Journal of Spinal Cord Medicine最新文献

{"title":"Introducing the bowel huddle: An interprofessional approach to enhancing management of neurogenic bowel dysfunction.","authors":"Molly Stewart, Malorie Heinen, Namrata Raut, Lisa E Guthrie","doi":"10.1080/10790268.2026.2727245","DOIUrl":"https://doi.org/10.1080/10790268.2026.2727245","url":null,"abstract":"<p><strong>Context/objective: </strong>Neurogenic bowel dysfunction (NBD) is common after spinal cord injury (SCI) and contributes to prolonged hospitalization, reduced quality of life, and secondary complications. Interprofessional huddles may improve outcomes, safety, and staff autonomy. This study evaluated a weekly bowel huddle in an inpatient rehabilitation facility (IRF) from the perspective of frontline staff.</p><p><strong>Design: </strong>Quality improvement initiative using a cross-sectional survey design.</p><p><strong>Setting: </strong>Acute 29-bed IRF at a large Midwest academic medical center, with 15.7% of total patients with SCI from 2024 requiring NBD management.</p><p><strong>Participants: </strong>Frontline staff including registered nurses and licensed occupational therapists (<i>N</i> = 26) caring for patients with NBD due to SCI.</p><p><strong>Interventions: </strong>Weekly interprofessional bowel huddle for NBD management.</p><p><strong>Outcome measures: </strong>Staff perceptions were collected using an 8-item Likert-type survey and 3 open-ended questions. Data analyses included descriptive statistics, independent-sample t-tests by timing of hire, and a framework qualitative analysis. Internal consistency reliability was evaluated using Cronbach's alpha.</p><p><strong>Results: </strong>Internal consistency was high (<i>α</i> = .85) with no differences by timing of hire. Staff agreed huddles improved communication and autonomy, though post-huddle communication needed improvement. Comments highlighted better coordination, team communication, and confidence with bowel protocols.</p><p><strong>Conclusion: </strong>An interprofessional Bowel Huddle for NBD management in patients with SCI may improve team communication, staff autonomy, and care coordination, and facilitate earlier patient and caregiver education, enhancing discharge readiness within an IRF setting.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138963","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":"Stimulation-associated motor and functional improvement after epidural spinal cord stimulation in chronic spinal cord injury secondary to spinal ependymoma: A case report.","authors":"Aslihan Cevik Baran, Edip Gonullu, Ece Balkuv, Arzu Dinc Yavas, Seyma Sarioglu, Emir Eker, Luay Serifoglu, Elif Elcin Dereli, Gorkem Acar, Georgios K Matis","doi":"10.1080/10790268.2026.2736346","DOIUrl":"https://doi.org/10.1080/10790268.2026.2736346","url":null,"abstract":"<p><strong>Context: </strong>Chronic spinal cord injury (SCI) secondary to spinal tumors may cause persistent motor and sensory dysfunction despite surgical treatment and rehabilitation. Ependymomas are the most common intramedullary spinal tumors in adults, but long-standing neurological deficits after tumor surgery are difficult to treat.</p><p><strong>Findings: </strong>We report a 51-year-old man with chronic SCI after thoracic spinal ependymoma surgery performed in 2000. He had persistent right-predominant lower-extremity weakness, sensory loss below T10, limited walking endurance, and cane-dependent ambulation. EES was performed in October 2024 using a 32-contact paddle lead positioned over T12-L1. Motor-oriented programs were predominantly delivered at 40 Hz (approximately 3-4 mA; pulse width approximately 300 microseconds) and selected according to activity. The patient progressed from AIS C to AIS D, while SCIM III increased from 84 at baseline to 88, 96, 98, and 98 at 3, 6, 9, and 12 months, respectively. At the latest follow-up, AIS D was maintained with stimulation OFF and ON, while active stimulation provided additional facilitation of selected lower-extremity muscles, particularly ankle dorsiflexion.</p><p><strong>Conclusion/clinical relevance: </strong>This case suggests that individualized EES may be associated with clinically meaningful motor and functional improvement even decades after SCI secondary to spinal ependymoma surgery. Longitudinal gains persisted with stimulation OFF, while stimulation ON provided additional task-dependent motor facilitation.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129153","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":"Preliminary psychometric evaluation of the Multidimensional Psychological Flexibility Inventory in adults with spinal cord injury.","authors":"Minjung Kim, Areum Han, Ickpyo Hong","doi":"10.1080/10790268.2026.2735649","DOIUrl":"https://doi.org/10.1080/10790268.2026.2735649","url":null,"abstract":"<p><strong>Context/objective: </strong>Psychological flexibility is a key treatment target in acceptance and commitment therapy and is increasingly relevant to rehabilitation research involving adults with spinal cord injury (SCI). This study examined preliminary psychometric properties of the Multidimensional Psychological Flexibility Inventory-Long Form (MPFI-LF) and Short Form (MPFI-SF) in adults with SCI.</p><p><strong>Design: </strong>Cross-sectional online survey with a two-week test-retest subsample.</p><p><strong>Setting: </strong>Community-based online recruitment across the United States.</p><p><strong>Participants: </strong>Adults with traumatic or non-traumatic SCI (N = 159; 50.3% female; mean age = 42.2 years). A subset of 59 participants completed the retest assessment.</p><p><strong>Outcome measures: </strong>MPFI-LF, MPFI-SF, and other related measures to examine internal consistency, test-retest reliability, subscale intercorrelations, convergent validity, and floor and ceiling effects.</p><p><strong>Results: </strong>The MPFI-LF demonstrated good to excellent internal consistency across composite scores and subscales. The MPFI-SF showed acceptable to good internal consistency for most scores, although the Acceptance subscale showed poor internal consistency. Composite scores and most subscales showed moderate to good test-retest reliability, although several MPFI-SF inflexibility subscales showed poor to moderate stability. Subscale intercorrelations generally supported theoretically expected patterns, although experiential avoidance showed weak associations with other inflexibility subscales. Convergent validity was supported by moderate to strong correlations with related ACT process measures. No floor or ceiling effects were observed.</p><p><strong>Conclusion: </strong>Findings provide preliminary support for the MPFI, particularly the MPFI-LF, as a multidimensional measure of psychological flexibility and inflexibility in adults with SCI. Further research is needed to evaluate factorial validity, discriminant validity, and responsiveness.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129230","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":"Factor structure of the mental health continuum - short form (MHC-SF) among persons living with spinal cord injuries.","authors":"Anne-Stuart Bell, Sydney M Stevens, Emma C McWhorter, Myeongsun Yoon, Laurel Wade, Timothy R Elliott","doi":"10.1080/10790268.2026.2736344","DOIUrl":"https://doi.org/10.1080/10790268.2026.2736344","url":null,"abstract":"<p><strong>Objective: </strong>To examine the basic psychometric properties and theorized three-factor structure of the Mental Health Continuum - Short Form (MHC-SF) among persons living with traumatically-acquired spinal cord injuries.</p><p><strong>Design: </strong>Cross-sectional study of data obtained in an online survey.</p><p><strong>Setting: </strong>Survey administered to individuals on the Paralyzed Veterans of America email listserv.</p><p><strong>Participants: </strong>A total of 303 members of the Paralyzed Veterans of America completed an online survey that included the MHC-SF. Confirmatory factor analyses and Cronbach's alphas were conducted for the MHC-SF total and subscale scores. Fit indices that were examined included chi-square value, root mean square error of approximation (RMSEA), comparative fit index (CFI), and the standardized root mean square residual (SRMR).</p><p><strong>Results: </strong>Over half of the respondents were classified as flourishing (54%), based on the instructional criteria for the instrument. A small percentage were classified as languishing (9%). The theorized three-factor model demonstrated an adequate fit to the data. One and two factor models were not supported.</p><p><strong>Conclusions: </strong>The findings indicate that the three-factor model of positive mental health assessed by the MHC-SF is replicated among respondents with chronic SCI. The MHC-SF and its accompanying theoretical model of positive mental health may offer a multidimensional tool to assess and conceptualize mental health-related quality of life among persons living with SCI. Further study of the psychometric properties of the MHC-SF is warranted.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117786","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":"Quantitative assessment of cervical spinal cord injury: Methods, clinical utility, and future directions.","authors":"Shuo Sun, Wenyu Zhang, Yong Wang, Xingyu Li, Tianming Xu, Xiaodong Wu, Hui Wang","doi":"10.1080/10790268.2026.2719095","DOIUrl":"https://doi.org/10.1080/10790268.2026.2719095","url":null,"abstract":"<p><strong>Study design: </strong>Literature review.</p><p><strong>Objectives: </strong>To provide a structured narrative summary of quantitative assessment methods for cervical spinal cord injury (SCI), analyze their stage-specific applicability, discuss limitations, and clarify the clinical utility and future integration of wearable sensors and artificial intelligence (AI).</p><p><strong>Methods: </strong>A narrative review was conducted using PubMed, Web of Science, and EBSCO to identify English-language, peer-reviewed studies published between 1967 and 2026 on quantitative assessment of traumatic and non-traumatic cervical SCI. The search covered imaging, neurological and functional evaluation, electrophysiology, biomechanics, wearable monitoring, artificial intelligence, machine learning, computer vision, and multimodal data integration. An updated PubMed search performed on May 15, 2026 identified 1,042 records. After title and abstract screening, 873 records were retained as potentially relevant, and 73 unique publications were included in the final narrative synthesis following full-text review and deduplication.</p><p><strong>Results: </strong>Main methods include imaging (CT, MRI/DTI, AI-image analysis), neurological scales (ASIA/ISNCSCI, SCIM, WISCI), neuroelectrophysiology (SSEP, MEP, EMG), biomechanics (sEMG and kinematics), and wearable sensors. These methods provide complementary structural, neurological, functional, and real-world activity information across acute care, rehabilitation, and long-term follow-up. Current approaches remain limited by subjectivity, poor real-time monitoring, limited quantification precision, equipment dependence, and insensitivity to early or subclinical changes. Wearable-AI integration may improve continuous monitoring, risk prediction, pressure injury prevention, and the selection of patients who may benefit from transcutaneous or epidural stimulation.</p><p><strong>Conclusion: </strong>Current quantitative assessment methods for cervical SCI are insufficient when used alone. A staged, multimodal strategy that combines conventional clinical assessment with wearable sensing and AI-supported analysis may improve full-process management, clinical decision-making, and prognostic assessment in cervical SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117726","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":"Latex sensitization and allergy in children with spinal dysraphism: A meta-analysis.","authors":"Isaac Chung, Nikhil Manoj, Khalida Ahmad, Ece Nur Çinar, Michael R Perkin, Anna Bridgens, Yael Gelfer","doi":"10.1080/10790268.2026.2703368","DOIUrl":"https://doi.org/10.1080/10790268.2026.2703368","url":null,"abstract":"<p><strong>Context: </strong>Children with Spinal Dysraphism have historically demonstrated a higher prevalence of latex allergy which resulted in efforts to establish latex-free environments for these children. Whether this has reduced latex sensitization and allergy prevalence is uncertain.</p><p><strong>Objective: </strong>This systematic review evaluates and summarizes the current evidence of the prevalence of latex allergy in children with spinal dysraphism.</p><p><strong>Methods: </strong>MEDLINE, Embase, and PubMed databases were searched for studies investigating the prevalence of latex sensitisation and allergy in patients with spina dysraphism from inception until May 2025. An <i>a priori</i> protocol was registered on PROSPERO (CRD42024568889). Baseline characteristics and prevalence of positive IgE, positive skin prick, and allergy to latex were double-screened and extracted independently. Meta-analysis was performed, pooling the prevalence rate under a random effects model.</p><p><strong>Results: </strong>Nineteen studies were included in the meta-analysis. Latex sensitization was common: 20% on specific IgE testing (95% CI 11% - 34%, I2 = 87%) and 21% on skin prick testing (95% CI 13% - 32%, I2 = 67%). Latex allergy was present in 6% (95% CI 2% - 17%, I2 = 88%). Latex sensitization and allergy rates appear to be decreasing over time, although the trends were not statistically significant.</p><p><strong>Conclusion: </strong>These findings highlight the persistently high prevalence of latex sensitization and allergy in children with spinal dysraphism. The absence of recent studies and the widespread introduction of latex-free products underscore the need for up-to-date prevalence data. Establishing a dedicated registry would help determine current prevalence rates.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117739","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":"Synbiotic supplementation may attenuate osteoporosis following spinal cord injury in a rat model.","authors":"Seyed Mohsen Tabatabae Shirazani, Mandana Golipoor, Mojtaba Hedayati Ch, Arash Zaminy","doi":"10.1080/10790268.2026.2672829","DOIUrl":"https://doi.org/10.1080/10790268.2026.2672829","url":null,"abstract":"<p><strong>Context: </strong>Spinal cord injury (SCI) often leads to severe bone loss and a higher risk of osteoporosis. Current treatments have not fully addressed bone deterioration, which remains a major clinical issue. New research suggests that the gut microbiota may influence bone health, and probiotics might help improve bone status. This study aimed to assess the effect of synbiotic supplementation, which combines probiotics and prebiotics, on bone health in a rat model of SCI-induced osteoporosis.</p><p><strong>Methods: </strong>Male Wistar rats were randomly divided into three groups: control (sham), SCI, and SCI + synbiotic. Spinal cord injury was surgically induced at the T10 level. The synbiotic group received 1 mL of Lactocare® (containing probiotics and fructooligosaccharides) orally, three times a week for four weeks after the injury. We measured bone mineral density (BMD), bone volume/total volume (BV/TV), alkaline phosphatase (ALP) levels, and bone strength (maximum breaking force).</p><p><strong>Results: </strong>Although ALP activity decreased in the treatment group, the reduction was not statistically significant and levels did not return to those of the control group, synbiotic supplementation led to a significant decrease in bone loss compared to the SCI group (P < 0.05), and bone strength parameters improved significantly in the treatment group. This indicates reduced bone turnover and better bone integrity.</p><p><strong>Conclusion: </strong>Synbiotic treatment may reduce osteoporosis following SCI by influencing bone metabolism. These results lay the groundwork for future studies on gut-targeted therapies for bone loss related to SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070460","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":"Catheterization frequency is not a surrogate for bladder safety: Interpreting patient-directed handheld ultrasound in spinal cord injury.","authors":"Yasemin Yumuşakhuylu","doi":"10.1080/10790268.2026.2727248","DOIUrl":"https://doi.org/10.1080/10790268.2026.2727248","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-2"},"PeriodicalIF":1.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041652","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":"Continuous glucose monitoring of postprandial and 24-hour responses in individuals with spinal cord injury.","authors":"Seung Won Jung, Tae Gu Choi, Sun Jung Kim, Ho Jeong Min, Hyun Jeong Kim, Setor K Kunutsor, Sae Young Jae","doi":"10.1080/10790268.2026.2731727","DOIUrl":"https://doi.org/10.1080/10790268.2026.2731727","url":null,"abstract":"<p><strong>Context/objective: </strong>Spinal cord injury (SCI) is associated with autonomic and metabolic alterations that may impair glucose regulation. However, postprandial and 24-h glycemic dynamics in this population remain poorly understood. This study compared 5-h controlled postprandial and 24-h continuous glucose monitoring (CGM)-derived glycemic responses, including free-living monitoring, in individuals with and without SCI.</p><p><strong>Design: </strong>Comparative acute experimental study.</p><p><strong>Setting: </strong>University-based laboratory setting.</p><p><strong>Participants: </strong>Twenty-nine individuals with SCI and 20 individuals without SCI were included in the 5-h analysis. Participants with SCI were wheelchair users at least 1 year post-injury, and all participants had no diagnosis of type 2 diabetes and were not using glucose-lowering medications. The 24-h analysis included 21 individuals with SCI and 16 individuals without SCI who met the 24-h CGM completeness criterion.</p><p><strong>Interventions: </strong>Consumption of a standardized mixed meal followed by 5 h of seated rest, defined as the controlled postprandial period. The subsequent 19 h were monitored under free-living conditions.</p><p><strong>Outcome measures: </strong>CGM-derived area under the curve (AUC), mean glucose, glycemic variability indices, and time to peak glucose.</p><p><strong>Results: </strong>During the 5-h controlled postprandial period, most CGM-derived outcomes, including AUC, mean glucose, and glycemic variability indices, were comparable between groups. However, the postprandial glucose response over time showed a significant group × time interaction (<i>p</i> < 0.001), and individuals with SCI had a shorter time to peak glucose than individuals without SCI [45 (30-60) vs. 75 (60-138.8) min; <i>p</i> < 0.001]. In the exploratory 24-h analysis, most CGM-derived outcomes were comparable between groups.</p><p><strong>Conclusion: </strong>Individuals with SCI had a shorter CGM-derived time to peak glucose following a standardized mixed meal, despite largely comparable overall 5-h glycemic exposure and variability. Further CGM studies are needed to clarify the physiological relevance of postprandial glucose dynamics under both controlled and free-living conditions.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065519","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":"Editorial on eating behavior, diet quality, mental health, and functional outcomes in individuals with spinal cord injury.","authors":"William Tsang, Maureen Sessa, Susan Kraus","doi":"10.1080/10790268.2026.2727249","DOIUrl":"https://doi.org/10.1080/10790268.2026.2727249","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-3"},"PeriodicalIF":1.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065530","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}