This study investigates intrathecal baclofen (ITB) therapy referral timing, dosing patterns, and complications in individuals with spinal cord injury (SCI).

Venous thromboembolism (VTE) poses significant risks in persons with traumatic spinal cord injury (tSCI) during the acute and sub-acute post-injury phases. This study examines VTE prophylaxis, surveillance, and treatment practices in the inpatient rehabilitation setting.

Painful tonic spasms (PTS) are a common symptom in patients with neuromyelitis optica spectrum disease (NMOSD). Antiepileptic drugs (AEDs) such as carbamazepine serve as first-line therapeutic agents for PTS. However, hypersensitivity reactions to carbamazepine may occur in some patients, necessitating alternative treatment regimens. Currently, clinical reports on the efficacy of the newer-generation AED topiramate for PTS remain limited. In this case report, we described a 38-year-old Chinese woman with a 2-year history of NMOSD who developed episodic spasms and pain in the limbs. Unfortunately, adverse reactions occurred after the administration of carbamazepine, and she was tried on topiramate as an alternative therapy. About 2 months after treatment, she experienced significant relief of symptoms without adverse events. Our case report highlights that topiramate can be used as an alternative therapy for PTS in NMOSD patients who had cannot tolerate carbamazepine.

Pressure injuries remain highly prevalent in the spinal cord injury and Disorder (SCI/D) population, despite evidence that supports preventive behaviors such as daily self-skin inspection. Long-handled mirrors are issued as standard of care in the Veterans Health Administration (VHA) but are of little utility when the patient has impaired mobility. VHA researchers sought to test a skin inspection tool (now known as the Habit Camera™) which has features intended to overcome the need for excessive trunk rotation and excellent coordination. Pictures can be captured, edited, and uploaded for communication to healthcare practitioners. Gaps still exist regarding the feasibility of use in daily life. The purpose of this report is to explore patterns influencing feasibility of use during pilot field testing of the first commercially available version of the Habit Camera.

The purpose of this project was to expand the functionality of current seat interface pressure mapping (IPM) toward a novel integrated system that uses a mobile IPM application for wheelchair users partnered with a clinical IPM dashboard.

This study examined regional healthcare disparities' impact on the secondary fracture risk following spinal fractures, the likeliest secondary fracture types, and associated risk factors.

Due to paralysis in the lower limbs, individuals with spina bifida (SB) rely heavily on upper limb muscles for daily tasks and assisted locomotion. Therefore, reduced upper limb muscle performance may be a key limiting factor. The aim was to investigate differences in elbow muscles strength and fatigability between children and adolescents with SB and their healthy peers.

Electrical epidural stimulation (EES) or exoskeleton walking training (EWT) is beneficial to individuals with spinal cord injury (SCI). In this study, we aimed to evaluate the benefits of combining EES and EWT to manage trunk impairment in individuals with SCI.

Autonomic nervous system (ANS) dysfunction in individuals with spinal cord injury (SCI) may have an impact on Ureteric Jet Doppler Waveform (UJDW) types.

Multiple surgical and non-surgical management options exist for treating central cord syndrome (CCS) patients. However, the final treatment decision is based on a patient's presentation and surgeon's choice.

Patients with spinal cord injuries/disorders (SCI/D) have one of the highest risks of developing pressure injuries, but surgical closure of these wounds has significant pre-operative and post-operative requirements with a high rate of complications. Limited data exists on the outcomes of stage IV pressure injuries that are not managed with surgical closure. Our objective was to review outcomes of patients with stage IV pressure injuries that close by secondary intention.

Determining walking prognosis during early recovery phases after spinal cord injury (SCI) is challenging.

Emerging research suggests that individuals with a spinal cord injury (SCI) may be at a higher risk of developing cognitive impairment. Early detection of cognitive impairment is essential to improving quality of life and tailored rehabilitation. However, the true incidence of cognitive impairment in this group is unclear, largely due to the difficulty in administering cognitive assessment tools which often have elements that are dependent on hand function drawing and writing.

Patients with spine injuries are at risk of acute kidney injury (AKI) through several mechanisms.

This study aimed to evaluate the muscle activation responses of the deltoid (anterior (AD) and posterior (PD)) and brachioradialis (BRD) muscles in an adapted shuttle run test for Parabadminton (PBd).

A previously healthy 17-year-old female developed tetraplegia 2 weeks after influenza infection.

MAP augmentation is a guideline-recommended intervention in acute spinal cord injury (SCI), and vasopressin can be used to achieve mean arterial pressure (MAP) goals. Vasopressin could contribute to hyponatremia in SCI, but this relationship is poorly described.

Neurogenic heterotopic ossification (NHO) is extra-skeletal bone formation induced by neurologic conditions such as spinal cord injury (SCI) and traumatic brain injury (TBI). The definite treatment of established NHO is surgery and the most common complication of surgery is recurrence. This study compared three common postsurgical tertiary prevention strategies: radiotherapy, pharmacological treatment, and no additional intervention.

Retrospective Study.

Retrospective data analysis of a population-based observational cohort. Setting: TSCI in British Columbia, Canada Participants: 3,433 TSCI patients included in the study.