Journal of Spinal Cord Medicine最新文献

{"title":"Correction.","authors":"","doi":"10.1080/10790268.2024.2384344","DOIUrl":"10.1080/10790268.2024.2384344","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"757"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857000","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":"Improving skin screening capabilities for Veterans with spinal cord injuries.","authors":"Christine M Olney, Sara Kemmer, Amy Gravely, Andrew H Hansen, Gary Goldish","doi":"10.1080/10790268.2024.2430079","DOIUrl":"10.1080/10790268.2024.2430079","url":null,"abstract":"<p><strong>Context: </strong>Clinical Practice Guidelines from the Consortium for Spinal Cord Injury (SCI) Medicine recommend daily self-screening of at-risk skin surfaces, but many Veterans with SCI describe challenges using the standard issue long-handled self-inspection mirror (LSIM).</p><p><strong>Objective: </strong>The objective of this project was to compare the LSIM to a recently developed camera-based self-inspection system (CSIS). User feedback guided iterative engineering to improve and develop the new technology in preparation for transfer to industry.</p><p><strong>Methods: </strong>Five Veterans with spinal cord injury (SCI) volunteered to compare use of a LSIM versus the CSIS to identify purposefully placed stickers with varying letters and colors over their high-risk skin surfaces while lying in bed. Each Veteran also responded to a series of interview questions and completed the QUEST 2.0 questionnaire on satisfaction with assistive technology.</p><p><strong>Results: </strong>Veterans with SCI were able to correctly identify sticker letters and colors with significantly higher fidelity (<i>P</i> = .001 and <i>P</i> = .001 respectively) using the CSIS compared to using LSIM. Further the CSIS, was significantly (<i>P</i> = .004) preferred over the LSIM on the QUEST 2.0. The Cohen's D effect sizes for these paired comparisons were large (for color: 5.7, for sticker letter: 5.0 and QUEST 2.0: 2.6).</p><p><strong>Conclusions: </strong>Improved visualization and satisfaction scores using the newly developed CSIS suggest that adoption of this new technology could improve the quality and acceptance of this skin screening strategy for persons with spinal cord injury.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"730-738"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973029","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":"Respiratory muscle training in people with cervical spinal cord injury - A systematic review.","authors":"Felipe de Oliveira Rodrigues, Marina Martins Pereira Padovani, Bárbara Pereira Lopes, Júlia Araújo de Moura, Ana Cristina Côrtes Gama","doi":"10.1080/10790268.2024.2433839","DOIUrl":"10.1080/10790268.2024.2433839","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord injury is a physiological disruption often caused by trauma, leading to severe physical and psychological effects, including irreversible impairment and disability. Cervical injuries, particularly between C1 and C8, are the most severe, potentially causing diaphragm paralysis and requiring mechanical ventilation. Reduced respiratory muscle strength not only affects respiratory function but also significantly impacts voice, speech, and communication, which are crucial for quality of life.</p><p><strong>Objective: </strong>Conduct a systematic review of the literature on respiratory muscle training protocols in individuals with cervical spinal cord injury and evaluate the methodological quality of scientific publications.</p><p><strong>Methods: </strong>Studies were searched by two independent researchers in the Regional Portal of the Virtual Health Library, EMBASE, SCOPUS and PubMed databases, using the descriptors: \"respiratory muscle strength\", \"breathing training\", and \"cervical spinal cord injury\", with no restriction on the time of publication. Studies containing respiratory muscle strength measurements and respiratory muscle training in people with cervical SCI were included and those that associated other techniques with functional respiratory training, such as electrical stimulation and other complementary techniques were excluded. The studies had the methodological quality (internal and external validity) classified by the PEDro scale (Physiotherapy Evidence Database).</p><p><strong>Results: </strong>Nine studies were identified and considered valid based on the inclusion criteria. The protocols presented varied parameters. The session time ranged from 15 to 45 minutes, the number of sessions per day ranged from 1 to 2, the number of days per week ranged from 3 to 7, and the number of intervention weeks ranged from 4 to 10. Only three studies presented internal and external validity for respiratory muscle training programs.</p><p><strong>Conclusion: </strong>This review identified that respiratory muscle training is an effective intervention to improve respiratory function in people with cervical SCI. However, due to the poor methodological quality of the studies, the effect size of the treatment, as well as the ideal dose and intensity, requires further investigation to better determine its overall effectiveness.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"555-567"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973030","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":"Risk and protective factors for emergency department visits and related hospitalizations among ambulatory adults with traumatic spinal cord injury.","authors":"Nicole D DiPiro, David Murday, James S Krause","doi":"10.1080/10790268.2025.2459577","DOIUrl":"10.1080/10790268.2025.2459577","url":null,"abstract":"<p><strong>Objective: </strong>To identify the risk and protective factors for emergency department visits (EDV) and inpatient admissions through the ED (EDIP) among a population-based cohort of ambulatory adults with spinal cord injury (SCI).</p><p><strong>Design: </strong>Prospective self-report cohort study linked to administrative billing data.</p><p><strong>Setting: </strong>A Medical University in the Southeastern USA.</p><p><strong>Participants: </strong>656 ambulatory adults (>18 years old) with chronic (>1-year), traumatic SCI identified through a statewide population-based registry.</p><p><strong>Outcome measures: </strong>EDV and EDIP in non-federal state hospitals in the year following self-report.</p><p><strong>Results: </strong>In the final model, lower rates of future EDV were associated with being older (incidence rate ratio, IRR = 0.99), greater time since injury (IRR = 0.94), and higher income (IRR = 0.89). The EDV rate among non-white individuals was 1.49 times as high as white individuals (<i>P</i> = 0.01). Higher rates of future EDV were associated with using prescription medications for pain, spasticity, sleep, and stress (IRR = 1.30), having depression (IRR = 1.16) and a greater number of chronic conditions (IRR = 1.13), and more past year urinary tract infections (IRR = 1.32), upper extremity broken bones (IRR = 1.37), and serious injuries (IRR = 1.20). Factors associated with higher rates of future EDIP included urban location (IRR = 2.07), higher levels of education (IRR = 1.85), and having a current pressure injury (IRR = 2.94). Married or coupled individuals (IRR = 0.48), and those who reported more days per month of inadequate sleep had lower rates of EDIP (IRR = 0.96).</p><p><strong>Conclusions: </strong>Several preventable health related factors were significantly related to EDV. The study findings may help clinicians predict and prevent EDV, empower stakeholders for better self-management of their health, and inform decisions to promote the reduction of costly EDV and EDIP.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"568-577"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732772","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":"Impact of secondary health conditions on the quality of life and wellbeing of Canadians living with spinal cord injury: A comparison of preference-weighted index scores derived from generic standardized instruments.","authors":"Nazafarin Esfandiari, Hasina Samji, David G T Whitehurst","doi":"10.1080/10790268.2024.2391597","DOIUrl":"10.1080/10790268.2024.2391597","url":null,"abstract":"<p><strong>Context/objectives: </strong>To compare the assessment of the impact of secondary health conditions (SHCs) on the quality of life and wellbeing of Canadians living with spinal cord injury (SCI) using four preference-based outcome measures.</p><p><strong>Design: </strong>Secondary analysis of data from a cross-sectional, online survey.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>Community-dwelling adults (n = 364) living with traumatic or non-traumatic spinal cord injury at least one year post-injury (70% at least 10 years post-injury).</p><p><strong>Outcome measures: </strong>A modified version of the Spinal Cord Injury Secondary Conditions Scale (SCI-SCS); three health-related instruments (EQ-5D-5L, Health Utilities Index Mark 3 (HUI3), and the Assessment of Quality of Life 8-dimension questionnaire (AQoL-8D)) and a capability wellbeing instrument (ICEpop CAPability measure for Adults (ICECAP-A)).</p><p><strong>Results: </strong>Across unadjusted and controlled analyses (i.e. controlling for associations between index scores and sociodemographic and impairment characteristics), trends were observed that identified lower levels of quality of life/wellbeing with higher problem ratings for each of the SHCs. Despite the trends, there was considerable variation in mean index scores across instruments, with HUI3 scores the lowest of the health-related instruments and ICECAP-A scores the highest overall. Respiratory problems, depression/mood problems, pressure sores, and autonomic dysreflexia were associated with the lowest levels of quality of life and wellbeing.</p><p><strong>Conclusions: </strong>Higher problem ratings for SHCs are negatively associated with scores derived from preference-based quality of life and wellbeing instruments. Variation in index scores across instruments - including across the health-related instruments alone - highlights the critical importance of assessing the <i>relative</i> merits of preference-based instruments when using (or considering using) these instruments/estimates in comparative effectiveness research and economic evaluation.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"670-681"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121003","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":"Inder Perkash, MD (1934-2025): A legacy of leadership in spinal cord medicine.","authors":"Carol Ann Murphy, Florian P Thomas","doi":"10.1080/10790268.2025.2520129","DOIUrl":"https://doi.org/10.1080/10790268.2025.2520129","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":"48 4","pages":"553-554"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327548","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":"Effects of early mobilization within 48 hours of injury in patients with incomplete cervical spinal cord injury.","authors":"Yusuke Morooka, Yosuke Kunisawa, Yuya Okubo, Shinta Araki, Yasuyuki Takakura","doi":"10.1080/10790268.2024.2304919","DOIUrl":"10.1080/10790268.2024.2304919","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of early mobilization within 48 h of injury on motor function and walking ability in patients with incomplete cervical spinal cord injury (SCI).</p><p><strong>Design: </strong>A retrospective observational study.</p><p><strong>Setting: </strong>Intensive care unit or high care unit of a university hospital emergency center.</p><p><strong>Participants: </strong>Of 224 patients with SCI having American Spinal Injury Association impairment scale grades C and D, 158 consecutive patients hospitalized for at least 3 weeks after injury were included.</p><p><strong>Interventions: </strong>Patients were categorized into two groups: an early mobilization group in which patients were mobilized within 48 h of injury and a delayed mobilization group in which they were mobilized after 48 h of injury.</p><p><strong>Outcome measures: </strong>The upper extremity motor score (UEMS), lower extremity motor score (LEMS), and Walking Index for Spinal Cord Injury II (WISCI II) were compared using propensity score matching analysis.</p><p><strong>Results: </strong>Of the 158 patients who met the eligibility criteria, 32 were matched between the groups. There was a significant difference in the change in LEMS from the initial assessment to the assessment 2 weeks postoperatively in the early mobilization group (median 9 points vs. 3 points, <i>p </i>< 0.05). There were no significant differences in UEMS or WISCI II.</p><p><strong>Conclusion: </strong>Early mobilization within 48 h may improve lower extremity motor function in patients with acute incomplete cervical SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"694-702"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543437","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":"Investigating adaptive sport participation for adults aged 50 years or older with spinal cord injury or disease: A descriptive cross-sectional survey.","authors":"Lily Merovitz-Budning, Aaron Wexler, Jessica Vance, Jessica Dam, Jiaqi Yan, Nadine Saba, Lee Coulter, Jean-François Lemay, Kristin E Musselman, Lovisa Cheung","doi":"10.1080/10790268.2024.2304920","DOIUrl":"10.1080/10790268.2024.2304920","url":null,"abstract":"<p><strong>Context: </strong>Spinal cord injury or disease (SCI/D) can lead to health challenges that are exacerbated with aging. Adaptive sport is understood to provide health benefits for the SCI/D population. Prior literature investigating adaptive sport in this population pertains to adults with SCI/D who are <50 years of age. However, most Canadians with SCI/D are >50 years of age.</p><p><strong>Objectives: </strong>This study aimed to: (1) Compare demographics of those who do and do not participate in adaptive sport; (2) Describe the characteristics of adaptive sport that adults aged ≥50 years with SCI/D participate in; and (3) Identify barriers and facilitators to adaptive sport participation in this age group.</p><p><strong>Methods: </strong>This descriptive, cross-sectional survey was carried out using an online survey. Analytical statistics were used to address objective one, while descriptive statistics were employed for objectives two and three.</p><p><strong>Participants: </strong>Responses from 72 adults aged ≥50 years, residing in Canada, living with a SCI/D for >6 months were included in the analysis.</p><p><strong>Results: </strong>Findings revealed that adaptive sport participants aged ≥50 years with SCI/D were more likely to identify as men, be younger individuals (50-59 years), and report greater satisfaction with physical health (<i>P</i> < 0.05). Adaptive sport participants most commonly played individual sports at the recreational level. Common barriers pertained to physical capacity, travel, and COVID-19; common facilitators included social support, desire to improve health, and having friends/peers who also participate.</p><p><strong>Conclusion: </strong>Future research should investigate strategies to enhance facilitators and mitigate barriers to adaptive sport participation in order to improve access.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"650-669"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693311","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":"RETRACTED ARTICLE: Administration of methylprednisolone do not affect the spinal scar component of spinal cord injury.","authors":"Xin Liu, Yang Xu, Yangyang Wang, Xia Peng, Jiao Jian, Xuefang Wang, Tinghua Wang","doi":"10.1080/10790268.2024.2352929","DOIUrl":"10.1080/10790268.2024.2352929","url":null,"abstract":"<p><p>We, the Editors and Publisher of the journal <i>The Journal of Spinal Cord Medicine</i>, have retracted the following article:Liu, X., Xu, Y., Wang, Y., Peng, X., Jian, J., Wang, X., & Wang, T. (2024). Administration of methylprednisolone do not affect the spinal scar component of spinal cord injury. <i>The Journal of Spinal Cord Medicine</i>, 1-10. https://doi.org/10.1080/10790268.2024.2352929Following publication, in November 2024, the authors notified the journal that they had identified areas in the article which required improvement, and requested retraction.Upon investigation by the journal, significant concerns were identified regarding the animal model and the integrity of Figure(s) 2 and 4.When approached for an explanation following their request to retract the article, the authors did not respond.As verifying the validity of published work is core to the integrity of the scholarly record, we are therefore retracting the article. The corresponding author listed in this publication has been informed.We have been informed in our decision-making by our editorial policies and the COPE guidelines.The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as 'Retracted'.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"745-754"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019363","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":"Correction.","authors":"","doi":"10.1080/10790268.2024.2323445","DOIUrl":"10.1080/10790268.2024.2323445","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"756"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998122","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}