first year of injury. Hospitals in North America. Serological markers (e.g.,cell count, liver, kidney, and pancreatic function, metabolism, and muscle damage) were assessed among 316 participants (247 White, 69 Black) at admission, weeks 1, 2, 4, 8, and 52 post-injury. Linear mixed models were employed to explore the main effects of time, race (Black vs. White), and their interaction, with adjustment of covariates such as study center, polytrauma, injury (level, completeness), treatment group, and sex. A main effect of race was observed where White individuals had higher alanine transaminase, blood urea nitrogen(BUN), BUN/Creatinine ratio, sodium, and chloride, while Black individuals had higher calcium, total serum protein, and platelets. For markers with interaction effects, post-hoc comparisons showed that at week 52, White individuals had higher mature neutrophils, hematocrit, hemoglobin, mean corpuscular hemoglobin, albumin, and triglycerides, and Black individuals had higher amylase. Eosinophils, monocytes, red blood cells, aspartate aminotransferase, bilirubin, cholesterol, partial thromboplastin time, urine specific gravity, urine pH, CO2, and inorganic phosphorus did not differ between races. Our results revealed racial differences in serological markers and underscores the importance of considering race as a determinant of physiological responses. Future studies are warranted to explore the causes and implications of these racial disparities to facilitate tailored clinical management and social policy changes that can improve health equity.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 8","pages":"486-494"},"PeriodicalIF":2.1,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11300300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incident traumatic spinal cord injury and risk of Alzheimer’s disease and related dementia: longitudinal case and control cohort study 创伤性脊髓损伤与阿尔茨海默病及相关痴呆症的风险：纵向病例和对照队列研究。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-06-27 DOI: 10.1038/s41393-024-01009-1

Paul Lin, Neil Kamdar, Gianna M. Rodriguez, Christine Cigolle, Denise Tate, Elham Mahmoudi

{"title":"Incident traumatic spinal cord injury and risk of Alzheimer’s disease and related dementia: longitudinal case and control cohort study","authors":"Paul Lin, Neil Kamdar, Gianna M. Rodriguez, Christine Cigolle, Denise Tate, Elham Mahmoudi","doi":"10.1038/s41393-024-01009-1","DOIUrl":"10.1038/s41393-024-01009-1","url":null,"abstract":"Retrospective case/control longitudinal cohort study Prevalent traumatic spinal cord injury (TSCI) is associated with Alzheimer’s disease and related dementia (ADRD). We examined the hazard ratio for ADRD after incident TSCI and hypothesized that ADRD hazard is greater among adults with incident TSCI compared with their matched control of adults without TSCI. Using 2010–2020 U.S. national private administrative claims data, we identified adults aged 45 years and older with probable (likely and highly likely) incident TSCI (n = 657). Our controls included one-to-ten matched cohort of people without TSCI (n = 6553). We applied Cox survival models and adjusted them for age, sex, years of living with certain chronic conditions, exposure to six classes of prescribed medications, and neighborhood characteristics of place of residence. Hazard ratios were used to compare the results within a 4-year follow-up. Our fully adjusted model without any interaction showed that incident TSCI increased the risk for ADRD (HR = 1.30; 95% CI, 1.01–1.67). People aged 45–64 with incident TSCI were at high risk for ADRD (HR = 5.14; 95% CI, 2.27–11.67) and no significant risk after age 65 (HR = 1.20; 95% CI, .92–1.55). Our sensitivity analyses confirmed a higher hazard ratio for ADRD after incident TSCI at 45–64 years of age compared with the matched controls. TSCI is associated with a higher hazard of ADRD. This study informs the need to update clinical guidelines for cognitive screening after TSCI to address the heightened risk of cognitive decline and to shed light on the causality between TSCI and ADRD.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 8","pages":"479-485"},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinal cord injury etiology, severity, and care in East Asia: a cross-sectional analysis of the International Spinal Cord Society Database Project 东亚脊髓损伤的病因、严重程度和护理：国际脊髓协会数据库项目的横断面分析。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-06-24 DOI: 10.1038/s41393-024-01003-7

Benjamin D. Holmes, Ruta Brazauskas, Harvinder S. Chhabra

{"title":"Spinal cord injury etiology, severity, and care in East Asia: a cross-sectional analysis of the International Spinal Cord Society Database Project","authors":"Benjamin D. Holmes, Ruta Brazauskas, Harvinder S. Chhabra","doi":"10.1038/s41393-024-01003-7","DOIUrl":"10.1038/s41393-024-01003-7","url":null,"abstract":"Cross-sectional study. To evaluate etiologic factors associated with spinal cord injury (SCI) severity and to identify predictive factors of reduction in SCI severity in six countries. SCI centers in Bangladesh, India, Malaysia, Nepal, Sri Lanka, and Thailand. Data from centers collected between October 2015 and February 2021 were analyzed using descriptive statistics and logistic regression. Among 2634 individuals, the leading cause of SCIs was falls (n = 1410, 54%); most occurred from ≥1 meter (n = 1078). Most single-level neurological injuries occurred in the thoracic region (n = 977, 39%). Greater than half of SCIs (n = 1423, 54%) were graded American Spinal Injury Association Impairment Scale (AIS) A. Thoracic SCIs accounted for 53% (n = 757) of all one-level AIS A SCIs. The percentage of thoracic SCIs graded AIS A (78%) was significantly higher than high cervical (52%), low cervical (48%), lumbar (24%), and sacral (31%) SCIs (p < 0.001). Regression analyses isolated predictive factors both of SCI severity and inpatient improvement. Four factors predicted severity: age, neurological level, etiology, and country of residence. Four factors predicted improvement: age, neurological level, AIS grade on intake, and country of residence. Findings can be used by healthcare providers and public health agencies in these countries to inform the public of the risk of SCI due to falls. Future studies should examine the social and occupational milieux of falls. Country-to-country comparisons of prehospital and inpatient care are also justified. Fall prevention policies can encourage the use of safety equipment when performing tasks at heights ≥1 meter.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 7","pages":"421-427"},"PeriodicalIF":2.1,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A semi-structured interview to capture manual wheelchair use for mobility activities among individuals with spinal cord injury in real-life situations: development and content validity of the Wheelchair Mobility Activity Log (WC-MAL) 通过半结构式访谈，了解脊髓损伤患者在现实生活中使用手动轮椅进行移动活动的情况：轮椅移动活动日志（WC-MAL）的开发和内容有效性。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-06-21 DOI: 10.1038/s41393-024-01011-7

Giovana S. Sprizon, Natália D. Pereira, Lorena O. Almeida, Sarah M. Dos Anjos, David M. Morris, Jocemar Ilha

{"title":"A semi-structured interview to capture manual wheelchair use for mobility activities among individuals with spinal cord injury in real-life situations: development and content validity of the Wheelchair Mobility Activity Log (WC-MAL)","authors":"Giovana S. Sprizon, Natália D. Pereira, Lorena O. Almeida, Sarah M. Dos Anjos, David M. Morris, Jocemar Ilha","doi":"10.1038/s41393-024-01011-7","DOIUrl":"10.1038/s41393-024-01011-7","url":null,"abstract":"Mixed-method approach. To develop and assess the content validity of a semi-structured interview that captures the lived experience of using a manual wheelchair among individuals with SCI in the real world, the Wheelchair Mobility Activity Log (WC-MAL). SCIR-Group (UDESC)/Brazil. Developing the WC-MAL comprised five steps: (1) defining the construct—based on the International Classification of Functioning, Disability and Health (ICF); (2) identifying relevant activities from other assessment instruments and interviews with the end-users (14 Individuals with SCI and 13 rehabilitation professionals); (3) Selecting the items – activities were linked to ICF codes and grouped into sets; (4) developing the scoring scales based on interviews with the end-users; and, (5) evaluating content validity in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). The content validity ratio (CVR) for each item and scale and the overall instrument content validity index (CVI) were calculated. From an initial draft of 295 activities identified, a set of 222 activities was linked to the ICF domain of “Mobility (d4)” and further refined to generate the 23 items in the WC-MAL. Three scales were developed to assess Frequency (how often), Performance (how well), and Assistance (assistance needed) levels. The items and scales showed a CVR superior to the critical value established (≥0.64). The general CVI value was 0.96. The WC-MAL is a promising clinical instrument with adequate content validity to assess the spontaneous use of the manual wheelchair in the real world among individuals with SCI.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 8","pages":"468-478"},"PeriodicalIF":2.1,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: High intensity functional training for people with spinal cord injury & their care partners 更正：为脊髓损伤患者及其护理伙伴提供高强度功能训练。

IF 2.1 4区医学

Spinal cord Pub Date : 2024-06-20 DOI: 10.1038/s41393-024-01010-8

Reed Handlery, Kaci Handlery, Dana Kahl, Lyndsie Koon, Elizabeth W. Regan

引用次数: 0