Journal of Spinal Cord Medicine最新文献

{"title":"A survey of knowledge, experiences, and quality of life impacts related to urinary tract infections among people with neurogenic bladder.","authors":"Margaret A Fitzpatrick, Marissa Wirth, Pooja Solanki, Stephen P Burns, Katie J Suda, Frances M Weaver, Eileen G Collins, Nasia Safdar, Charlesnika T Evans","doi":"10.1080/10790268.2025.2503051","DOIUrl":"10.1080/10790268.2025.2503051","url":null,"abstract":"<p><strong>Background: </strong>Urinary tract infections (UTI) are common complications in people with neurogenic bladder (NB). Limited data exist on UTI-related knowledge, experiences, and quality of life (QoL) impacts in this population.</p><p><strong>Methods: </strong>We mailed surveys to 289 Veterans with NB due to spinal cord injury/disorder (SCI/D), multiple sclerosis, or Parkinson's Disease who had a UTI diagnosis at four Veterans Affairs Medical Centers between May 2022-May 2023. The survey was adapted from existing instruments and previously collected qualitative data and assessed patient knowledge and experiences with UTI and QoL impacts. Descriptive statistics summarized responses and scaled QoL scores were calculated, with higher scores indicating greater negative impact.</p><p><strong>Results: </strong>Most respondents (<i>n</i> = 71) were older (mean age = 69), had SCI/D (77%), and used urinary catheters (77%). Over a third had misperceptions about antibiotic risks and the significance of a positive urine culture or bacteriuria for diagnosing UTI. 18% wanted more information about UTIs, with most preferring written materials (77%) or information at healthcare provider visits (62%). The strongest QoL impacts were on daily activities, with many respondents indicating UTIs affect diet (50%), travel (53%), and sex life (60%). Mean [standard deviation (SD)] scaled QoL score was 40.8 (15.3) out of a maximum of 75, with ≥ 3 UTIs in the prior year associated with higher scores (<i>p</i> = 0.02).</p><p><strong>Conclusions: </strong>People with NB may have misperceptions about UTI diagnosis and antibiotic risks, and experience substantial QoL impacts from UTIs. Provider encounters for suspected UTI may be good opportunities for delivering written education and assessing QoL impacts.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081790","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":"Effective management of orthostatic hypotension in a patient with complete spinal cord injury using a portable transcutaneous spinal cord stimulation device: A case report.","authors":"Sandra Jia Yi Lau, Pan Zi Hang, Wu Lijia, Chen Jing","doi":"10.1080/10790268.2025.2496566","DOIUrl":"https://doi.org/10.1080/10790268.2025.2496566","url":null,"abstract":"<p><strong>Context: </strong>Orthostatic hypotension (OH) is a debilitating condition in spinal cord injury (SCI) patients, characterized by impaired autonomic regulation and significant drops in blood pressure (BP) upon upright positioning. Despite pharmacological and non-pharmacological interventions, OH often persists, limiting rehabilitation progression and daily functional activities. Transcutaneous spinal cord stimulation (tSCS), is a non-invasive modality that has shown promise in addressing cardiovascular dysregulation. However, clinical application of tSCS is often constrained by availability.</p><p><strong>Findings: </strong>This case report describes a novel application of a commercially available neuromuscular electrical stimulation (NMES) device, adapted for transcutaneous spinal cord stimulation, in a 49-year-old male with C5 complete SCI and severe OH refractory to conventional treatments. The intervention demonstrated immediate stabilization of BP and symptom resolution during upright positioning, enabling significant functional gains, including improved sitting tolerance and enhanced quality of life.</p><p><strong>Conclusion: </strong>These findings suggest that NMES can be a cost-effective and portable alternative to traditional tSCS, and may broaden therapeutic options for managing OH in SCI patients. Further research is warranted to validate these results and optimize its clinical application.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041674","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":"Patient-Reported Outcome Measures for assessing functioning, disability, and health of people with spinal cord injury - a scoping review.","authors":"Eelis Nuuttila, Sanna-Mari Saarimäki, Arto J Hautala, Sinikka Hiekkala","doi":"10.1080/10790268.2025.2477364","DOIUrl":"https://doi.org/10.1080/10790268.2025.2477364","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to identify the most frequently used Patient-Reported Outcome Measures (PROM) for people with spinal cord injury (SCI) and to explore how they assess function, disability, and health in the framework of the International Classification of Functioning, Disability and Health (ICF). Additionally, the psychometric properties of the identified PROMs were investigated.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Methods: </strong>MEDLINE (Ovid) and CINAHL (EBSCO) electronic databases were searched for PROMs that assess functioning, disability, and health in people with SCI. Eligible PROMs were linked to the ICF and further screened based on how thoroughly they covered the ICF categories of the Brief ICF Core Sets for people with SCI. Finally, a search was performed to investigate the psychometric properties of selected PROMs.</p><p><strong>Results: </strong>Of the most frequently applied PROMs, 21 were linked to the ICF. Items of the Craig Hospital Inventory of Environmental Factors (CHIEF), the Nottwil Environmental Factors Inventory Short Form (NEFI-SF), the Spinal Cord Injury Secondary Conditions Scale (SCI-SCS), and the Spinal Cord Independence Measure - Self Report (SCIM-SR) covered the constructs of the Brief ICF Core Sets most comprehensively, and their psychometric properties were assessed. The psychometric properties of the SCIM-SR had been examined the most thoroughly, and its validity and reliability were acceptable.</p><p><strong>Conclusions: </strong>Sufficient psychometric properties encourage using the SCIM-SR to assess functioning in daily activities of people with SCI whereas CHIEF, NEFI-SF, and SCI-SCS measure meaningful constructs but need more psychometric research.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057103","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":"Sexual rehabilitation support experiences of Australian adults living with a spinal cord injury.","authors":"Andrew Allen, Marita Heck, Connor Doig, Timothy Cudmore, Katrina Lawrence, Jonathan Mason","doi":"10.1080/10790268.2025.2496567","DOIUrl":"https://doi.org/10.1080/10790268.2025.2496567","url":null,"abstract":"<p><strong>Objective: </strong>Sexuality constitutes a fundamental component of wellbeing, which can be profoundly compromised by spinal cord injury. Yet, sexual quality of life associated with rehabilitation remains inadequately addressed.</p><p><strong>Design: </strong>Using a theory-driven, qualitative methodology and applying Material, Discursive, Intrapsychic Theory (encompassing multiple dimensions of sexuality), this study explored the sexual quality of life support experiences of nine Australian adults with spinal cord injury (SCI); male (n=8) and female (n=1) with varying levels of SCI using online interviews.</p><p><strong>Results: </strong>Participants' responses reflected previous research on sexuality in SCI, noting an emphasis on physical aspects (<i>e.g.</i> erection and ejaculation ability) to the neglect of the psychological and interpersonal. The three core components of Material, Discursive, Intrapsychic Theory were mapped onto themes from the data, demonstrating that aside from the physical impact of SCI, one's identity and relational connection to others, in addition to sociocultural discourse related to disability stigma, collectively impacted sexual wellbeing.</p><p><strong>Conclusions: </strong>Practical sexual rehabilitation support that provides individualized assistance to build emotional connection, develop skills and offer personalized recommendations for equipment is fundamental to improving sexual wellbeing after a SCI.</p><p><strong>Lay summary: </strong>: This study collected information from people with a spinal cord injury to better understand their perceptions of sexual quality of life guided by a theoretical framework. Following analysis of collected information, prominent themes encompassed sexual functioning, loss of autonomy, disability stigma and shame, and partner openness and ability.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059488","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":"A robotic-assisted intervention (ROBERT®) to enhance muscle strength in the hip flexor muscles following spinal cord injury: A pilot within-person randomized controlled trial.","authors":"Susanne Lillelund Sørensen, Anette Bach Jønsson, Lisa Anne Harvey, Fin Biering-Sørensen, Jørgen Feldbæk Nielsen","doi":"10.1080/10790268.2025.2488573","DOIUrl":"https://doi.org/10.1080/10790268.2025.2488573","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether a robotic-assisted intervention increases hip flexor muscle strength in people with spinal cord injury (SCI) and marked neurological weakness. The robotic-device (ROBERT®) supports the weight of the leg and guides it through assisted active or resisted active hip flexion movements.</p><p><strong>Study design: </strong>Pilot within-person randomised controlled trial.</p><p><strong>Setting: </strong>Specialized SCI center in Denmark.</p><p><strong>Methods: </strong>Twelve people with incomplete SCI <12 months, aged ≥18 and grade 1-3/5 strength on a Manual Muscle Test in the right and left hip flexor muscles were recruited. One leg of each person was randomised to receive additional ROBERT® treatment. All other care remained the same for both legs. Randomization was stratified based on hip flexor muscle strength. Treatment of the experimental leg consisted of 60 assisted active or resisted active hip flexion movements with the robotic device three times a week for eight weeks. The primary outcome was maximal voluntary isometric contraction (MVIC). Secondary outcomes were root mean square of a surface electromyography signal, muscle thickness, the number of hip flexion movements per day, and self-reported perception of function and strength. Participants were assessed at baseline and post-intervention.</p><p><strong>Results: </strong>Eleven out of 12 participants completed the study. There were no statistically significant between-group differences for MVIC (mean and 95% CI was -2.7 Nm, -8.1 to 2.7) or any of the secondary outcomes (except the number of hip flexion movements per day).</p><p><strong>Conclusion: </strong>The robotic-assisted intervention did not increase hip flexor strength in people with incomplete SCI and marked neurological weakness.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041936","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 age in the healing time in myocutaneous and perforator flaps for pelvic pressure ulcers in patients with spinal cord injury.","authors":"L Lepoittevin, M Le Fort, F Bellier-Waast, P Kieny, J Aubrit, B Perrouin-Verbe, C Lefèvre","doi":"10.1080/10790268.2025.2488568","DOIUrl":"https://doi.org/10.1080/10790268.2025.2488568","url":null,"abstract":"<p><strong>Introduction: </strong>Specific management of people with spinal cord injury has allowed to improve their life expectancy. The objective of this study was to analyze if age was a factor affecting the healing time of surgery for pelvic pressure ulcers in patients with spinal cord injury.</p><p><strong>Methods: </strong>Retrospective, monocentric study, enrolling all consecutive spinal cord injury participants admitted into a specialized Neurological Physical Medicine and Rehabilitation department for surgery for pelvic pressure ulcers during a 5-year period. Participants were divided into two groups, \"Young group\" patients aged between 18 and 64 years and \"Senior group\" patients over 65 years of age. Healing time was defined as the time required for complete closure, allowing mobilization of the lower limbs. Data related to the complication rate (dehiscence, hematoma, infection, flap necrosis), medical or psychiatric decompensation, length of stay and time to rehabilitation were collected.</p><p><strong>Results: </strong>One hundred and fourteen participants were recruited, including 77 participants in the \"Young group\" and 37 in the \"Senior group\". In total, 131 pressure ulcers were operated. The median of the healing time was 46 [32.0;68.8] days, with a minimum of 20 days and a maximum of 694 days. Seven participants were considered as healing failures. There was no significant statistical difference between the two groups with 43 days [35.0;52.0] for the \"Young group\" and 56 days [40.0;80.0] for the \"Senior group\" (p = 0.44).</p><p><strong>Discussion: </strong>This study demonstrated no significant difference in postoperative healing time of flaps for pelvic pressure ulcers between participant below and above 65 years of age.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024498","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":"Self-reported shoulder pain assessment in adults with spinal cord injury who use a manual wheelchair: A scoping review.","authors":"Wendy Hurd, Meegan Van Straaten, Saloni Patel, Alison Hansen, Omid Jahanian, Stephen Cain, Ryan Pontiff, Chih-Ying Li, Melissa Morrow","doi":"10.1080/10790268.2025.2483075","DOIUrl":"10.1080/10790268.2025.2483075","url":null,"abstract":"<p><strong>Context: </strong>For individuals living with spinal cord injury (SCI), a deep understanding of their shoulder pain experience is crucial to guide equipment prescription/design, mobility training, exercise, recreation, and pain education. Standardization in pain assessment methods is necessary for cross-study comparisons and meta-analyses. No previous studies describe the spectrum of shoulder pain assessment measures applied to adults with SCI who use MWCs for mobility.</p><p><strong>Objective: </strong>This scoping review aimed to determine the measurement instruments and methods of shoulder pain assessment used in peer-reviewed, published literature in studies focused on individuals with SCI who use MWCs.</p><p><strong>Methods: </strong>A literature search was performed using multiple databases on February 23, 2023. Data extraction elements included study design type, inclusion/exclusion criteria, sample size, and pain measurement instrument. Participant characteristics were also extracted including age, sex, time since SCI, level of SCI, and MWC use.</p><p><strong>Results: </strong>This scoping review identified over 20 instruments used in 133 studies that focused on reported shoulder pain in studies of this population. Thirty percent of the studies performed shoulder pain assessment for more than one purpose (screening, baseline, outcome), and 56% used more than one assessment measurement. The Wheelchair Users Shoulder Pain Index was the most commonly used instrument.</p><p><strong>Conclusion: </strong>An in-depth understanding of pain requires measurement within a biopsychosocial framework and likely involves multiple instruments. Overall, investigators are challenged to select valid, reliable instruments that fulfill the demands of study design and questions of interest. Guiding questions are provided to assist investigators in their choice of pain instruments.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062957","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":"Photobiomodulation (PBM) therapy for functional recovery using an experimental model of spinal cord injury in rats.","authors":"Paula Del Campo, Lívia Assis, Suellen Veronez Silva, Raquel de Paula Carvalho, Julia Risso Parisi, Alessandra Mussi Ribeiro, Flávia de Oliveira, Gláucia Castro, Thatiane Izabele Ribeiro Santos, Ana Muniz Renno, Carla Christina Medalha","doi":"10.1080/10790268.2025.2488571","DOIUrl":"https://doi.org/10.1080/10790268.2025.2488571","url":null,"abstract":"<p><strong>Context: </strong>Traumatic spinal cord injury (SCI) is characterized by damage in the spinal cord, which can result in a permanent or temporary disability and different degrees of paralysis, sensory loss, and bladder/bowel dysfunction. It represents an important cause of morbidity and mortality in the affected individuals. Based on the need to develop more effective treatments for SCI, authors have been investigating the effects of photobiomodulation (PBM) therapy on this injury.</p><p><strong>Objective: </strong>In this context, the present study aimed to evaluate the long-term effect (follow-up) of PBM using a model of SCI in rats.</p><p><strong>Results: </strong>For this, 33 rats were randomly divided into two experimental groups: the control group and the laser group, and sub-divided into two sub-groups (with two different periods of euthanasia post-injury, 4 and 8 weeks). PBM treatment was performed for 14 days (daily, 808 nm, continuous output, 30 mW, 0.028 cm², 1.07 W/cm², 1000 J/cm², 4 min and 42 secs). Animals were euthanized 4 and 8 weeks after the surgical procedure. For analysis, motor function and tactile sensitivity analysis were performed on days 1 and 7 post-surgery. Moreover, after euthanasia, samples were retrieved for histological and immunohistochemistry analysis. The results of the present study demonstrated that PBM improved function and motor behavior. Furthermore, irradiated animals demonstrated a decreased injury volume and decreased GFAP immunolabelling. These results suggest that PBM presented a long-term positive effect on the morphological aspects at the site of the injury and in the modulation of GFAP immunoexpression, which culminates in the improvement of the function behavior.</p><p><strong>Conclusion: </strong>It may be suggested that PBM therapy in the parameters used, was able to modulate the inflammatory process, regulate the secondary lesion, decreasing cell apoptosis and edema in the earlier phases of recovery, which resulted in long-term positive effects (4 and 8 weeks). Further investigations are necessary to investigate the possible mechanisms that may explain the positive effects of PBM irradiation in SCI, which may contribute to a better understanding of the efficacy of PBM therapy and the development of more effective and safer treatments.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055224","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":"Priorities and opportunities for advocacy in SCI: An international web-based review.","authors":"Vyshnavi Manohara, Anna Nuechterlein, Tanya A Barretto, Judy Illes","doi":"10.1080/10790268.2024.2369736","DOIUrl":"10.1080/10790268.2024.2369736","url":null,"abstract":"<p><strong>Context: </strong>For the growing number of people with spinal cord injuries worldwide, advocacy organizations are an invaluable resource of information and education during recovery and rehabilitation.</p><p><strong>Objective: </strong>To examine the structure, information, and accessibility of websites from international organizations that serve and advocate for individuals with SCI.</p><p><strong>Methods: </strong>We performed a content analysis of information available from SCI organizations returned from a Google search. We used search terms relevant to SCI and advocacy and applied them to top-level domains for the G20 countries. Organizations that provide services or advocate for people with SCI with English-language websites were included; organizations focused on research, fundraising, clinical care, interprofessional knowledge exchange, or other neurological conditions were excluded. Accessibility, in terms of ease of use to information about participation, was assessed using a 3-point scale.</p><p><strong>Results: </strong>We identified SCI organizations from 27 different countries across six regions: Africa (<i>N</i> = 4), Asia (<i>N</i> = 5), Europe (<i>N</i> = 27), Middle East (<i>N</i> = 1), North America (<i>N</i> = 12), and Oceania (<i>N</i> = 11). Across these, six categories of resources and services are covered: (1) education, (2) physical health, (3) external, (4) peer support, (5) mental health, and (6) financial and legal. Eleven organizations indicate specific engagement with research or clinical trials. Four websites provided highly accessible information (rank = 3) about participation in research.</p><p><strong>Conclusion: </strong>The SCI organizations identified in this study offer resources that largely pertain to education and physical health services and strategies. Information about clinical trials and SCI research studies are easily accessible on the websites of the limited number of organizations offering avenues for participation.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"367-375"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcutaneous neuromodulation for bladder management after spinal cord injury: The Ernest Bors, MD Award for Scientific Development.","authors":"Florian P Thomas, Carol Ann Murphy","doi":"10.1080/10790268.2025.2491256","DOIUrl":"10.1080/10790268.2025.2491256","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":"48 3","pages":"365-366"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}