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Posted by Rachael Lowe on September 3, 2010 · Leave a Comment
The objective of this study was to evaluate and compare the construct validity of 5 participation instruments developed using the International Classification of Functioning, Disability and Health (ICF). A total of 545 subjects diagnosed and treated for a spinal condition at an acute hospital were followed-up and consented to complete a questionnaire. Subjects completed 5 participation instruments (Impact on Participation and Autonomy (IPA), Keele Assessment of Participation (KAP), Participation Measure-Post…
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Posted by Rachael Lowe on September 3, 2010 · Leave a Comment
The prognosis for further recovery of motor function 2 years after complete spinal cord injury is poor. This case report describes recovery of walking function in an a 33-year old man two years post T7 spinal cord injury American Spinal Injury Association Impairment Scale A following intensive physical therapy and robotic locomotor training. The subject engaged in an intensive clinic-based physical therapy program and research-based robotic locomotor training study over…
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Posted by Rachael Lowe on May 2, 2010 · Leave a Comment
The objective of this study was to develop and validate a statistical model to predict wheelchair skills at discharge (t(2)) from personal and lesion characteristics and wheelchair skills at the start of spinal cord injury inpatient rehabilitation (t(1)). One hundred and forty-two patients with a spinal cord injury were included. Models were developed for outcome measures with the performance time and ability score at t(2) as dependent variables…
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Posted by Rachael Lowe on February 4, 2010 · Leave a Comment
This study describes the use of peripheral Quantitative Computed Tomography (pQCT) to identify musculoskeletal responses to partial body-weight supported treadmill training (BWSTT) in incomplete spinal cord injury (SCI). Long-term health consequences of SCI include extensive muscle atrophy, severe bone loss and an increased fracture risk in the affected limbs, mostly at both tibial epiphyses and the distal femoral epiphysis. Regular treadmill training may slow or reverse bone loss by recruiting…
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Posted by Rachael Lowe on February 3, 2010 · Leave a Comment
The objective of this study was to evaluate the validity and responsiveness of the Spinal Cord Index of Function (SIF), a new instrument on activity level, measuring the ability to perform various transfers in non-walking patients with a spinal cord lesion. Twenty-nine patients with a spinal cord lesion classified as grade A, B or C according to the American Spinal Injury Association/International Medical Society of paraplegia classification were included. Each…
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Posted by Rachael Lowe on October 20, 2009 · Leave a Comment
The objective of this study was to develop simple tests to assess the abilities of people with spinal cord injury (SCI) to sit unsupported and to assess the construct validity and test-retest reliability of these tests. Participants were people (N=30) with SCI between the C6 and the L2 level of 2 months to 37 years duration before assessment. On 2 separate occasions, participants performed tests that measured the distance of…
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Posted by Rachael Lowe on October 9, 2009 · Leave a Comment
Functional electrical stimulation (FES) facilitates ambulatory function after paralysis by activating the muscles of the lower extremities. Individuals with incomplete spinal cord injury (iSCI) retain partial volitional control of muscles below the level of injury, necessitating careful integration of FES with intact voluntary motor function for efficient walking. The FES-assisted stepping can be triggered automatically at a fixed rate (autotrigger), by a manual switch (switch-trigger), or by an electromyogram-based gait-event-detector…
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Posted by Rachael Lowe on October 7, 2009 · Leave a Comment
An experiment that has helped paralyzed rats to walk again has raised new hopes for patients with spinal cord injury. Researchers used a combination of drug therapy, electrical stimulation and exercise training to enable rats with spinal cord injuries to walk and support their body weight, according to the study, which was published this week in Nature Neuroscience.
Previous studies have used embryonic stem cells to repair damaged spinal nerves…
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Posted by Rachael Lowe on October 1, 2009 · Leave a Comment
The purpose of this study was to evaluate the effects of a structured hand cycle training program in individuals with chronic tetraplegia. Twenty-two patients with tetraplegia (American Spinal Injury Association Impairment Scale classification A-D) at least 2 years since injury participated. The intervention was an 8- to 12-week hand cycle interval training program. Primary outcomes of physical capacity were: peak power output (POpeak) and peak oxygen uptake (Vo2peak), as determined…
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Posted by Rachael Lowe on September 24, 2009 · Leave a Comment
Hopes that people with spinal injuries could one day regain leg movement have been raised by research in rats. US, Russian and Swiss scientists used drugs and electrical stimulation to train the animals, whose spinal cords had been cut, to run on a treadmill. Their movement was "almost indistinguishable" from normal steps, they said.
The report, published in Nature Neuroscience, stressed the movement was not directly controlled…
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