Journal of Spinal Cord Medicine最新文献

{"title":"Effect of an exosuit on gait capacity in individuals with incomplete spinal cord injury: A cross-sectional study.","authors":"L Visch, B E Groen, A C H Geurts, I J W Van Nes, N L W Keijsers","doi":"10.1080/10790268.2026.2660441","DOIUrl":"https://doi.org/10.1080/10790268.2026.2660441","url":null,"abstract":"<p><strong>Context: </strong>Individuals with incomplete spinal cord injury (iSCI) often have reduced gait capacity. Passive assistive devices can provide support, but they are usually suboptimal in terms of gait efficiency and speed. Exosuits, soft actively powered devices, provide additional torques around the leg joints that may improve gait capacity.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effect of a bilaterally configured exosuit providing hip and knee extension support on gait capacity in individuals with iSCI.</p><p><strong>Methods: </strong>Thirty-one participants with iSCI received a five-session training program to adapt to the exosuit (MyoSuit). They subsequently performed the 10-Meter Walk Test at preferred and maximum walking speed and the 6-Minute Walk Test (6MWT), under two conditions: walking with the exosuit and walking without it.</p><p><strong>Results: </strong>Preferred walking speed was significantly lower with the exosuit compared to walking without (median difference: -0.03 m/s, p = 0.002, r=-0.6). No significant differences were found for maximum walking speed (median difference: -0.04 m/s, p = 0.08), walking distance during the 6MWT (median difference: -11 m, p = 0.11), or perceived exertion during the 6MWT (median difference: 0, p = 0.41).</p><p><strong>Conclusion: </strong>A significantly lower preferred walking speed when walking with the bilaterally configured exosuit was found, although the median difference remained well below the minimal clinically important difference of 0.15 m/s. We conclude that a bilaterally configured exosuit providing hip and knee extension support (MyoSuit) does not improve gait capacity in individuals with iSCI, which implies that limited effects on ambulation in the home and community settings must be expected as well.<b>Trial registration:</b> Clinicaltrials.gov NCT05605912. Registered on October 19, 2022.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787741","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":"Characterizing the context of spinal cord injury-inclusive community-based organizations to build capacity for research partnerships: An environmental scan.","authors":"Emily E Giroux, Megan Lambrecht, Ana Sanchez, Majidullah Shaikh, Jessica Bassett-Spiers, Christopher B McBride, Barry Munro, Gabriela Ocampo, Khushi Brar, Samantha P Go, Laura S Kuipers, Heather L Gainforth","doi":"10.1080/10790268.2026.2644718","DOIUrl":"https://doi.org/10.1080/10790268.2026.2644718","url":null,"abstract":"<p><strong>Context: </strong>Spinal cord injury (SCI) community-based organizations (CBOs) have the potential to inform research so that findings are more relevant and applicable. To support SCI CBOs to meaningfully engage in research partnerships, an understanding of their context is needed.</p><p><strong>Objective: </strong>Identify and describe the context of Canadian and American SCI CBOs that offer programs and services to people with SCI.</p><p><strong>Methods: </strong>An environmental scan was conducted using an integrated knowledge translation approach. A list of Canadian and American SCI CBOs was created using community partners' networks and national-level nonprofit organization search engines. Data from CBOs' websites on programs and services, mission/vision statements, commitments to inclusion, diversity, equity, accessibility, and social justice (IDEAS), financial information, and research/research partnership activities were extracted and analyzed abductively.</p><p><strong>Results: </strong>Two hundred two SCI CBOs were identified. CBOs were described using 34 co-developed categories: organizational statements (<i>n</i> = 8), IDEAS commitments (<i>n</i> = 10), and programs/services offered (<i>n</i> = 16). Revenue and expenses varied greatly across SCI CBOs. Study recruitment advertisements, knowledge translation tools, and research-informed articles were how websites discussed research. Descriptions of engagement in research partnerships varied.</p><p><strong>Conclusion: </strong>This environmental scan was used to identify, collate, and describe contextual factors of SCI CBOs from non-peer-reviewed sources, representing an initial characterization of SCI CBO context, grounded in SCI CBO representatives' perspectives. This initial characterization can support researchers, research users, and funders to build capacity for the meaningful engagement of SCI CBOs in research partnerships, such as informing the design of research projects and grants that align with organizational values and account for financial constraints.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787716","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":"The reticulospinal tracts are significant for the control of the anus and bladder: Insights from a complicated spinal cord stimulation case.","authors":"Spyros N Deftereos, Konstantinos E Kostantinidis, Athanasia Alexoudi, Damianos E Sakas","doi":"10.1080/10790268.2026.2657699","DOIUrl":"https://doi.org/10.1080/10790268.2026.2657699","url":null,"abstract":"<p><strong>Context: </strong>a patient with spinal cord injury underwent spinal cord stimulation (SCS) and developed bladder and anal dysfunction, following inadvertent migration of the stimulation electrodes.</p><p><strong>Findings: </strong>we provide evidence that the reticulospinal tracts are significant for the control of the anus and bladder rhabdosphincters.</p><p><strong>Clinical relevance: </strong>we discuss the appropriate positioning of SCS electrodes.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787668","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 scoping review of the Australian spinal cord injury research landscape: Insights and implications for research impact.","authors":"Linda Barclay, Marnie Graco, Marc J Ruitenberg","doi":"10.1080/10790268.2026.2644732","DOIUrl":"10.1080/10790268.2026.2644732","url":null,"abstract":"<p><strong>Context: </strong>A systematic approach to undertaking spinal cord injury (SCI) related research will maximize the use of limited research funds and ensure that all stakeholders collaborate to address barriers to producing relevant, impactful research.</p><p><strong>Objective: </strong>To examine the breadth and scope of Australian SCI research published between January 2018 and September 2025.</p><p><strong>Methods: </strong>A systematic search of five relevant databases for Australian spinal cord injury research published from January 2018 to September 2025 was completed.</p><p><strong>Results: </strong>A total of 271 eligible studies were included. Most publications reported clinical research (<i>n</i> = 233; 86%), with rehabilitation being the largest clinical research category <i>(n</i> = 76; 32.5%). The majority (<i>n</i> = 163; 70%) reported either cross-sectional, qualitative or retrospective designs, and more than half of all clinical studies were conducted at a single site only (<i>n</i> = 136; 58.4%). Most preclinical publications (<i>n</i> = 38; 14%) focused on discovery science and secondary conditions, with research into neuroprotection and regeneration representing the next largest category. Sixteen publications, all clinical, engaged people with lived experience in the research process.</p><p><strong>Conclusion: </strong>This review identified several issues that impact the efficiency and impact of SCI research in Australia, many of which are relevant to other jurisdictions. Issues include limited multi-center collaborations in both clinical and preclinical research, low engagement of people with lived experience in the research process, and a dearth of research from primary care. To maximize the use of finite research funds, all stakeholders with an interest in SCI outcomes should work together to define research priorities and strategically address barriers to producing relevant, impactful research.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718805","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":"Changes over six years in global and domain-specific life satisfaction among older adults aging with long-term spinal cord injury.","authors":"Mikael Waller, Jan Lexell, Sophie Jörgensen","doi":"10.1080/10790268.2026.2650949","DOIUrl":"https://doi.org/10.1080/10790268.2026.2650949","url":null,"abstract":"<p><strong>Context: </strong>Life satisfaction (LS) is associated with health and longevity but decreases after spinal cord injury (SCI). Yet, little is known about changes in LS over time, many years after SCI.</p><p><strong>Objectives: </strong>To assess changes in LS over six years among older adults aging with long-term SCI, determine how changes in LS are associated with sex, age, injury characteristics, and with changes in secondary health conditions (SHCs), activity limitations, marital status and vocational situation.</p><p><strong>Design: </strong>Longitudinal cohort study from the Swedish Aging with Spinal Cord Injury Study (SASCIS).</p><p><strong>Setting: </strong>Community settings, Sweden.</p><p><strong>Participants: </strong>Seventy-eight individuals (32% women), mean age 68 years, mean time since injury 31 years, injury levels C1-L3, AIS A-D.</p><p><strong>Outcome measures: </strong>The Life Satisfaction Questionnaire (LiSat-11), consisting of life as a whole and ten different life domains.</p><p><strong>Results: </strong>Over six years, there were no statistically significant changes in self-rated LS at the group level, but some variability at the individual level. To stop working was associated with increased LS, whereas none of the included variables were associated with decreased LS. A majority of the participants were dissatisfied with life as a whole and with five of the ten life domains, particularly with sexual life, somatic health, and self-care.</p><p><strong>Conclusions: </strong>Our findings indicate stability in global and domain-specific LS over time in older adults aging with long-term SCI. Giving up work can be beneficial for LS in this population as they age. The low LS in several life domains calls for attention in the long-term follow-up after SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678227","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":"Rehabilitation length of stay in individuals with spinal cord injury in Switzerland: A population-based study.","authors":"Anita Feller, Sophia Wetterblad, Inge Eriks-Hoogland, Xavier Jordan, Clare Maguire, Martin Schubert, Martin W G Brinkhof","doi":"10.1080/10790268.2026.2650954","DOIUrl":"10.1080/10790268.2026.2650954","url":null,"abstract":"<p><strong>Introduction: </strong>The length of stay (LOS) for inpatient SCI rehabilitation varies widely worldwide, including high-income countries. Understanding the individual factors that influence LOS at the country level provides valuable insights for optimizing rehabilitation services and resource allocation. Currently, representative data on LOS in rehabilitation following SCI in Switzerland are lacking.</p><p><strong>Objective: </strong>To provide a population-based description of rehabilitation LOS and its determinants after SCI in Switzerland.</p><p><strong>Methods: </strong>This study utilized data from the Swiss Spinal Cord Injury inception cohort, comprising individuals admitted to specialized rehabilitation between 2020 and 2023. Missingness was addressed using multiple imputation. Flexible parametric survival models were employed to identify significant relationships between rehabilitation LOS and the following determinants: patient and lesion characteristics, comorbidity status, functional independence at admission, common secondary health conditions (urinary tract infection, decubitus ulcers, and pneumonia), LOS in acute care, and rehospitalization.</p><p><strong>Results: </strong>The main analysis included 831 individuals with SCI, revealing a median LOS of 139 days (IQR 79.0-189.0). Independent associations with rehabilitation LOS identified in the fully adjusted model included age at SCI, level and lesion severity, urinary tract infections, decubitus ulcers, and functional independence at admission. Additionally, pneumonia and rehospitalization were significantly associated with LOS in supplementary expanded analyses based on a larger sample size with increased power.</p><p><strong>Conclusion: </strong>This study described the LOS for SCI rehabilitation in Switzerland and identified critical patient- and lesion-related determinants. The insights gained are instrumental for healthcare providers and policymakers in enhancing the efficiency and quality of SCI rehabilitation services.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678252","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":"Examining inequalities in people with spinal cord injury through functioning.","authors":"Ana Oña, Abderrazak Hajjioui, Merce Avellanet, Karin Postma, Conran Joseph, Brigitte Perrouin-Verbe, Andrea Boekel, Daiana Popa, Carla Sabariego, Diana Pacheco Barzallo","doi":"10.1080/10790268.2026.2644724","DOIUrl":"https://doi.org/10.1080/10790268.2026.2644724","url":null,"abstract":"<p><strong>Background: </strong>Socioeconomic disparities are a persistent determinant of health outcomes, yet limited research has explored how income affects the overall functioning of individuals with spinal cord injury (SCI).</p><p><strong>Objective: </strong>To examine the relationship between income and health in individuals with spinal cord injury (SCI), using functioning as a broader health measure.</p><p><strong>Methods: </strong>This study analyzed income-related health disparities across income groups in individuals with traumatic SCI from ten countries, using cross-sectional data from the first Internal Spinal Cord Injury Survey (InSCI) and related studies (2017-2019). Functioning was assessed with the brief International Classification of Functioning, Disability and Health (ICF) core set for SCI. Income was categorized using general population income deciles for comparability.</p><p><strong>Results: </strong>Lower-income individuals with SCI had poorer functioning than higher-income groups. The disparity in functioning scores between the highest and lowest income groups ranged from 3 to 14 points, with China showing the largest gap (11 points) and France and Switzerland the smallest (2 and 4 points, respectively). In South Korea, functioning scores were below 40 across all income groups. Age at injury onset significantly influenced disparities, with the greatest gaps among working-age individuals and, in some countries, older adults.</p><p><strong>Conclusion: </strong>Income-based income-related health disparities are evident in individuals with SCI, with lower income consistently linked to reduced functioning. The findings emphasize the need to address economic and age-related factors in SCI health interventions across diverse national contexts.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640335","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":"When ZIP codes predict outcomes better than ASIA scores in spinal cord injury rehabiliation.","authors":"Ahmad Jasem Abdulsalam, Rajiv Reebye","doi":"10.1080/10790268.2026.2650948","DOIUrl":"https://doi.org/10.1080/10790268.2026.2650948","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-2"},"PeriodicalIF":1.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640294","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":"Clinical prediction of functional and neurological outcomes in spinal cord injury: A scoping review.","authors":"Rowan Boyles, Adine Adonis, Lyndsey Hoffman, Katie Webb, Carys Davis, Misha Virtudazo, Jason Mallabone, Theo Ross, Darragh Sinnott, Maurizio Belci, Paul H Strutton","doi":"10.1080/10790268.2026.2648380","DOIUrl":"10.1080/10790268.2026.2648380","url":null,"abstract":"<p><strong>Context: </strong>Spinal cord injury (SCI) significantly impacts quality of life, imposing considerable healthcare burdens. Accurate prediction of functional and neurological recovery is critical but remains challenging due to the condition's complexity.</p><p><strong>Objective: </strong>This scoping review aims to comprehensively synthesize current evidence on predicting functional and neurological outcomes after adult SCI, identifying prognostic factors, evaluating existing prediction models, and highlighting areas for future research.</p><p><strong>Methods: </strong>A systematic search of Embase, MEDLINE, CINAHL, and Cochrane was conducted for studies published after 2005 involving prognostic indicators in adult SCI. Inclusion criteria focused on longitudinal studies examining clinical, radiological, and neurophysiological predictors of functional or neurological recovery, explicitly excluding progressive SCI and mortality prediction.</p><p><strong>Results: </strong>Seventy-one studies met the inclusion criteria, identifying initial injury severity, age at injury, and presence of sensorimotor sparing as key predictors. Validated clinical prediction rules (CPRs) predominantly focused on ambulation, notably the Dutch CPRs, though their predictive accuracy was reduced for moderately severe injuries (AIS grades B and C). Upper limb and bladder/bowel outcomes were less studied. Prognostic accuracy improved significantly when integrating neurophysiological measures (<i>e.g.</i> motor evoked potentials) with clinical assessments.</p><p><strong>Conclusions: </strong>Initial severity, sensorimotor sparing, and age at injury are significant prognostic indicators post-SCI. Current prediction tools are effective primarily for ambulation outcomes but less reliable for moderate injuries. Future research should prioritize comprehensive models incorporating clinical, neurophysiological, and radiological predictors to enhance individualized prognostication, particularly in cases of incomplete SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640331","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":"Robotic exoskeleton-assisted walking performance in adults with motor-complete spinal cord injury: A systematic review and meta-analysis of single-arm studies.","authors":"Marcos Henrique da Silva Mezzari, Natan Lucca Lima, Bárbara Ghizoni Maggi, Davi Orli Machado Grüdtner, Eleonor Soligo, Fernando Zanela da Silva Arêas","doi":"10.1080/10790268.2026.2650957","DOIUrl":"https://doi.org/10.1080/10790268.2026.2650957","url":null,"abstract":"<p><strong>Objectives: </strong>The objective was to evaluate mobility outcomes in individuals with exclusively motor-complete spinal cord injuries.</p><p><strong>Methods: </strong>This systematic review included single-arm studies identified through searches in MEDLINE, Cochrane Library, and Embase databases, focusing on motor-complete spinal cord injuries and various types of exoskeletons. This review adopted a single-arm synthesis approach to provide descriptive estimates of performance during device-assisted walking, rather than comparative effectiveness. Performance parameters such as speed, time, distance, and the SCIM III (Spinal Cord Independence Measure) obtained during device use were evaluated. Studies with any follow-up duration were included, and a total of 10 studies met the eligibility criteria. The search covered studies published approximately between November 2012 and May 2024. Data were synthesized using a random-effects model to generate descriptive estimates.</p><p><strong>Results: </strong>In the analysis of data from 130 participants, performance-based outcomes during device-assisted ambulation were reported. The pooled mean distance in the 6-minute walk test (6MWT) was 74.41 meters (95% CI [42.57-106.25]; <i>I</i>² = 98%). The pooled mean time to complete the 10-meter walk test (10MWT) was 100.02 s (95% CI [27.11-172.94]; <i>I</i>² = 96%), with a corresponding pooled mean gait speed of 0.18 m/s (95% CI [0.11-0.26]; <i>I</i>² = 98%). The pooled mean SCIM III score obtained in the study context was 57.79 (95% CI [50.08-65.50]; <i>I</i>² = 86%).</p><p><strong>Conclusion: </strong>This meta-analysis provides descriptive estimates of walking performance during robotic exoskeleton - assisted walking in adults with motor-complete spinal cord injuries. Given the single-arm design and high heterogeneity, results should be interpreted as descriptive estimates of device-assisted capacity rather than causal functional improvement. Controlled longitudinal studies are needed to assess clinical relevance beyond assisted use.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640349","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}