The Journal of Spinal Cord Medicine最新文献

{"title":"Professionals' knowledge, skills and confidence on using the best practices for spinal cord injury physical activity counseling in Canada and the Netherlands.","authors":"Laura Kuipers,Trynke Hoekstra,,Femke Hoekstra","doi":"10.1080/10790268.2024.2391595","DOIUrl":"https://doi.org/10.1080/10790268.2024.2391595","url":null,"abstract":"CONTEXTTo improve physical activity (PA) participation in people with spinal cord injury (SCI), an international panel co-created theory- and evidence-based best practices for SCI PA counseling. This study aimed to identify and compare Canadian and Dutch counselors' knowledge, skills, and confidence in using these best practices.METHODSAn online survey was conducted in Canada and the Netherlands. Respondents were included if they worked or volunteered as exercise/lifestyle counselor, recreation therapist, physiotherapist, occupational therapist, or peer mentor and were planning to provide counseling in the next 12 months. Chi-square tests, t-tests and linear regression analyses were used to compare groups.RESULTSCanadian (n = 45) and Dutch respondents (n = 41) had different expertise, with the majority of Canadians working as therapeutic recreation therapist and the majority of Dutch respondents working as PA/lifestyle counselor. In both countries, respondents scored relatively high on their knowledge, skills, and confidence in using the best practices on how to have a conversation and what to discuss during a conversation. Dutch respondents scored slightly higher in their confidence for using best practices about building rapport, motivational interviewing, and tailoring the support (p = 0.05).CONCLUSIONSThe generally high counseling skills reported by Canadian and Dutch respondents may be due to the history of SCI-specific PA promotion projects conducted in both countries. These survey findings were used to inform the development of evidence-based training modules on SCI PA counseling. This study may inspire cross-country collaboration and exchange to optimize the organization and delivery of PA counseling services for adults with SCI.","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"5 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential relationships between physical activity and pain phenotypes in individuals with spinal cord injury.","authors":"Alexandra Canori, Donna L Coffman, W. G. Wright, Margaret A. Finley, Shivayogi V. Hiremath","doi":"10.1080/10790268.2024.2344315","DOIUrl":"https://doi.org/10.1080/10790268.2024.2344315","url":null,"abstract":"BACKGROUND\u0000Chronic pain affects 70% of individuals with spinal cord injury (SCI) and leads to declines in health and quality of life. Neuropathic and nociceptive pain are phenotypes derived from different mechanisms that contribute to pain perception. The objective of this research was to investigate differential pain responses to moderate-to-vigorous physical activity (MVPA) in two chronic pain phenotypes: neuropathic and nociceptive pain.\u0000\u0000\u0000METHODS\u0000Community-based physical activity levels were collected for one week in 17 individuals with SCI using a wrist-worn accelerometer, and daily pain ratings were assessed and categorized by phenotype. Physical activity levels were summarized to calculate minutes of MVPA. Correlational analyses were conducted to compare relationships between pain intensity and MVPA across individual participants and between pain phenotype groups.\u0000\u0000\u0000RESULTS\u0000The neuropathic pain group revealed significant negative correlation between MVPA and pain intensity. In the nociceptive pain group, there was no significant correlation between MVPA and pain intensity. Further analysis revealed two subgroups of positive (N = 4) and negative (N = 3) correlations between MVPA and pain intensity. Pain location differed between the subgroups of nociceptive pain. Individuals with negative correlation experienced neck and upper back pain, whereas individuals with positive correlation experienced unilateral upper extremity pain.\u0000\u0000\u0000CONCLUSION\u0000Differential relationships exist between pain phenotypes and MVPA in individuals with SCI. Pain location differed between the subgroups of nociceptive pain, which we presume may indicate the presence of nociplastic pain in some individuals. These results may contribute to the advancement of personalized pain management by targeting non-pharmacological interventions for specific pain phenotypes.Trial registration: ClinicalTrials.gov identifier: NCT05236933..","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"35 6","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a risk nomogram to estimate risk of hyponatremia after spinal cord injury: A retrospective single-center study.","authors":"Qian Wei, Xuefeng Lu, Zihong Yang, Jichong Zhu, Jie Jiang, Yaobin Xu, Fengxin Li, Haifeng Bu, Yikai Chen, Sijing Tuo, Ruyu Chen, Xiaoxia Ye, Laoyi Geer, Xiuwei Tan, Jiling Wang, Yanlan Wu, Fangming Song, Yiji Su","doi":"10.1080/10790268.2024.2329437","DOIUrl":"https://doi.org/10.1080/10790268.2024.2329437","url":null,"abstract":"OBJECTIVE\u0000This study aimed to establish a nomogram-based assessment for predicting the risk of hyponatremia after spinal cord injury (SCI).\u0000\u0000\u0000DESIGN\u0000The study is a retrospective single-center study.\u0000\u0000\u0000PARTICIPANTS\u0000SCI patients hospitalized in the First Affiliated Hospital of Guangxi Medical University.\u0000\u0000\u0000SETTING\u0000The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.\u0000\u0000\u0000METHODS\u0000We performed a retrospective clinical study to collect SCI patients hospitalized in the First Affiliated Hospital of Guangxi Medical University from 2016 to 2020. Based on their clinical scores, the SCI patients were grouped as either hyponatremic or non-hyponatremic, SCI patients in 2016-2019 were identified as the training set, and patients in 2020 were identified as the test set. A nomogram was generated, the calibration curve, receiver operating characteristic (ROC) curve, and decision curve analysis (DCA) were used to validate the model.\u0000\u0000\u0000RESULTS\u0000A total of 895 SCI patients were retrieved. After excluding patients with incomplete data, 883 patients were finally included in this study and used to construct the nomograms. The indicators used in the nomogram included sex, completeness of SCI, pneumonia, urinary tract infection, fever, constipation, white blood cell (WBC), albumin and serum Ca2+. These indices were determined by the least absolute shrinkage and selection operator (LASSO) regression analysis. The C-index of the model was 0.81, the area under the curve (AUC) of the training set was 0.82(Cl:0.79-0.85), and the validation set was 0.79(Cl:0.73-0.85).\u0000\u0000\u0000CONCLUSIONS\u0000Nomogram has good predictive ability, sex, completeness of SCI, pneumonia, urinary tract infection, fever, constipation, WBC, albumin and serum Ca2+ were predictors of hyponatremia after SCI.","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"28 3","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harnessing citizen science to improve community accessibility: Project Sidewalk.","authors":"Carolann Murphy, Florian P Thomas","doi":"10.1080/10790268.2024.2341553","DOIUrl":"https://doi.org/10.1080/10790268.2024.2341553","url":null,"abstract":"","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"6 4","pages":"313-314"},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of validity and reliability assessment of measuring balance and walking at the level of International Classification of Functioning, Disability and Health (ICF) in people with spinal cord injury.","authors":"Zahra Hosseinzadeh, M. K. Ardakani, H. Minoonejad","doi":"10.1080/10790268.2024.2335413","DOIUrl":"https://doi.org/10.1080/10790268.2024.2335413","url":null,"abstract":"CONTEXT\u0000A spinal cord injury (SCI) is associated with a wide range of impairments in functioning, many limitations in activity, and restrictions for patients.\u0000\u0000\u0000OBJECTIVES\u0000The present study aimed to systematically review the psychometric properties (reliability and validity) of outcome measures used to assess walking and balance in people with spinal cord injury.\u0000\u0000\u0000METHODS\u0000Databases such as PubMed, Embase, Scopus, and Web of Sciences were searched for relevant articles using various terms (title and abstract). Articles including the outcome measures of spinal cord injury patients and published in English from 2010 until 2021 were selected, and the quality of the selected studies was determined by applying the COSMIN checklist. Reliability and validity values were extracted, and conclusions were drawn about the psychometric quality of each measure.\u0000\u0000\u0000RESULTS\u0000A total of 1253 records were retrieved, and among them 22 potentially eligible articles were identified, 15 of which were included in the present study. The COSMIN tool (Consensus-based Standards for the selection of health status Measurement Instruments) was used to evaluate the quality level of imported articles based on the inclusion criteria.\u0000\u0000\u0000CONCLUSIONS\u0000One consideration for testing people with disabilities is to observe the reliability and validity of the instrument, which was addressed in this study in various fields. In our study, seven tools for assessing SCI were evaluated, and it was found that the 10-meter walk (10MWT) tool performs better and more easily than other tools. The Mini-BESTest tool was suggested as a reliable tool for assessing standing balance in SCI subjects.","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"35 8","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where are we with exercise for autonomic dysreflexia and orthostatic hypotension?","authors":"Fei Zhao, Alexandra E. Soltesz, Jacob A. Goldsmith, Jill M. Wecht, Gino S. Panza","doi":"10.1080/10790268.2024.2340818","DOIUrl":"https://doi.org/10.1080/10790268.2024.2340818","url":null,"abstract":"Published in The Journal of Spinal Cord Medicine (Ahead of Print, 2024)","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140635446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The beneficial effect of α-lipoic acid on spinal cord injury repair in rats is mediated through inhibition of oxidative stress: A transcriptomic analysis","authors":"Ming-Ming Bian, Yao-Mei Xu, Lin Zhang, Hua-Zheng Yan, Jian-Xiong Gao, Gui-Qiang Fu, Yang-Yang Wang, He-Zuo Lü","doi":"10.1080/10790268.2024.2342058","DOIUrl":"https://doi.org/10.1080/10790268.2024.2342058","url":null,"abstract":"Oxidative stress is a crucial factor contributing to the occurrence and development of secondary damage in spinal cord injuries (SCI), ultimately impacting the recovery process. α-lipoic acid (ALA)...","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140635818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low-frequency electrically induced exercise after spinal cord injury: Physiologic challenge to skeletal muscle and feasibility for long-term use","authors":"Michael A. Petrie, Shauna Dudley-Javoroski, Kristin A. Johnson, Jinhyun Lee, Olga Dubey, Richard K. Shields","doi":"10.1080/10790268.2024.2338295","DOIUrl":"https://doi.org/10.1080/10790268.2024.2338295","url":null,"abstract":"Skeletal muscle has traditionally been considered a “force generator”: necessary for purposes of locomotion, but expendable for non-ambulators who use wheelchairs, such as people with a spinal cord...","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the characteristics and outcomes of older patients with non-traumatic spinal cord injury treated in inpatient rehabilitation facilities: 2013–2018","authors":"Anne Deutsch, Jennifer Burns, John Potelle, Allison Kessler","doi":"10.1080/10790268.2024.2335414","DOIUrl":"https://doi.org/10.1080/10790268.2024.2335414","url":null,"abstract":"To describe the characteristics and outcomes of older (≥ 65 years of age) patients with a non-traumatic spinal cord injury (NTSCI) treated in inpatient rehabilitation facilities (IRFs) between 2013...","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Perfect Step is the first one: Improving the quality of life for patients with spinal cord injuries through structured exercise","authors":"Ellie M. Fratt, Alex McDonald, Hal Hargrave, Robert Sallis","doi":"10.1080/10790268.2024.2336276","DOIUrl":"https://doi.org/10.1080/10790268.2024.2336276","url":null,"abstract":"More than 1 million people live with spinal cord injuries (SCI) in the United States alone. Despite research suggesting improvement in functional activities in patients who participate in regular p...","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}