Journal of Spinal Cord Medicine最新文献

{"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":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499534/pdf/","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":"OA","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":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499542/pdf/","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":"OA","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":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499521/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with perceived social isolation among veterans with spinal cord injury and disorders: Cross sectional survey.","authors":"Marissa Wirth, Robert W Motl, Charles H Bombardier, Brian Bartle, Alex W K Wong, Keith Aguina, Sherri L LaVela","doi":"10.1080/10790268.2023.2299500","DOIUrl":"10.1080/10790268.2023.2299500","url":null,"abstract":"<p><strong>Context/objective: </strong>Examine demographics, injury characteristics, objective measures of social isolation and health factors that are associated with perceived social isolation (PSI) among Veterans with spinal cord injury and disorders (SCI/D).</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>The Veterans Health Administrations (VHA) SCI/D system of care.</p><p><strong>Participants: </strong>Veterans with SCI/D who have used the VHA health care system.</p><p><strong>Intervention: </strong>Not applicable.</p><p><strong>Outcomes measures: </strong>We assessed unadjusted associations of high PSI (above population mean) vs low (normative/below population mean), and multivariable logistic regression for independent associations with PSI.</p><p><strong>Results: </strong>Out of 1942 Veterans with SCI/D, 421 completed the survey (22% response rate). Over half (56%) had PSI mean scores higher than the general population. Among the objective measures, having a smaller social network size was associated with increased odds of high PSI (OR 3.59, P < .0001); additionally, for health factors, having depression (OR 3.98, P < 0.0001), anxiety (OR 2.29, P = 0.009), and post-traumatic stress (OR 2.56, P = 0.003) in the previous 6 months, and having 4 or more chronically occurring secondary conditions (OR 1.78, P = 0.045) was associated with increased odds of high PSI. The most commonly identified contributors to feelings of PSI included mobility concerns (63%), having a SCI/D (61%), and concerns about being a burden on others (57%).</p><p><strong>Conclusions: </strong>Factors such as social network size may be used to identify individuals with SCI/D at risk for PSI. Additionally, by identifying mental health problems, presence of multiple chronically occurring secondary conditions, and Veteran-identified contributors of PSI, we can target these factors in a patient-centered interventions to identify and reduce PSI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"640-649"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693310","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":"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":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506708/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The net contribution of rehabilitation to improvement in performance in patients with spinal cord lesions in five countries.","authors":"Vadim Bluvshtein, Amiram Catz, Ilana Gelernter, Adi Kfir, Lilach Front, Dianne Michaeli, Emiliana Bizzarini, Paulo Margalho, Thabata Pasquini Soeira, Nur Kesiktas, Elena Aidinoff","doi":"10.1080/10790268.2023.2271200","DOIUrl":"10.1080/10790268.2023.2271200","url":null,"abstract":"<p><strong>Context: </strong>Change in ability realization reflects the main contribution of rehabilitation to improvement in the performance of daily activities in patients with spinal cord lesions (SCL).</p><p><strong>Objective: </strong>To assess the net effect of rehabilitation of patients with SCL and compare it between countries.</p><p><strong>Methods: </strong>We calculated the Spinal Cord Ability Realization Measurement Index (SCI-ARMI) and its change from admission to rehabilitation to discharge, for inpatients admitted to SCL units in five countries, between 2016 and 2019. We used chi-square tests, analysis of variance (ANOVA), McNemar's test, Pearson's correlations, and analysis of covariance (ANCOVA) to compare countries and patient groups and assess the relationships of various factors with SCI-ARMI gain during rehabilitation.</p><p><strong>Results: </strong>The study included 218 inpatients (67% males, age 52 ± 17). In Brazil, Israel, Italy, Portugal, and Turkiye, respectively, SCI-ARMI gain was 2 (SD = 15), 19 (SD = 17), 31 (SD = 23), 13 (SD = 15), and 16 (SD = 12). Yet, after controlling for admission SCI-ARMI and the time from SCL onset to the examination, the effect of the country on ability realization gain was found non-significant (<i>P</i> = 0.086).</p><p><strong>Conclusion: </strong>The study confirmed that rehabilitation makes a net contribution to improvement in performance in patients with SCL, beyond the contribution of neurological recovery. After controlling for affecting factors, this contribution was quite similar in the participating units from different countries.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"578-584"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684320","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":"Effects of withdrawal and re-application of spinal cord stimulation to restore cough.","authors":"Anthony F DiMarco, Robert T Geertman, Chong Kim, Gregory A Nemunaitis, Krzysztof E Kowalski","doi":"10.1080/10790268.2024.2395082","DOIUrl":"10.1080/10790268.2024.2395082","url":null,"abstract":"<p><strong>Context: </strong>Paralysis of the expiratory muscles in cervical and high thoracic spinal cord injury (SCI) results in an impaired ability to clear airway secretions effectively and increases the risk of atelectasis and respiratory tract infections (RTI). Spinal cord stimulation (SCS) applied via the Cough Stimulation System (CSS) has been shown to restore an effective cough mechanism in subjects with SCI. In this study, we evaluated the specific impact of use of the CSS by one study participant with SCI, subsequent discontinuation of usage, and then re-institution of this modality. Airway pressure generation (P) and peak expiratory airflow rate (F) achieved with CSS and clinical assessment questionnaires were assessed.</p><p><strong>Findings: </strong>With the CSS, this subject was able to generate P and F rates of 103 cmH₂O and 7.1 l/s, respectively, with associated significant clinical benefits, including, much greater ease in raising secretions and reduction in the incidence of RTIs. However, following a 2-year period of regular use, the CSS became non-functional and a 2-year period elapsed before it could be replaced. During this time, he again experienced great difficulty managing airway secretions and an increased frequency of RTIs. Re-institution of the CSS system resulted in the restoration of an effective cough mechanism and similar clinical benefits.</p><p><strong>Conclusion/clinical relevance: </strong>This report demonstrates the very high degree of the clinical utility of the CSS as it had made a substantial beneficial impact on this participant's respiratory status and life quality.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"739-742"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569845","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":"Postural effects on blood pressure, intraocular pressure, and ocular perfusion pressure in patients with spinal cord injury.","authors":"Noranida Abd Manan, Muhamad Lutfan Ismail, Julia Patrick Engkasan, Mimiwati Zahari","doi":"10.1080/10790268.2024.2345446","DOIUrl":"10.1080/10790268.2024.2345446","url":null,"abstract":"<p><strong>Background: </strong>Reduced ocular perfusion pressure (OPP) from hypotension and consistent OPP variability due to blood pressure (BP) fluctuations are predisposing factors for glaucoma. Low resting BP and orthostatic hypotension (OH) in spinal cord injury (SCI) patients may increase the risk of glaucoma post-injury. This study investigated BP, intraocular pressure (IOP), and OPP changes between supine and sitting positions in SCI and normal individuals.</p><p><strong>Methods: </strong>Twenty SCI cases (high paraplegia, T1-T6 <i>n</i> = 6; low paraplegia, T7-L3 <i>n</i> = 14) and matched controls (1:1) were included. Systolic and diastolic BP (SBP and DBP) were measured digitally, and IOP with rebound tonometry. Measurements were taken one minute apart in both positions. Mean arterial pressure (MAP) was calculated, and OPP was determined using position-specific formulas.</p><p><strong>Results: </strong>No SCI subjects exhibited OH. Both groups experienced significant BP increment (<i>P</i> < 0.05) from supine to sitting. SBP increased by 4.4 ± 8.4 mmHg (SCI) and 3.6 ± 6.2 mmHg (normal), while DBP increased by 4.2 ± 5.1 mmHg (SCI) and 6.7 ± 5.5 mmHg (normal). IOP and OPP decreased significantly (<i>P</i> < 0.05) after postural change in both groups, yet differences between them were not significant. Analysis by injury level revealed lower parameter values in high paraplegia than in low paraplegia, with the latter group showing a more significant reduction in OPP after postural change.</p><p><strong>Conclusion: </strong>Postural changes differently affect BP, IOP, and OPP in SCI compared to normal individuals, with variations based on the level of SCI. While not directly assessing glaucoma, the study offers insights into ocular hemodynamics in SCI compared to normals.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"629-639"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856627","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":"Effect of inpatient rehabilitation on the quality of life and life satisfaction in spinal cord injury.","authors":"Elham Loni, Mahsa Ghorbanzadeh, Fereydoun Layeghi, Sahel Moein, Mahboobeh Bahiraee, Razieh Bidhendi-Yarandi","doi":"10.1080/10790268.2024.2362501","DOIUrl":"10.1080/10790268.2024.2362501","url":null,"abstract":"<p><strong>Objective: </strong>Assess the impact of inpatient rehabilitation on the quality of life and life satisfaction of individuals with spinal cord injury by considering the level of injury.</p><p><strong>Design: </strong>QuasiExperimental study.</p><p><strong>Setting: </strong>Rehabilitation Hospital.</p><p><strong>Participants: </strong>A total of 71 Patients with Spinal cord injury were admitted for rehabilitation.</p><p><strong>Intervention: </strong>The quality of life and life satisfaction of patients were assessed both before and after 63 days of inpatient rehabilitation.</p><p><strong>Main outcome measurements: </strong>Functional independence measure score (FIM), the Short Form-36 (SF-36), and the Life Satisfaction Scale (LSS).</p><p><strong>Result: </strong>The average age of the study population was 34 ± 14 years. At the end of 63 days, significant improvements were observed in FIM, mood, health, physical performance, role physical, role emotional, pain, and total score of LSS (Π - Value <0.05). The variation in FIM changes significantly improved the total LSS score in the thoracic and thoracolumbar subgroups, but not in the cervical group. In addition, the total score of SF36 was improved significantly just in the cervical subgroup (Π = 0.006). No significant correlations were found between SF-36 and LSS scores (before and after the intervention) in relation to marriage, education, and time.</p><p><strong>Conclusion: </strong>In the context of spinal cord injury, inpatient rehabilitation can play a role in improving functional independence which, in turn, impacts certain aspects affecting life satisfaction and the quality of life. It is important to note that the extent of this correlation varies among patients with different injury levels. In some cases, even minor changes, such as those seen in quadriplegic patients, could have a significant impact on their quality of life.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"703-709"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332380","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}