Spinal cordPub Date : 2024-10-28DOI: 10.1038/s41393-024-01044-y
D. J. Edwards, A. Jayaraman
{"title":"Response: Use of the WISCI-II score in assessing outcome of intensive robot-assisted gait training in spinal cord injury","authors":"D. J. Edwards, A. Jayaraman","doi":"10.1038/s41393-024-01044-y","DOIUrl":"10.1038/s41393-024-01044-y","url":null,"abstract":"","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"675-675"},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01044-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523117","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}
Spinal cordPub Date : 2024-10-26DOI: 10.1038/s41393-024-01045-x
Jeanne M. Zanca, Carol M. Gibson-Gill, Joyce Williams, Tomicka McMillion, John T. Morris, Marcel P. Dijkers
{"title":"Learning to direct one’s care: barriers and facilitators reported by people with tetraplegia","authors":"Jeanne M. Zanca, Carol M. Gibson-Gill, Joyce Williams, Tomicka McMillion, John T. Morris, Marcel P. Dijkers","doi":"10.1038/s41393-024-01045-x","DOIUrl":"10.1038/s41393-024-01045-x","url":null,"abstract":"Qualitative analysis of focus group data. Identifying barriers to and facilitators of learning to direct one’s own care as a person with tetraplegia due to spinal cord injury (SCI). Community, in New Jersey and Georgia, USA. Three focus groups of veterans and civilians with SCI, involving 26 people with chronic (≥1 year) tetraplegia due to SCI who provided direction to caregivers on a daily basis. Content analysis was used to identify barriers and facilitators. Challenges to learning to direct one’s care included: (1) lack of acceptance of lasting effects of SCI; (2) not yet understanding one’s body post-SCI; (3) embarrassment; (4) being overwhelmed with information; (5) differences between the inpatient rehabilitation setting and the “real world”; (6) lack of capable and willing assistants; and (7) hesitance to criticize caregivers. Factors that helped participants become successful directors of care included: (1) experience living with SCI; (2) being observant; (3) communicating effectively; (4) developing confidence to advocate for one’s own needs; (5) learning when to “let go” and when to speak up; and (6) learning from peers. Direction of care is a complex skill that is developed over time, and requires awareness of one’s needs and preferences, self-confidence, and strong communication skills. Rehabilitation clinicians’ efforts to prepare people with SCI to direct their own care effectively should cultivate awareness of one’s body, identify strategies for communicating successfully with caregivers, and provide opportunities for practice of care direction skills and discussion with experienced peers.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"63 1","pages":"16-23"},"PeriodicalIF":2.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508287","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}
Spinal cordPub Date : 2024-10-14DOI: 10.1038/s41393-024-01041-1
Alisha W. Sial, Stone Sima, Rajpal Narulla, Nashwa Najib, Mark Davies, Ashish D. Diwan
{"title":"Is neck pain a marker for something serious? Like myelopathy","authors":"Alisha W. Sial, Stone Sima, Rajpal Narulla, Nashwa Najib, Mark Davies, Ashish D. Diwan","doi":"10.1038/s41393-024-01041-1","DOIUrl":"10.1038/s41393-024-01041-1","url":null,"abstract":"Degenerative Cervical Myelopathy (DCM) is a chronic progressive condition of the cervical spine that leads to compression of the spinal cord. It is the most common cause of spinal cord dysfunction in adults, and it occurs due to age-related changes or genetically associated pathologies. DCM is a clinical and radiological diagnosis and presents with a spectrum of symptoms ranging from neck pain and stiffness to paralysis. While neck pain is prevalent amongst patients attending specialist clinics, its predictive value for DCM is limited. This paper focuses on elucidating the relationship between DCM and chronic neck pain, and we discuss the underlying aetiology and broader neurological implications in the context of the literature. The progression of DCM can be slow and insidious with symptoms worsening gradually over time. Neck pain should not be discounted in the evaluation of DCM.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"718-720"},"PeriodicalIF":2.1,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01041-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475183","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}
{"title":"Does the presence or absence of preoperative lower extremity neurologic symptoms influence postoperative clinical outcome in patients with cervical intradural extramedullary tumors?: a single-center retrospective comparative study","authors":"Toshiki Okubo, Narihito Nagoshi, Takahito Iga, Kazuki Takeda, Masahiro Ozaki, Satoshi Suzuki, Morio Matsumoto, Masaya Nakamura, Kota Watanabe","doi":"10.1038/s41393-024-01042-0","DOIUrl":"10.1038/s41393-024-01042-0","url":null,"abstract":"Retrospective comparative study To investigate whether the presence or absence of preoperative lower extremities neurological symptoms (LENS) influences clinical outcomes following tumor resection in patients with cervical intradural extramedullary (IDEM) tumors. The single institution in Japan. Ninety-two patients with cervical IDEM tumors requiring surgical resection were included. Based on the degree of preoperative LENS assessed using the modified McCormick scale (MMCS), patients were categorized into LENS (–) and (+) groups. Demographic and surgical characteristics were compared between both groups. There were no significant differences observed in sex, tumor location, tumor size, surgical time, estimated blood loss, approach for tumorectomy, or tumor histopathology between the two groups. Additionally, the overall surgical outcomes were favorable for both groups. At the final follow-up, 91.1% of the patients in the LENS (+) group were able to walk without support. Improvement in LENS was observed after surgery in most patients with preoperative MMCS II–IV, but it persisted in approximately 40% of patients with preoperative MMCS V. In the LENS (+) group, there were no significant differences in demographic or surgical data between the patients with MMCS I and II–III at the final follow-up. Regardless of the presence or absence of preoperative LENS, clinical improvement was observed after tumor resection in most patients with cervical IDEM tumors. These findings suggest that neurological status is likely to improve sufficiently if tumor resection is performed before preoperative LENS deteriorates to an extremely severe stage as MMCS V.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"63 1","pages":"9-15"},"PeriodicalIF":2.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393480","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}
Spinal cordPub Date : 2024-10-08DOI: 10.1038/s41393-024-01040-2
Hui Huang, Mengmeng Chen, Peipei Ding, Xiaoxiao Xia, Qing Dai, Linsheng Feng, Li Xu, Junmei Shu, Lunlan Li
{"title":"Disability trajectories individuals with spinal cord injury in mainland China: do psychosocial resources and diseases factors predict trajectories?","authors":"Hui Huang, Mengmeng Chen, Peipei Ding, Xiaoxiao Xia, Qing Dai, Linsheng Feng, Li Xu, Junmei Shu, Lunlan Li","doi":"10.1038/s41393-024-01040-2","DOIUrl":"10.1038/s41393-024-01040-2","url":null,"abstract":"Observational cohort study. To identify classes of disability trajectories from 1 month post-injury (acute hospital) to 6 months post-injury (individuals with SCI individuals who stay in rehabilitation setting or back in the community), and to investigate whether psychosocial resources and disease factors can predict disability trajectory. Spinal surgery in three Class III hospitals. Hospitals in China are divided into three classes (Class I, II and III). All the participants were submitted to WHO Disability Assessment Schedule (WHO-DAS 2.0) at three times; and personal data anamnesis, level of hope, level of PTSD, level of social support were recorded at first time. All the data collected by the master’s students who participated in this study. Two disability trajectories were identified using the latent class growth model: the continuous high disability group (N = 196, 93.3%) and the low starting point stabilization group (N = 14, 6.7%). Complete injury(ASIA-A) with SCI and more depression in the stable condition after SCI surgery were more likely to be classified as having higher disability than those with a lower disability trajectory. Occupation, annual family income, hope, social support, and Post-traumatic Stress Disorder (PTSD) cannot predict individuals belonging to trajectory classes. These findings emphasize the importance of ASIA and depression in the early recovery stage after SCI and support the opinion that strengthening psychological nursing and rehabilitation management at an early stage after SCI will benefit individuals with a lower disability trajectory.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"63 1","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393479","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}
{"title":"Exploring lifestyle components and associated factors in newly injured individuals with spinal cord injury","authors":"Muriel Haldemann, Stevan Stojic, Inge Eriks-Hoogland, Jivko Stoyanov, Margret Hund-Georgiadis, Claudio Perret, Marija Glisic","doi":"10.1038/s41393-024-01039-9","DOIUrl":"10.1038/s41393-024-01039-9","url":null,"abstract":"Cross-sectional analysis from the Inception Cohort of the Swiss Spinal Cord Injury Study (SwiSCI). To describe five lifestyle components in newly injured individuals with spinal cord injury (SCI), explore co-occurrence of these components, and identify associated personal and clinical factors. Initial rehabilitation stay following traumatic and non-traumatic SCI. Lifestyle components including overweight/obesity, low diet score, physical inactivity, smoking, and alcohol consumption were used independently and to calculate a composite lifestyle score. Analyses were conducted using descriptive statistics, co-occurrence analysis, and multivariate logistic regression. We included 251 individuals, of whom 77.7% were male, 73.7% suffered from traumatic SCI, and 59.8% had paraplegia. The median age was 51 years (IQR 36–64). Approximately twelve weeks after the injury, more than two-thirds of the study population met the criteria for overweight/obesity, and consumed insufficient amounts of fruits and vegetables, and excessive amounts of meat. Alcohol was consumed by 85.3% of individuals, and 26.8% were current smokers. Almost all study participants met the physical activity guidelines (90 min of moderate to strenuous activity physical activity per week). One-quarter of study participants experienced the co-occurrence of overweight/obesity, low diet score and alcohol consumption. Female sex, younger age and higher education were associated with healthier lifestyle components. Despite methodological limitations, this study underscores the complexities of healthy lifestyle adherence among individuals newly injured with SCI. It highlights the necessity of improving and implementing screening strategies throughout the continuum of SCI care as early as possible following the trauma.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"708-717"},"PeriodicalIF":2.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01039-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393481","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}
Spinal cordPub Date : 2024-10-03DOI: 10.1038/s41393-024-01038-w
Xiaoyu Li, Kun Jiao, Chen Liu, Xiongfei Li, Shanhe Wang, Ye Tao, Yajun Cheng, Xiaoyi Zhou, Xianzhao Wei, Ming Li
{"title":"Bibliometric analysis of the inflammation expression after spinal cord injury: current research status and emerging frontiers","authors":"Xiaoyu Li, Kun Jiao, Chen Liu, Xiongfei Li, Shanhe Wang, Ye Tao, Yajun Cheng, Xiaoyi Zhou, Xianzhao Wei, Ming Li","doi":"10.1038/s41393-024-01038-w","DOIUrl":"10.1038/s41393-024-01038-w","url":null,"abstract":"Bibliometric analysis. To analyze literature on inflammatory expression following spinal cord injury, highlighting development trends, current research status, and potential emerging frontiers. Not applicable. Articles were retrieved using terms related to spinal cord injury and inflammatory responses from the Web of Science Core Collection, covering January 1, 1980, to May 23, 2024. Tools like CiteSpace and VOSviewer assessed the research landscape, evaluating core authors, journals, and contributing countries. Keyword co-occurrence analyses identified research trends. A total of 2504 articles were retrieved, showing a consistent increase in publications. The Journal of Neurotrauma had the highest publication volume and influence. The most prolific author was Cuzzocrea S, with Popovich PG having the highest H-index. China led in the number of publications, followed closely by the United States, which had the highest impact and extensive international collaboration. Research mainly focused on nerve function recovery, glial scar formation, and oxidative stress. Future research is expected to investigate cellular autophagy, vesicular transport, and related signaling pathways. The growing interest in inflammation caused by spinal cord injury is evident, with current research focusing on oxidative stress, glial scar, and neurological recovery. Future directions include exploring autophagy and extracellular vesicles for new therapies. Interdisciplinary research and extensive clinical trials are essential for validating new treatments. Biomarker discovery is crucial for diagnosis and monitoring, while understanding autophagy and signaling pathways is vital for drug development. Global cooperation is needed to accelerate the application of scientific findings, improving spinal cord injury treatment.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 11","pages":"609-618"},"PeriodicalIF":2.1,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01038-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372929","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}
Spinal cordPub Date : 2024-10-01DOI: 10.1038/s41393-024-01036-y
Grace Haynes, Fauziyya Muhammad, Kenneth A. Weber 2nd, Ali F. Khan, Sanaa Hameed, Hakeem Shakir, Michael Van Hal, Douglas Dickson, Michael Rohan, Yasin Dhaher, Todd Parrish, Lei Ding, Zachary A. Smith
{"title":"Tract-specific magnetization transfer ratio provides insights into the severity of degenerative cervical myelopathy","authors":"Grace Haynes, Fauziyya Muhammad, Kenneth A. Weber 2nd, Ali F. Khan, Sanaa Hameed, Hakeem Shakir, Michael Van Hal, Douglas Dickson, Michael Rohan, Yasin Dhaher, Todd Parrish, Lei Ding, Zachary A. Smith","doi":"10.1038/s41393-024-01036-y","DOIUrl":"10.1038/s41393-024-01036-y","url":null,"abstract":"Cross-sectional study. This study’s goal is to report whether Magnetization Transfer Ratio (MTR) can evaluate the severity of white matter (WM) injury in degenerative cervical myelopathy (DCM). Laureate Institute of Brain Research, USA; Department of Neurosurgery, University of Oklahoma Health Sciences Center, USA. 27 DCM patients were aged-matched with 20 healthy controls (HC) and categorized into treatment groups based on modified Japanese Orthopedic Association (mJOA) severity (11 mild and 16 moderate/severe). Regional and tract MTRs were extracted from the two vertebral levels containing maximum compression within magnetization transfer images. MTR differences between groups were assessed using a one-way ANOVA or Kruskal-Wallis test. The association between MTR and mJOA measures was evaluated using Spearman’s correlation. Significant decreases in MTR were found between HC and moderate/severe groups in the overall (p = 0.0065) and ventral (p = 0.0009) WM regions; and ventral corticospinal (p = 0.0101), ventral reticulospinal (p = 0.0084), spinal lemniscus (p = 0.0079), and fasciculus cuneatus (p = 0.0219) tracts. The spinal lemniscus MTR also significantly decreased between HC and mild groups (p = 0.038). Ventral reticulospinal tract MTR correlated with upper (r = 0.439; p = 0.022) and lower (r = 0.386; p = 0.047) limb motor mJOA scores. Significant tract-based MTR changes and correlations align with known DCM symptoms, are demonstrated to be lost at the regional level, and display the inhomogeneous compressive damage occurring within DCM spinal cords.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"700-707"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01036-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362095","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}
Spinal cordPub Date : 2024-09-23DOI: 10.1038/s41393-024-01033-1
Shane N. Sweet, Zhiyang Shi, Olivia Pastore, Robert B. Shaw, Jacques Comeau, Heather L. Gainforth, Christopher B. McBride, Vanessa K. Noonan, Launel Scott, Haley Flaro, Sheila Casemore, Lubna Aslam, Teren Clarke, Kathleen A. Martin Ginis
{"title":"The spinal cord injury (SCI) peer support evaluation tool: the development of a tool to assess outcomes of peer support programs within SCI community-based organizations","authors":"Shane N. Sweet, Zhiyang Shi, Olivia Pastore, Robert B. Shaw, Jacques Comeau, Heather L. Gainforth, Christopher B. McBride, Vanessa K. Noonan, Launel Scott, Haley Flaro, Sheila Casemore, Lubna Aslam, Teren Clarke, Kathleen A. Martin Ginis","doi":"10.1038/s41393-024-01033-1","DOIUrl":"10.1038/s41393-024-01033-1","url":null,"abstract":"Guided by the 4-step process outlined in the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline, multiple methodologies were used: Delphi, literature reviews, ratings with consensus, think-aloud, and test-retest. The purpose of this study was to develop and test a spinal cord injury (SCI) peer support evaluation tool that meets the needs of community-based SCI organizations in Canada. Peer support programs for people with SCI delivered by community-based SCI organizations. This research was co-constructed with executives and staff from SCI community-based organizations, people with SCI, researchers, and students. Given the multiple steps of this study, sample size and characteristics varied based on each step. Participants included people with SCI who received peer support (mentees) or provided peer support (mentors/supporters) and staff of community-based organizations. In step 1, the 20 most important outcomes for SCI peer support were identified. In step 2 and 3, the 97 items were identified to assess the outcomes and by using rating and multiple consensus methodologies 20 items, one to assess each outcome, were selected. In step 4, content and face validity and test-retest reliability were achieved. The resulting SCI Peer Support Evaluation Tool consists of 20 single-item questions to assess 20 outcomes of SCI peer support. Through a systematic process, the SCI Peer Support Evaluation Tool is now ready to be implemented to assess outcomes of SCI peer support programs delivered by community-based SCI organizations.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"690-699"},"PeriodicalIF":2.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41393-024-01033-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308576","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}
Spinal cordPub Date : 2024-09-17DOI: 10.1038/s41393-024-01035-z
Anneke A. W. Welkamp, Christel C. M. v. Leeuwen, Marcel W. M. Post, Janneke M. Stolwijk-Swüste
{"title":"Cognitive assessment during inpatient rehabilitation after spinal cord injury, a retrospective cross-sectional study","authors":"Anneke A. W. Welkamp, Christel C. M. v. Leeuwen, Marcel W. M. Post, Janneke M. Stolwijk-Swüste","doi":"10.1038/s41393-024-01035-z","DOIUrl":"10.1038/s41393-024-01035-z","url":null,"abstract":"Cross-sectional study. Cognitive screening is underdeveloped in spinal cord injury (SCI). Therefore, the objectives of our study were: (1) to evaluate cognitive functioning of rehabilitation inpatients with recently acquired spinal cord injury (SCI) with the Montreal Cognitive Assessment (MoCA); (2) to analyse associations between patient and lesion characteristics and the MoCA scores and (3) to compare the MoCA with the cognitive domain of the Utrecht scale for Evaluation of Rehabilitation (USER). Inpatient rehabilitation in a specialized rehabilitation centre in the Netherlands. MOCA and USER data of inpatients between November 2020 and December 2021 were used. Correlation and regression analysis were used. Included were 98 adults aged (median) 61.6 years (range 19.5–83.6), 66% male, 26.5% traumatic SCI, 63% persons with paraplegia. MoCA and USER scores were available for 83 and 92 individuals, respectively. In 44.6% of the participants, the MoCA score was below the cut-off. Age (r = 0.31, p = 0.005) and educational level (r = 0.54 P < 0.00) were significantly correlated to the MoCA score. The MoCA and the cognitive domain of the USER were moderately correlated (r = 0.25, p = 0.03). Almost half of the inpatients scored below the cut-off score on the MoCA. Since the MoCA is a validated cognitive screening tool, the moderate correlation of the MoCA and the cognitive domain of the USER suggests that the USER alone is not sufficient in detecting cognitive deficits. We recommend to screen for cognitive deficits in all people with new SCI. None.","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"62 12","pages":"683-689"},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256092","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}