Topics in Spinal Cord Injury Rehabilitation最新文献

{"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}

{"title":"Current Reporting Practices for Research Involving Transcutaneous Spinal Cord Stimulation for Persons Living with Spinal Cord Injuries: A Scoping Review.","authors":"Garrison Lin, Amanda McIntyre, Emma A Bateman, Luxshmi Nageswaran, Stephanie Marrocco, David Collins, Dalton Wolfe","doi":"10.46292/sci25-00050","DOIUrl":"10.46292/sci25-00050","url":null,"abstract":"<p><strong>Background: </strong>Transcutaneous spinal cord stimulation (tSCS) is a noninvasive neuromodulation technique aimed at improving voluntary movement, autonomic function, spasticity, and other complications in individuals with spinal cord injury (SCI).</p><p><strong>Objectives: </strong>The objective of this scoping review is to evaluate reporting practices relating to safety, stimulation parameters, and outcomes among studies employing tSCS among persons living with SCI.</p><p><strong>Methods: </strong>CINAHL, EMBASE, PubMed, and Web of Science databases were searched for studies published up to December 2024. Eligible studies met these criteria: (1) full-length, English-language article; (2) SCI population aged 18+ years; and (3) tSCS intervention. Data extracted included study year, subject characteristics, design, outcomes, adverse events, and stimulation parameters.</p><p><strong>Results: </strong>Among 2267 studies retrieved from the search, 65 studies met inclusion criteria and were included for review. Of these, 13 (20%) were case studies, 14 (21.5%) were repeated measures, 18 (27.7%) were pre-post, and 20 (30.8%) were controlled trials. Missing stimulation parameters included total intervention time (20.0%), phase of tSCS (13.8%), and pulse width (12.3%). Less commonly omitted were stimulation frequency, time post SCI, total sessions, and session duration detail (all ≤4.6%). Repeated measures study design had the poorest overall reporting of parameters with intervention time missing in 57.1% (8 of 14) studies.</p><p><strong>Conclusion: </strong>These findings highlight a pattern of incomplete reporting across studies, particularly regarding intervention dosage parameters, which may limit the interpretability and reproducibility of results. A comprehensive reporting guide could improve study replication and ensure consistency in both research and clinical practice.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 2","pages":"110-131"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057531","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":"A Comparison of Biopsychosocial Features of Chronic Neuropathic Versus Musculoskeletal Pain in Adults with Spinal Cord Injury: Baseline Cross-Sectional Data from the EPIC-SCI Trial.","authors":"Kathleen A Martin Ginis, Gabriel U Dix, Cameron Gee, Femke Hoekstra, Hashim Islam, Aleksandra Jevdjevic, Kenedy Olsen, Kierstyn Palmer, Kendra Todd, Bobo Tong, Andrea Townson, Joan Úbeda-Colomer, John L K Kramer","doi":"10.46292/sci25-00033","DOIUrl":"10.46292/sci25-00033","url":null,"abstract":"<p><strong>Objectives: </strong>To compare measures of pain intensity, pain interference, use of pain-coping strategies, conditioned pain modulation, inflammation, and subjective and social well-being in adults with spinal cord injury (SCI) and chronic neuropathic (NP) versus chronic musculoskeletal (MSK) pain.</p><p><strong>Methods: </strong>A natural groups, cross-sectional study design was used, with analyses of baseline data from the Exercise and Pain in Chronic Spinal Cord Injury (EPIC-SCI) trial (NCT04160858). The International Spinal Cord Injury Pain Basic Data Set (version 2.0) was administered during an interview to 35 men and 11 women with chronic SCI (<i>M</i> _age 50.6, <i>SD</i> 14.1; <i>M</i> _{years post injury} 16.5, <i>SD</i> 12.8). Participants completed standardized questionnaire measures of pain, pain coping, subjective well-being, and social well-being, provided a blood sample, and underwent conditioned pain modulation testing. Participants were grouped according to their primary pain problem: NP or MSK.</p><p><strong>Results: </strong>Participants whose primary pain problem was NP reported significantly greater pain intensity and pain-coping strategy use and showed more pain modulation and a different pattern of subjective well-being measures compared to participants with an MSK primary pain problem (<i>P</i>s < .05). Differences in overall bodily pain and proinflammatory cytokine concentrations were medium to large, and differences in pain interference and social well-being were small and not statistically significant (<i>P</i>s > .11).</p><p><strong>Conclusion: </strong>This is the first study to compare a comprehensive set of biopsychosocial variables across pain phenotypes in adults with chronic SCI. The results contribute to a deeper understanding of SCI pain phenotypes and their characteristics.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 2","pages":"135-145"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057514","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":"Revision and Expansion of the International Spinal Cord Injury Urinary Tract Infection Basic Data Set.","authors":"Rochelle E Tractenberg, Suzanne L Groah, Sarah DiMeglio, Lance Goetz, Todd Linsenmeyer, Bonne Lee, Michael Kennelly, Claus Moser, Jürgen Pannek, Fin Biering-Sørensen","doi":"10.46292/sci25-00117","DOIUrl":"10.46292/sci25-00117","url":null,"abstract":"<p><strong>Background: </strong>International Spinal Cord Injury (SCI) Data Sets have been developed and disseminated worldwide since 2006 to establish minimum standards for clinical data collection. Basic data sets (BDSs) are intended to ensure a uniform minimum level of information across clinical settings and research projects. In 2013, an International SCI Urinary Tract Infection (UTI) Basic Data Set was published. This BDS defined UTI using the 1992 US National Institute on Disability and Rehabilitation Research criteria: \"new onset of symptoms plus bacteriuria, leukocyturia, and positive urine culture.\" Since its publication, multiple new clinical and research definitions of UTI have emerged, creating the need for revision.</p><p><strong>Objectives: </strong>To update the International SCI UTI Basic Data Set to reflect contemporary consensus definitions and improve global consistency in clinical data collection.</p><p><strong>Methods: </strong>A qualitative, 3-phase revision process was conducted. <i>Phase 1</i> involved a phenomenographic surface analysis of the content of the International SCI UTI, Lower Urinary Tract (LUT) Function, Urodynamics, and Core Data Sets, alongside items from the validated, patient-centered Urinary Symptom Questionnaires for Neurogenic Bladder (USQNB), which are differentiated by bladder management method (voiding, intermittent catheterization, and indwelling catheter). <i>Phase 2</i> consisted of a member check-in during which preliminary findings from the surface analysis were reviewed and refined with a subject matter expert. <i>Phase 3</i> involved structured discussion and consensus refinement by an international panel of subject matter experts.</p><p><strong>Results: </strong>The revision process produced an updated set of criteria for determining the likelihood of UTI in individuals with SCI, aligned with a recent (2024) international consensus study. A revised UTI Basic Data Set (version 2) was developed that includes 22 new variables intended to enhance the consistency and comparability of global clinical data collection; only 10 to 12 additional variables are required per case depending on bladder management method.</p><p><strong>Conclusion: </strong>The revised International SCI UTI Basic Data Set reflects contemporary consensus definitions and expands the scope of standardized variables, supporting more reliable and internationally harmonized clinical and research data collection for individuals with SCI.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 3","pages":"39-55"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714043","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":"Artificial Intelligence and Data Science for Spinal Cord Injury: Bridging Clinical and Computational Perspectives.","authors":"Olga Taran, Abel Torres-Espín, José Zariffa, Iris Leister, Louis P Lukas, Alessandro Napoli, Vanessa K Noonan, Gustavo Balbinot, Miklovana Tuci, Adam R Ferguson, Rüdiger Rupp, Linda Jones, Keith Tansey, Dennis Bourbeau, R James Cotton, Sarah Brüningk","doi":"10.46292/sci25-00138","DOIUrl":"10.46292/sci25-00138","url":null,"abstract":"<p><p>Modern methods of data science have become powerful tools for analyzing complex, heterogeneous biomedical datasets, including those specific to spinal cord injury (SCI), enabling personalized predictions of recovery, identification of prognostic biomarkers, and insights into functional outcomes. This article summarizes the one-day Data Science Precourse, held at the 2025 annual scientific meeting of the American Spinal Injury Association (ASIA). The course was designed to illustrate advances in data science and their application to SCI research, while analyzing the unique challenges posed by SCI-specific data, such as sparse longitudinal measurements, variable injury characteristics, and diverse clinical and functional assessments. The precourse combined expert-led discussions with hands-on learning opportunities tailored for both clinical and data science audiences. Topics included addressing key challenges of artificial intelligence methods in SCI data analyses, such as learning from limited or incomplete datasets, implementing causal frameworks to understand recovery mechanisms, and ensuring robust and interpretable predictions for clinical decision-making. The event also showcased real-world applications of data science in SCI research, highlighting both solved and ongoing problems, including prognostic modeling, patient stratification, lesion analysis, and optimization of clinical trial design. The precourse culminated in the presentation by the winning teams of the 2025 ASIA Data Science Challenge.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 3","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714170","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":"Satisfaction with Life, Health, and Leisure-Time Physical Activity in Middle-Aged and Older Adults with a Spinal Cord Injury in Australia.","authors":"Laura Stendell, Peter W Stubbs, Kris Rogers, Arianne P Verhagen, Glen M Davis, James W Middleton, Mohit Arora, Ruth Marshall, Timothy Geraghty, Andrew Nunn, Camila Quel De Oliveira","doi":"10.46292/sci25-00056","DOIUrl":"10.46292/sci25-00056","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the associations between leisure-time physical activity (LTPA) and (a) activity and participation, (b) satisfaction with life, (c) quality of life, and (d) perceived health in middle-aged and older Australians with a spinal cord injury (SCI).</p><p><strong>Methods: </strong>We performed a retrospective secondary analysis on the LTPA data from the Australian cohort of the International SCI Survey in participants over 45 years. We described the sample and their participation in LTPA using multivariable linear regression to estimate the association between the variables of interest and LTPA.</p><p><strong>Results: </strong>For 1281 participants over 45 years, the mean (±<i>SD</i>) age was 62.7 (±10.1) years, and the mean time since injury was 18.7 (±14.8) years. There was an association between total weekly participation in LTPA (in hours per week) and an increase in satisfaction with life (β = 0.13, 95% CI 0.08 to 0.18), perceived health rating (OR 0.94, 95% CI 0.93 to 0.96), and quality of life (OR 1.06, 95% CI 1.04 to 1.07) and a very minor decrease in activity and participation problems (β = -0.17, 95% CI -0.26 to -0.09). These associations were slightly stronger, albeit still weak, for moderate-to-heavy LTPA intensities.</p><p><strong>Conclusion: </strong>Both total weekly and moderate-to-heavy LTPA participation were weakly associated with better self-perceived health, quality of life, and satisfaction with life in individuals over 45 years with SCI in Australia. LTPA is not likely to have a clinically meaningful impact on reducing problems with activity and participation in this population.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 2","pages":"158-169"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057517","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 Acute and Late Spasticity After Traumatic Spinal Cord Injury: Implications for Recovery.","authors":"Andréane Richard-Denis, Albert Kabeya Meji, Antoine Dionne, Pascal Mputu Mputu, Jean-Marc Mac-Thiong","doi":"10.46292/sci25-00032","DOIUrl":"10.46292/sci25-00032","url":null,"abstract":"<p><strong>Background: </strong>Spasticity is a common complication following traumatic spinal cord injury (TSCI) that impacts neurofunctional recovery.</p><p><strong>Objectives: </strong>This study aimed to determine the prevalence of acute and late spasticity and identify clinical predictors associated with spasticity onset within the first year after TSCI.</p><p><strong>Methods: </strong>We conducted a retrospective longitudinal cohort study involving 156 adults hospitalized for acute supraconal (C1-T12) TSCI at a level 1 trauma center from April 1, 2010, to December 31, 2021. Independent factors included demographic variables (age, sex, body mass index), trauma-related characteristics, and acute medical complications. Spasticity onset was categorized as acute (during acute hospitalization), late (after acute hospitalization within 1 year), or none. Multinomial logistic regression model was used to identify factors associated with the period of spasticity onset.</p><p><strong>Results: </strong>Among the patients, 57 (36.5%) developed acute spasticity (mean onset at 24.7 ± 13.7 days after admission), 55 (35.3%) experienced late spasticity, and 44 (28.2%) showed no spasticity within the first year. Higher AIS motor score at admission was associated with greater likelihood of either late or no spasticity (OR 1.05, <i>P</i> < .001; OR 1.02, <i>P</i> = .04). High-energy trauma increased the risk of developing acute spasticity (OR 0.37, <i>P</i> = .04). An AIS motor score below 50 (most severely impaired) at admission identified individuals at higher risk of acute spasticity, with 85.7% sensitivity and 71% overall accuracy.</p><p><strong>Conclusion: </strong>Greater injury severity and high-energy trauma are associated with early spasticity onset, highlighting the need for early risk stratification and personalized management strategies to optimize patient outcomes.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 3","pages":"149-160"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714010","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":"Quantifying Personal Social Networks in Individuals With Traumatic Spinal Cord Injury: A Pilot Study.","authors":"Chloe Slocum, Sahnaz Pirooz, John Corbett, Ross Zafonte, Susan Robinson-Whelan, Lynne Worobey, Michelle Meade, Zachary Rothfeld-Wehrwein, Amar Dhand","doi":"10.46292/sci25-00130","DOIUrl":"10.46292/sci25-00130","url":null,"abstract":"<p><strong>Background: </strong>Individuals who sustain a traumatic spinal cord injury (TSCI) experience life-changing alterations in physiological and psychosocial function. Social connectivity has been shown to influence human health through direct biological and indirect psychosocial mechanisms in the general population. Robust personal social networks have been associated with improved health outcomes and quality of life.</p><p><strong>Objectives: </strong>This study aimed to describe personal social networks quantitatively in a national sample of individuals with TSCI and to explore measures of social connectivity in the context of community transportation resources and loneliness.</p><p><strong>Methods: </strong>We recruited 28 adults with newly sustained TSCI from the inpatient rehabilitation setting at 4 SCI Model Systems sites and adapted the Personal Social Network Survey (PERSNET), a quantitative personal social network assessment tool, to this population. We also collected relevant demographic and clinical information and measured loneliness.</p><p><strong>Results: </strong>Study participant networks reveal a broad range of social structures. Demographic and clinical characteristics reflected aggregate national data on TSCI. Living in geographic areas with greater access to transportation resources was not positively associated with social network size or density or lower loneliness at the time of injury.</p><p><strong>Conclusion: </strong>This is the first study to map personal social networks quantitatively in individuals with TSCI and to examine personal social network size and density in the context of community transportation resources and loneliness. While our study proves that it is feasible to collect personal social network data in the TSCI population, further research must examine the mechanisms by which personal social networks and environmental factors influence health and well-being after SCI.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"35-43"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785455","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":"Evaluating Psychometric Characteristics of the SCI-QOL Ability to Participate and Satisfaction With Social Roles and Activities.","authors":"Emily J Dinelli, Anne Deutsch, Heerak Choi, Allen W Heinemann","doi":"10.46292/sci25-00105","DOIUrl":"10.46292/sci25-00105","url":null,"abstract":"<p><strong>Background: </strong>The SCI Model System centers collect SCI-QOL Participation in Social Roles and Activities and Satisfaction with Social Roles and Activities short forms data, which contributes to lengthy research follow-up interviews. Collaborators sought to abbreviate interviews without compromising measurement properties.</p><p><strong>Objectives: </strong>To (1) evaluate psychometric characteristics of 2 SCI-QOL short forms, (2) identify items exhibiting differential item functioning related to injury or demographic characteristics, and (3) recommend abbreviated short forms.</p><p><strong>Methods: </strong>We obtained data from the National Spinal Cord Injury Model Systems Database and used rating scale software to evaluate measurement properties, dimensionality, and differential item functioning. We removed items systematically until we produced 2 abbreviated short forms of the measures with acceptable measurement properties.</p><p><strong>Results: </strong>For the Participation short form, a sample of 4148 individuals yielded a person-separation reliability of .82 with adequate measurement properties albeit one misfitting item. The decision to remove 2 items was guided by Rasch analysis results and supported by qualitative evaluation of item relevance. Eight items yielded a person reliability of .79 and adequate measurement properties. For the Satisfaction short form, positively and negatively worded items provoked dimensionality. Retaining the positively worded items yielded person reliability of .84.</p><p><strong>Conclusion: </strong>An 8-item Participation and a 5-positive-item Satisfaction short form reduce respondent and interviewer burden while preserving adequate measurement properties. Investigators can select from a variable-length computer adaptive version, 10-item short forms, or abbreviated short forms to measure these constructs based on burden considerations and tolerance for measurement error.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"44-57"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785385","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":"Neuropathic Pain Severity Is Associated With Opioid Use in Adults With Traumatic Spinal Cord Injury: A Spinal Cord Injury Model System Study.","authors":"Leslie R Morse, Thomas N Bryce, Argyrios Stampas, Lisa Haubert, Susan Charlifue, Kevin Dalal, Ricardo A Battaglino, Nguyen Nguyen, Richard Goldstein, Elizabeth R Felix","doi":"10.46292/sci25-00129","DOIUrl":"10.46292/sci25-00129","url":null,"abstract":"<p><strong>Objectives: </strong>To identify biopsychosocial factors associated with opioid use for neuropathic pain in adults with SCI.</p><p><strong>Methods: </strong>We studied 283 adults with SCI who were enrolled in a collaborative project at 1 of 6 participating SCI Model System centers. Using International Spinal Cord Injury Pain Basic and Extended Data Sets, participants were asked about pain, current and prior pain medication use in the past year, and nonpharmacological pain treatment use in the past year, for up to 3 pain conditions. The relationship between active opioid use and neuropathic pain severity, adjusting for relevant clinical and demographic characteristics, was examined using logistic regression using odds ratios (OR) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>There were 104 opioid users and 179 nonusers. In multivariable regression models, employment was associated with a 33% reduction in opioid use compared to unemployment. Opioid users were more likely to use anti-epileptics, a combination of cannabis and anti-epileptics, or a combination of anti-epileptics and nonsteroidal anti-inflammatory drugs than nonusers. Individuals with paraplegia were almost twice as likely to use opioids compared to those with tetraplegia. After adjusting for these factors, the odds of using opioids increased 10% with every 1-point increase in reported worst neuropathic pain severity (0-10 numeric rating scale). This model has good ability to discriminate between opioid users and nonusers based on the area under the curve (AUC) of 0.74.</p><p><strong>Conclusions: </strong>We have developed a biopsychosocial base model of opioid use in adults with chronic pain after SCI with good predictive performance cross-sectionally and identified key potential risk factors for opioid use.</p>","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"32 Suppl 1","pages":"118-126"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785492","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}