Article
Nursing
Yan Li, Wai Tong Chien, Bingqian Zhu, Honggu He, Daniel Bressington
Summary: The study aimed to explore the predictors of self-efficacy among Chinese individuals with spinal cord injury, finding that injury type and adaptive coping ability were significant predictors, accounting for 62% of the variance in self-efficacy scores. This suggests that psychosocial interventions targeting adaptive coping strategies could have positive effects on self-efficacy in this population.
JOURNAL OF NURSING SCHOLARSHIP
(2021)
Article
Nursing
Muna Bhattarai, Yuanyuan Jin, Susan Miller Smedema, Kabita Raj Cadel, Mandira Baniya
Summary: This study aimed to examine the factors contributing to subjective well-being (SWB) among individuals with spinal cord injuries. Self-efficacy, social support, and resilience were found to be significantly associated with SWB, with resilience mediating the relationship between social support and SWB. The relationship between resilience and SWB was found to be stronger among single participants compared to married participants.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Rehabilitation
Tijn van Diemen, Yvonne Tran, Janneke M. Stolwijk-Swuste, Ellen H. Roels, SELF-SC Group, Ilse J. W. van Nes, Marcel W. M. Post
Summary: The study identified distinct trajectories of SE, depressive mood, and anxiety in SCI patients, and confirmed the interrelationships between them. Patients with high SE scores tended to adjust well with lower depressive mood and anxiety, while those with high depressive mood and anxiety scores were not always identifiable based on their SE trajectory.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Alejandro Garcia-Rudolph, Mark Andrew Wright, Emilien Amar Devilleneuve, Eulalia Castillo, Elena Hernandez-Pena, Eloy Opisso, Josep Maria Tormos
Summary: This study aimed to determine the characteristics of falls in inpatients with spinal cord injury (SCI) and compare the differences between ambulatory persons and wheelchair users. The results showed that 19.8% of patients experienced a fall event, with significant differences in the cause, situation, and location of falls between the two groups. The visualization of falls by clock-hour revealed an absolute peak at 12 AM and a relative peak at 9 AM. Fallen patients reported higher levels of depression, lower spinal cord independence, and longer time since injury to admission. This study is important for developing targeted prevention strategies for inpatients with SCI.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Medicine, General & Internal
Alicja Widuch-Spodyniuk, Beata Tarnacka, Bogumil Korczynski, Justyna Wisniowska
Summary: Innovative rehabilitation methods, such as robotic-assisted gait therapy (RAGT), have shown positive effects on the improvement of depression and anxiety symptoms in patients with spinal cord injuries (SCIs).
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Rehabilitation
Fareea Khaliq, Denesh Ratnasingam, Michael Bush-Arnold
Summary: Patients with spinal cord injuries who are infected with COVID-19 may present with mild symptoms, which can lead to delayed diagnosis and asymptomatic spread.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Article
Medicine, General & Internal
Ashley Craig, Yvonne Tran, Mohit Arora, Ilaria Pozzato, James W. Middleton
Summary: This paper presents the Spinal Cord Injury Adjustment Model (SCIAM), which explains how individuals adjust to spinal cord injury and proposes that the adjustment process is multifactorial and nonlinear over time. Mediation analyses supported the role of self-efficacy and quality of life appraisal in enhancing self-care and buffering the negative impact of health challenges.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Rehabilitation
Yinnan Liu, Maiwuludai Hasimu, Mengmeng Jia, Jie Tang, Yingmin Wang, Xiaokuo He, Tiebin Yan, Sumei Xie, Kun Li
Summary: The objective of this study was to assess the effect of a self-management intervention delivered by a mobile application (APP) for depression among community-dwelling individuals with spinal cord injury (SCI). The study was a randomized controlled trial conducted in general communities in China. The results showed that the self-management training provided through the APP can reduce depression symptoms and has the potential to intervene in community-dwelling individuals with SCI.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema
Summary: Spinal cord injury (SCI) leads to functional limitations, and self-efficacy plays an important role in these limitations. This study found that secondary physical conditions and injury severity contribute to increased functional limitations, while higher self-efficacy can reduce them. Early management of secondary conditions and psychological interventions can enhance functional independence and improve the quality of life for individuals with SCI.
Article
Clinical Neurology
Paul Aarne Koljonen, Anna Sternin Virk, Yoon Jeong, Michael McKinley, Juan Latorre, Amaya Caballero, Yong Hu, Yat Wa Wong, Kenneth Cheung, Homayoon Kazerooni
Summary: The study examined the safety and efficacy of ambulation utilizing a semi-passive and lightweight powered exoskeleton for SCI patients. Results showed that participants reported high levels of comfort and confidence while using the device, especially those with incomplete spinal cord injuries.
FRONTIERS IN NEUROLOGY
(2021)
Article
Medicine, General & Internal
Md Akhlasur Rahman, Niraj Singh Tharu, Sylvia M. Gustin, Yong-Ping Zheng, Monzurul Alam
Summary: Spinal cord injury (SCI) is a debilitating injury with severe complications, but recent development of noninvasive electrical neuromodulation treatments offers hope for rehabilitation. Trans-spinal direct current stimulation (tsDCS) and trans-spinal pulsed current stimulation (tsPCS) have shown promising results in improving sensorimotor and autonomic functions.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Biochemistry & Molecular Biology
Hatice Kumru, Loreto Garcia-Alen, Aina Ros-Alsina, Sergiu Albu, Margarita Valles, Joan Vidal
Summary: This study aimed to investigate whether transcutaneous spinal cord stimulation (tSCS) could improve respiratory function in individuals with cervical spinal cord injury (cSCI). The results showed that subjects who received tSCS combined with inspiratory muscle training (IMT) experienced significant improvements in breathlessness/dyspnea, hypophonia, maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and forced vital capacity. Therefore, tSCS may serve as an effective adjunctive therapy for respiratory impairments following SCI.
Article
Surgery
Hannah Leblanc, Denise Danos, Rebecca Moreci, Lindsay Elliott, David C. Yu, Jessica A. Zagory
Summary: Traumatic injury is a major cause of mortality and morbidity in the United States, particularly among pediatric patients. Understanding the functional outcomes of pediatric trauma patients is crucial for planning appropriate rehabilitation care. This study aimed to describe the outcomes of pediatric and adolescent trauma patients and found that school-aged children had high rates of returning to school after various types of injuries. The length of hospital and rehabilitation stay was similar among different injury groups, and the majority of patients required durable medical equipment upon discharge. Patients with spinal cord injuries showed significant improvement in bladder function, while those with traumatic brain injuries showed improvement in memory and comprehension tasks.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Rehabilitation
Elham Mahmoudi, Paul Lin, Mark D. Peterson, Michelle A. Meade, Denise G. Tate, Neil Kamdar
Summary: Middle-aged and older adults with traumatic spinal cord injury (TSCI) have a higher risk of developing Alzheimer disease and related dementia (ADRD). Improved clinical screening and early interventions to preserve cognitive function are crucial for this patient population.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Kathryn Moran, Linda Barclay, Natasha A. Lannin
Summary: This study explores the experiences of individuals with non-traumatic spinal cord injuries transitioning from rehabilitation to home. The findings indicate that a positive adjustment experience is facilitated by adequate preparation and support from rehabilitation services. Challenges include loss of identity and the importance of maintaining hope for physical recovery.
DISABILITY AND REHABILITATION
(2022)
Article
Psychology, Multidisciplinary
Simon Driver, Evan McShan, Chad Swank, Stephanie Calhoun, Monica Bennett, Librada Callender, Alexandria Holden, Shannon Juengst, Kathleen Bell, Megan Douglas, Kaye Kramer, Randi Dubiel
Summary: This study found that participation in the TBI-GLB weight-loss intervention can significantly reduce weight and metabolic risk factors, and increase self-reported habits for diet and exercise for overweight or obese individuals with traumatic brain injury.
ANNALS OF BEHAVIORAL MEDICINE
(2023)
Article
Psychology, Clinical
Ann Marie Warren, Monica M. Bennett, Briget da Graca, Anthony C. Waddimba, Robert L. Gottlieb, Megan E. Douglas, Mark B. Powers
Summary: A study found that younger age, female gender, Black race, lower income, history of not receiving the influenza vaccine, lower fear of COVID-19, moderate to severe reduction in access to food/nutrition, and lower trust in health care authorities, personal health care providers, and traditional news media are associated with vaccine hesitancy. Personal health care providers are the most trusted source of information, but reaching individuals with no intention to be vaccinated is challenging.
Article
Surgery
Anji E. Wall, Liza Johannesson, Vikrant Reddy, Ann Marie Warren, Elisa J. Gordon, Giuliano Testa
Summary: This study explored the perceptions of living uterus donors regarding informed consent and decision-making processes. The findings indicate that the decision to donate a uterus was influenced by motivations, rationale, and considerations of helping other infertile women. The donors were satisfied with the informed consent process, their experiences were aligned with expectations, and they found value in the act of donation itself. Therefore, living donor uterus programs should develop comprehensive informed consent processes that provide detailed information and encourage shared decision-making with potential donors.
AMERICAN JOURNAL OF TRANSPLANTATION
(2023)
Article
Clinical Neurology
Christina Draganich, Angela Philippus, Kathryn J. Eagye, Brian Mikolajczyk, Leslie R. Morse, Kimberley R. Monden
Summary: This study aimed to investigate the impact of changes in essential care during the COVID-19 pandemic on the satisfaction with activities, participation, and relationships among individuals with spinal cord injury (SCI). The results showed that access to mental health services and medical supplies had the most significant impact on satisfaction, and access to personal care assistants/homecare also affected specific outcomes.
Article
Rehabilitation
Jane Duff, Lucy C. Grant, Jennifer Coker, Kimberley R. Monden
Summary: This study aims to recommend a cut-off score for the brief 2-item Generalized Anxiety Disorder (GAD-2) measure for individuals with spinal cord injuries/disorders (PwSCI/D) and estimate the occurrence of anxiety within this population using the full 7-item Generalized Anxiety Disorder (GAD-7) measure. The findings show that anxiety occurrence is elevated among PwSCI/D compared to the general population, and it is recommended to use a cut-off score of >= 2 for the GAD-2 and a threshold of >= 8 for the GAD-7 to ensure the maximum number of individuals with anxiety symptoms are recognized.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Clinical Neurology
Stephanie Agtarap, Lars D. Hungerford, Mark L. Ettenhofer
Summary: This study used bifactor analysis to identify shared and unique groups of posttraumatic stress and postconcussive symptoms among patients with mild traumatic brain injury. The results revealed different symptom groups that were related to clinical outcomes to varying degrees.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2023)
Article
Psychology, Clinical
Jennifer H. Marwitz, Robert A. Perera, Daniel W. Klyce, Katherine Abbasi, Thomas F. Bergquist, Dawn Neumann, Stephanie D. Agtarap, Jean Lengenfelder, Flora M. Hammond, Laura E. Dreer
Summary: This study aims to examine contributors to resilience among caregivers of individuals with moderate-to-severe traumatic brain injury (TBI) in order to identify intervention targets for improving caregiver resilience and outcomes for people with TBI. The results suggest that emotional support networks, including friends or family members who are not directly involved in caregiving, can strengthen resilience. Supporting engagement with community agencies, peer mentors, or other informal resources within the family system that provide emotional support may enhance resilience outcomes for caregivers.
REHABILITATION PSYCHOLOGY
(2023)
Article
Neurosciences
Evan Elizabeth McShan, Shannon Juengst, Megan E. Douglas, Donna Noorbakhsh, Stephanie Calhoun, Monica Bennett, Alexandria Suhalka, Rosemary Dubiel, Simon Driver
Summary: This study aims to examine the efficacy of a attention control condition called the Brain Health Group (BHG) in improving general self-efficacy and other related outcomes. The study found that participants had high attendance rate (89%) and perceived the BHG as helpful. The evaluation results showed that the BHG helped participants improve their awareness of brain health knowledge and self-management skills. No significant changes in depression or alcohol use were observed.
Article
Psychology, Multidisciplinary
Simon Driver, Evan McShan, Chad Swank, Stephanie Calhoun, Megan Douglas, Alexandria Suhalka, Monica Bennett, Librada Callender, Christa Ochoa, Sridevi Mukkamala, Kaye Kramer
Summary: This study examined the effectiveness of a health promotion program for individuals post stroke. The results showed significant improvements in weight, health indicators, and overall well-being.
ANNALS OF BEHAVIORAL MEDICINE
(2023)
Article
Rehabilitation
Kimberley R. Monden, Susan Charlifue, Angela Philippus, Martin Kilbane, Erin Muston-Firsch, Bria MacIntyre, Abigail Welch, Jill Baldessari, Jennifer Coker, Leslie R. Morse
Summary: This study aimed to explore the barriers and facilitators to access and utilization of assistive technology (AT) among individuals living with tetraplegia, including Veterans and civilians. Facilitators of AT utilization and access included being connected to resources, trial-and-error, and knowledge gained from peers. Barriers to AT use included cost of devices, a general lack of awareness of resources, and requirements for eligibility, with the latter two themes endorsed solely by Veteran participants. Benefits of AT included increased independence, participation, productivity, quality of life, and safety.
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
(2023)
Article
Medicine, Research & Experimental
Simon Driver, Evan Elizabeth McShan, Monica Bennett, Stephanie Calhoun, Librada Callender, Chad Swank, Rosemary Dubiel
Summary: Obesity rates are high after traumatic brain injury (TBI) and are associated with increased risks of morbidity and mortality. The Diabetes Prevention Program Group Lifestyle Balance (GLB-TBI) has shown promising results in reducing weight in adults with TBI. A randomized controlled trial found that participants who completed the GLB-TBI lost significant weight compared to the control group. A subsequent study will assess the efficacy of telehealth delivery (tGLB-TBI) to make the intervention more accessible to individuals with TBI.
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2023)
Article
Clinical Neurology
Eva S. Keatley, Charles H. Bombardier, Eric Watson, Raj G. Kumar, Thomas Novack, Kimberley R. Monden, Kristen Dams-O'Connor
Summary: The study found an association between depression, anxiety, and cognitive impairment among individuals with complicated mild to severe traumatic brain injury (TBI). This association was not affected by injury severity. Depression and anxiety were negatively correlated with cognitive performance. These findings emphasize the importance of considering depression and anxiety when interpreting TBI-related neuropsychological impairments.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2023)
Article
Rehabilitation
Jennifer Coker, Susan Charlifue, Amanda Botticello, Denise G. Tate, Angela Philippus, Lauren Strober, Martin Forchheimer, Kimberley R. Monden
Summary: This article describes the protocol for a randomized clinical trial aimed at improving psychosocial outcomes after spinal cord injury (SCI). The trial will use a three-arm, multisite design with assessments conducted at six time points. The researchers hypothesize that participants in the group intervention arm will show greater improvements in psychosocial outcomes compared to those in the individual intervention or control arms.
TOPICS IN SPINAL CORD INJURY REHABILITATION
(2022)
Article
Psychology, Multidisciplinary
Sidai Dong, Timothy R. Elliott, Wen Luo, Ann Marie Warren, Robert Warren
Summary: In this study, the researchers utilized DeYoung's conceptualization of two personality metatraits, Alpha and Beta, to examine their role in promoting resilience among family caregivers of children and youth with severe neurodisabilities. The Alpha metatrait was found to directly predict caregiver mental health, while the Beta metatrait demonstrated significant indirect effects on physical and mental health through its positive association with coping efforts. This suggests that emotional stability and perseverance associated with Alpha, and adaptive flexibility and social engagement linked to Beta, play distinct roles in influencing caregiver resilience and quality of life.
Letter
Public, Environmental & Occupational Health
Ann Marie Warren, Paul B. Perrin, Timothy R. Elliott, Mark B. Powers
HEALTH SCIENCE REPORTS
(2022)