Topics in Spinal Cord Injury Rehabilitation最新文献

{"title":"Introduction to Evidence-based Recommendations for Exercise Intervention Studies Involving People with Spinal Cord Injury.","authors":"Kathleen A Martin Ginis","doi":"10.46292/sci25-00134","DOIUrl":"https://doi.org/10.46292/sci25-00134","url":null,"abstract":"","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 2","pages":"1-4"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Telenutrition Education and Counseling Protocol to Improve Diet Quality in Individuals With Spinal Cord Injury.","authors":"Adrianne Widaman, Benjamin Dirlikov, Ramya Gopalan, Shelley Wood, Maria Sol Casas, Kazuko Shem","doi":"10.46292/sci25-00125","DOIUrl":"10.46292/sci25-00125","url":null,"abstract":"<p><strong>Background: </strong>Cardiometabolic disease (CMD) is a leading cause of death for individuals living with chronic spinal cord injury (SCI), with a mortality rate due to CMD being higher than individuals without SCI. Telenutrition (TN) interventions tailored to health and accessibility needs of individuals with SCI may mitigate cardiometabolic risks.</p><p><strong>Objectives: </strong>To describe the development and validation of a telehealth-based medical nutrition therapy (MNT) within a clinical trial investigating the effectiveness of modifying diets to improve cardiometabolic health in persons with chronic SCI.</p><p><strong>Methods: </strong>The adaptive module-based MNT education content was developed in 3 phases by a multidisciplinary team. The first phase entailed a literature review of SCI-specific clinical practice guidelines for CMD prevention for setting dietary goals. Phase 2 included the development of a framework for presenting the intervention components. The third phase focused on validating the readability and quality of the materials. The intervention and education content were designed to be delivered as part of an ongoing prospective, 1:1 block randomized, wait-list controlled clinical trial among individuals with SCI living in the community. The TN counseling was designed to be delivered over a 3-month period, on a bimonthly basis through videoconferencing by a dietitian specialized in SCI. Diet quality across assessments is measured by the Healthy Eating Index, and dietary changes will be assessed at the conclusion of the ongoing clinical trial.</p><p><strong>Conclusion: </strong>The developed education content from this SCI-specific, evidence-based MNT intervention can be readily adapted in other research and clinical settings.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"232-247"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Functional Outcomes After Cervical Spinal Cord Injury From the SCIMS Database: Roles of Segmental Motor Strength, Ethnicity, and Health Literacy.","authors":"Shashwati Geed, Ana Valeria Aguirre Guemez, Suzanne Groah","doi":"10.46292/sci25-00113","DOIUrl":"10.46292/sci25-00113","url":null,"abstract":"<p><strong>Objectives: </strong>To identify individual- and injury-specific factors associated with upper-extremity function at 12 months after spinal cord injury (SCI) among individuals with tetraplegia.</p><p><strong>Methods: </strong>This was a retrospective longitudinal cohort study involving 16 SCI Model Systems (SCIMS) rehabilitation centers across the United States. The cohort was 77.4% male; 67.8% White; 25.0% Black/African American; 11.3% Hispanic. Mean age was 47.3±17.7 years. Outcome measures were the fine-motor and self-care domains of the Spinal Cord Injury-Functional Index (SCI-FI) at 12 months post injury. Least squares regression models examined associations of person-related (age, sex, race, ethnicity, admission weight, health literacy) and injury-related (bilateral upper-extremity motor scores, assessed through ISNCSCI) predictors. A follow-up mediation-regression analysis tested whether health literacy mediated the effect of Hispanic ethnicity on outcomes.</p><p><strong>Results: </strong>Higher right C5 and bilateral C8 motor scores were strongly associated with greater SCI-FI fine-motor function and self-care. Hispanic origin and lower health literacy predicted worse outcomes. Older age was additionally associated with lower self-care function. Mediation analyses showed no mediation effect; health literacy and Hispanic ethnicity were independent predictors of 12-month fine-motor and self-care SCI-FI scores.</p><p><strong>Conclusion: </strong>Fine-motor and self-care function is strongly influenced by right C5 strength for dominant arm reaching and right and bilateral C8 strength for grasp and bimanual prehension. Although improvement in segmental motor strength remains neurobiologically challenging and variable, health literacy is a modifiable factor that can be addressed early post-SCI to better support long-term functional outcomes. Because SCI-FI reflects patient-reported performance, enhancing health literacy may directly improve outcomes of greatest relevance to individuals with tetraplegia.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Prescribing Rates of Glucagon-Like Peptide-1 Receptor Agonists Between Spinal Cord Injured and Non-Spinal Cord Injured Individuals: A Retrospective Study.","authors":"Shvetali Thatte, Christina V Oleson, Jared Haberman, Samantha Burke, Dilshad Hunain Al Arabia, James R Wilson","doi":"10.46292/sci25-00066","DOIUrl":"10.46292/sci25-00066","url":null,"abstract":"<p><strong>Background: </strong>While glucagon-like peptide-1 receptor agonists (GLP-1RAs) have been effectively used for obesity management, their frequency of use has not been studied specifically in individuals with spinal cord injury (SCI).</p><p><strong>Objectives: </strong>This study aimed to determine if prescribing rates of GLP-1RAs in individuals with obesity differ between those with and without SCI.</p><p><strong>Design/methods: </strong>This retrospective cohort study was conducted on the TriNetX, LLC platform with de-identified electronic health record data from over 60 US health care organizations. Two cohorts were analyzed for prescribing rates of GLP-1RAs within 5 years of meeting inclusion criteria. One group carried a diagnosis of obesity but not SCI while the other had obesity and SCI. Individuals with a prior history of bariatric surgery or GLP-1RA use were excluded. The 2 cohorts were balanced for age, gender, race, and type 2 diabetes mellitus.</p><p><strong>Results: </strong>In persons with obesity, SCI individuals had lower prescribing rates of GLP-1RAs (odds ratio [OR] 0.67, 95% CI 0.61-0.73) compared with non-SCI individuals. No significant differences in GLP-1RA prescribing rates were noted when comparing complete SCI or incomplete SCI individuals with persons without SCI. Individuals with complete SCI also had lower odds of receiving GLP-1RA prescriptions (OR 0.71, 95% CI 0.52-0.96) compared with incomplete SCI individuals.</p><p><strong>Conclusion: </strong>GLP-1RA prescribing rates are significantly lower in individuals with obesity and any degree of SCI compared with non-SCI individuals. Future studies will help elucidate factors that influence prescribing patterns.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 3","pages":"185-195"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Consent and Opportunities to Increase Participation in the Rick Hansen Spinal Cord Injury Registry: A Population-Based Study.","authors":"Michael Guidea, Jean-Marc Mac-Thiong, Heather A Hong, Antoine Dionne, Dilnur Kurban, Jijie Xu, Suzanne Humphreys, Christiana L Cheng, Nader Fallah, Dorothy Barthelemy, Sean D Christie, Daryl Fourney, A Gary Linassi, Adalberto Loyola-Sanchez, Jerome Paquet, Vidya A Sreenivasan, Andrea Townson, Eve C Tsai, Vanessa K Noonan, Andréane Richard-Denis","doi":"10.46292/sci25-00037","DOIUrl":"10.46292/sci25-00037","url":null,"abstract":"<p><strong>Background: </strong>Disease-specific registries that record patient data are crucial in supporting research, guiding best practices, and optimizing resource allocation. Since 2004, the Canadian Rick Hansen Spinal Cord Injury Registry (RHSCIR) has collected data from over 10,000 individuals with SCI.</p><p><strong>Objective: </strong>The primary objective of this study was to identify factors associated with consenting to RHSCIR and reasons for withdrawal to improve registry inclusivity and representativeness in persons with traumatic SCI (TSCI).</p><p><strong>Methods: </strong>This retrospective cohort study analyzed data from 4090 participants enrolled at RHSCIR acute facilities from 2009 to 2019. Participants were categorized into 3 groups: declined consent (DC), provided full consent (FC), or provided minimal consent and/or later withdrew consent (MWC). Due to the lack of available data for the DC group, descriptive and multivariable analyses focused on the FC and MWC groups to identify factors associated with full consent.</p><p><strong>Results: </strong>Of 4090 participants, 2998 (73.3%) were FC, and 856 (20.9%) were MWC. After adjusting for significant differences between the groups, older age and an absence of comorbidities were associated with a decreased likelihood of providing FC. Individuals living in the Atlantic provinces and Ontario showed a higher likelihood of FC than those in the Prairies. The primary reason for withdrawing was a lack of interest.</p><p><strong>Conclusion: </strong>This study identifies factors associated with participation and suggests strategies to increase recruitment and inclusivity in RHSCIR. By understanding registry participation, public health policies can be informed, resource allocation optimized, and patient care enhanced for individuals with TSCI.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 3","pages":"122-133"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Prolonged Exposure Therapy for Posttraumatic Stress After Spinal Cord Injury: A Randomized Controlled Trial.","authors":"Mark B Powers, Megan E Douglas, Kirstie Jones, Alexis K Evans, Librada Callender, Monica Bennett, Christa Ochoa, Claire Bird, Courtney Tran, Simon Driver, Rita Hamilton, Seema Sikka, Chad Swank, Neil Stewart, Gregory V Chauvin, Niroj Ari, Barbara O Rothbaum, Jessica A Rostockyj, Ann Marie Warren","doi":"10.46292/sci25-00124","DOIUrl":"10.46292/sci25-00124","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) increases risk for posttraumatic stress disorder (PTSD). This condition often co-occurs with pain, depression, anxiety, and sleep disturbance, reducing quality of life. Despite the clinical impact of these symptoms, early evidence-based psychological interventions have rarely been evaluated during inpatient rehabilitation. Brief Prolonged Exposure (Brief PE) is a 3-session adaptation of Prolonged Exposure designed to prevent or reduce PTSD.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 154, mean age = 50 years, range 18-87; 65% male) with traumatic or nontraumatic SCI were enrolled at a rehabilitation hospital; 148 were randomized to Brief PE (<i>n</i> = 75) or treatment as usual (TAU; <i>n</i> = 73). Brief PE participants received 3 60-minute sessions during their inpatient stay while TAU participants received standard psychosocial care. The primary outcome was PTSD symptom severity (PSSI-5) at baseline, 1, 3, and 6 months. Secondary outcomes included PTSD diagnosis/severity (PSSI-5/PDS-5), pain (NRS-11), depression (PHQ-9), anxiety (GAD-7), sleep disturbance (PROMIS-SD), resilience (CD-RISC-10), and quality of life (SCI-QOL).</p><p><strong>Results: </strong>PTSD symptoms declined significantly in both groups (<i>P</i> = .003), with no Group × Time effect (<i>P</i> = .33). History of premorbid depression predicted higher PTSD severity (IRR = 1.84, <i>P</i> = .002). At 6 months, PTSD prevalence was lower in Brief PE (5.9%) versus TAU (9.3%), though nonsignificant. Significant Group × Time effects for average and usual pain (<i>P</i> = .032; <i>P</i> = .036) favored Brief PE, with 27% and 33% reductions versus 0% and 5% for TAU. Among Brief PE participants, 96% completed all sessions, with high satisfaction.</p><p><strong>Conclusion: </strong>Brief PE was feasible, acceptable, and produced greater pain reduction than TAU. PTSD symptoms were also lower, though not significantly, suggesting promise for early psychological intervention after SCI.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"162-176"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Home-Based FES Protocol for Spinal Cord Injury Rehabilitation: A Single-Center Observational Cohort Study.","authors":"Juan Pablo Appelgren-González, Felipe Covarrubias-Escudero, Fabiola Balbontín-Miranda, Diego Fuentes Lagos, Begoña Urzúa Soler, Diego Parra, Florencia Vizcaya, Martina Casanova","doi":"10.46292/sci25-00022","DOIUrl":"https://doi.org/10.46292/sci25-00022","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) causes sensorimotor deficits and functional impairments that compromise quality of life in people with SCI (PwSCI). Although neuroplasticity-based therapies such as functional electrical stimulation (FES) are promising, accessibility barriers hinder their translation and long-term use.</p><p><strong>Objectives: </strong>To evaluate the effectiveness and usability of a home-based multidisciplinary rehabilitation protocol combining FES neuromodulation and virtual-based therapy for PwSCI.</p><p><strong>Methods: </strong>Eighty PwSCI received a hybrid intervention (synchronous and asynchronous), using a portable, app-based FES system with cloud monitoring. Outcome measures included SCIM-III, Motor Index Score (MIS), Timed Up & Go, five times sit-to-stand, and American Spinal Injury Association Impairment Scale (AIS) changes, along with feasibility and usability measures such as adherence, patient satisfaction, and heuristic analysis, among others.</p><p><strong>Results: </strong>Motor incomplete paraplegia (AIS C/D) showed significant SCIM-III improvements (Δ + 10 points, <i>P</i> < .001) and enhanced motor scores (MIS: Δ + 4 points, <i>P</i> < .001), along with high adherence (70%) and satisfaction (84%). AIS changes showed in 32.5% of the patients. Motor complete injuries exhibited limited gains, highlighting thresholds for residual plasticity.</p><p><strong>Conclusion: </strong>A multidisciplinary protocol combining virtual therapy and FES may enhance motor recovery and independence in PwSCI, providing a scalable, accessible alternative to conventional rehabilitation. These results underscore the potential of technology-driven strategies to overcome barriers to care.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 2","pages":"76-95"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality Due to COVID-19 Among Persons With Traumatic Spinal Cord Injury in the United States: 2020-2022.","authors":"Michael J DeVivo, Yuying Chen, Radhika Sharma","doi":"10.46292/sci25-00118","DOIUrl":"10.46292/sci25-00118","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify excess mortality due to COVID-19 among persons with traumatic spinal cord injury (TSCI).</p><p><strong>Methods: </strong>This cohort study was conducted at 31 SCI Model Systems and 3 Shriners Hospitals SCI units. Participants were persons with TSCI (<i>n</i> = 22,800) enrolled in the SCI Collaborative Survival Study Database with follow-up between January 1, 2020, and December 31, 2022. Main outcome measures were age- and sex-specific standardized mortality ratios (SMR), and 95% confidence intervals (CI) were calculated by age group, sex, injury severity, and years since injury.</p><p><strong>Results: </strong>There were 102 deaths in the TSCI study population due to COVID-19 among 1138 total deaths of known cause (9.0%) that occurred in 57,109 person-years of follow-up. COVID-19 deaths ranked fourth behind heart disease (17.4%), respiratory disease (16.0%), and cancer (12.2%). The overall COVID-19 SMR for TSCI was estimated to be 1.42 (95% CI 1.15-1.70). The SMR increased with increasing injury severity and was higher among persons who were younger than 60 years of age and who were at least 20 years post injury.</p><p><strong>Conclusion: </strong>Persons with TSCI had 42% greater risk of dying from COVID-19 than the general population of comparable age and sex. These findings emphasize the need for up-to-date COVID-19 vaccinations and prompt treatment with Paxlovid and/or other antiviral medications. Now that the latest COVID-19 variants are less lethal and effective vaccines and treatments are available, additional follow-up will be needed to determine whether COVID-19 and its long-term effects continue to have a significant negative impact on life expectancy among persons with TSCI.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"200-207"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing Neurological Status and Outcomes During Inpatient Rehabilitation in Persons With Nontraumatic Spinal Cord Injury: Early Findings From a Spinal Cord Injury Model Systems Feasibility Study.","authors":"Kazuko Shem, Einat Engel-Haber, Brittany Snider, Ana Valeria Aguirre Guemez, Steven Kirshblum, Seema Sikka, Ronald K Reeves","doi":"10.46292/sci25-00122","DOIUrl":"10.46292/sci25-00122","url":null,"abstract":"<p><strong>Background: </strong>The National SCI Model Systems (SCIMS) Database was established in 1973 to study longitudinal data from persons with traumatic SCI (TSCI). The SCIMS provides an ideal platform to explore the feasibility of a parallel data collection effort to understand the characteristics of individuals with nontraumatic SCI (NTSCI). In the current data collection cycle (2021-2026), all SCIMS centers gathered data specific to NTSCI.</p><p><strong>Objectives: </strong>To (1) describe the demographic and injury-specific characteristics of participants with NTSCI and (2) assess neurological changes from admission to discharge.</p><p><strong>Methods: </strong>The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examination data of participants with NTSCI who were enrolled at an SCIMS center were extracted from the medical records at admission and discharge from inpatient rehabilitation. Data from 178 participants with NTSCI were analyzed.</p><p><strong>Results: </strong>Among the 93 participants who had adequate ISNCSCI data on admission, only 8.6% had neurological complete injuries. More participants had paraplegia (<i>n</i> = 58, 62.4%) than tetraplegia (<i>n</i> = 35, 37.6%). For participants with full ISNCSCI data at both admission and discharge (<i>n</i> = 47), there were significant improvements in the lower extremity motor score and pinprick and light touch scores on discharge.</p><p><strong>Conclusion: </strong>On admission to acute rehabilitation, more people with NTSCI had paraplegia than tetraplegia, and neurological incomplete injuries were more common. People with NTSCI experienced significant improvement in ISNCSCI neurological variables by the time of discharge from rehabilitation.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"188-199"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familiarity and Use of Rehabilitation Technologies by Persons With Spinal Cord Injury: An Exploratory Quantitative Analysis.","authors":"Benjamin Dirlikov, Ashraf Gorgey, Nicholas H Evans, Karpagapriya Prabakaran, Candace Tefertiller, Chad Swank, Dannae Arnold, Thomas N Bryce, Jeffery W Rankin","doi":"10.46292/sci25-00123","DOIUrl":"10.46292/sci25-00123","url":null,"abstract":"<p><strong>Objectives: </strong>New technologies to support individuals living with spinal cord injury (SCI) are constantly evolving. This study explores current familiarity with and use of emerging rehabilitation technologies among individuals living with SCI.</p><p><strong>Methods: </strong>A self-report community survey for individuals living with SCI was developed by the Emerging Technology Special Interest Group within the Spinal Cord Injury Model Systems. This de-identified survey collected demographics, injury characteristics, and information on the familiarity and use of emerging rehabilitation technologies. Exploratory descriptive statistics and regression models were used to identify characteristics associated with technology familiarity and use.</p><p><strong>Results: </strong>Two hundred and forty-three participants completed the survey. Most participants were male, Caucasian, non-Hispanic, used government insurance, and experienced an incomplete SCI. Sixty-nine percent of respondents were familiar with the technologies listed in the survey. Of the technologies listed, functional electrical stimulation was used most frequently. Binary logistic regression analyses revealed that individuals with a longer time since injury were less likely to be familiar with [Exp(B): .957, <i>P</i> < .001] or use at least one of the emerging technologies [Exp(B): .931, <i>P</i> < .001].</p><p><strong>Conclusion: </strong>Sixty-nine percent (69%) of the respondents were familiar with the listed technologies. Of those, 77% had tried at least one technology, indicating significant interest within the SCI community. However, a greater time from injury was associated with decreased familiarity with these new technologies. Further understanding of the barriers affecting familiarity and adoption is critical to developing strategies that promote using emerging clinical interventions for individuals with SCI across the continuum of care.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"58-67"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}