Article
Health Care Sciences & Services
Diana M. M. Molinares, David R. R. Gater, Scott Daniel, Nicole L. L. Pontee
Summary: This article discusses the essential role of the spinal cord in the central nervous system and the various complications that arise after traumatic and nontraumatic spinal cord injuries. It also outlines the pathophysiology and classification of nontraumatic spinal cord injuries, and provides management strategies.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
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
Rehabilitation
Ville Niemi-Nikkola, Eerika Koskinen, Eija Vaaral, Anna-Maija Kauppila, Mauri Kallinen, Aki Vainionpaa
Summary: This study evaluated the incidence and characteristics of acquired nontraumatic spinal cord injury in Finland. It found that NTSCI was more common in men, with degenerative causes being the most common etiology, and tetraplegia being less common. The study also pointed out the lack of previous research on NTSCI in Finland and the higher incidence rate compared to previous studies.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Medicine, General & Internal
David R. Dolbow, Ashraf S. Gorgey, Tommy W. Sutor, Vanesa Bochkezanian, Kristin Musselman
Summary: This review summarizes the latest evidence on the invasive and non-invasive uses of electrical stimulation therapies for spinal cord injury patients, focusing on neuromuscular and functional electrical stimulation activities. The review also discusses recommendations for optimizing stimulation parameters and the use of stimulation to enhance daily living activities such as reaching, grasping, standing, and walking.
JOURNAL OF CLINICAL MEDICINE
(2021)
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)
Review
Clinical Neurology
Christopher C. H. Yip, Chor-Yin Lam, Kenneth M. C. Cheung, Yat Wa Wong, Paul A. Koljonen
Summary: In addition to helping individuals with SCI regain ambulation, robotic exoskeletons offer biophysical benefits that can reduce complications from immobilization. These benefits include improved upper body fitness, circulatory response, bowel movement regularity, and reduced pain and spasticity. Exoskeleton use has also been suggested to improve quality of life and increase participation in day-to-day activities. However, there is a lack of large-scale and conclusive studies on the effects of exoskeleton use.
FRONTIERS IN NEUROLOGY
(2022)
Review
Rehabilitation
Joanne Wincentak, Ying Xu, Louise Rudden, Dilshad Kassam-Lallani, Amy Mullin, Cindy Truong, Kim Krog, Shauna Kingsnorth
Summary: This study systematically reviewed the use of digital rectal stimulation in individuals with spinal cord injury, finding few relevant studies and suggesting the need for further research on experience, effectiveness, complications, and long-term outcomes.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Tim C. Crul, Marcel W. M. Post, Johanna M. A. Visser-Meily, Janneke M. Stolwijk-Swuste
Summary: This study aimed to investigate the prevalence and characteristics of SCI-related pain during initial inpatient rehabilitation and explore their relationships with demographic and lesion characteristics. The results showed that SCI-related pain was highly prevalent during inpatient rehabilitation and different factors such as sex, age, and type of injury were associated with the presence of pain.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Clinical Neurology
Chor Yin Lam, Paul Aarne Koljonen, Christopher Chun Hei Yip, Ivan Yuen Wang Su, Yong Hu, Yat Wa Wong, Kenneth Man Chee Cheung
Summary: This study investigated the priorities of functional recovery and preferences for community rehabilitation services among Chinese individuals with SCI and their primary caregivers. The findings revealed that arm/hand function was given the highest priority among tetraplegics, while bladder/bowel function was the most important area for paraplegics. Sexual function was ranked as the lowest priority by all groups. The majority of participants expressed interest in advanced technology and believed that it could bring significant improvement to their quality of life in the future. The study provides valuable insights for future research and the provision of rehabilitation services in China.
FRONTIERS IN NEUROLOGY
(2022)
Article
Engineering, Biomedical
Angel Gil-Agudo, Alvaro Megia-Garcia, Jose Luis Pons, Isabel Sinovas-Alonso, Natalia Comino-Suarez, Vicente Lozano-Berrio, Antonio J. del-Ama
Summary: This study aimed to assess the safety and feasibility of using the HANK exoskeleton for walking rehabilitation, and investigate its effects on walking function. The results showed that the use of HANK exoskeleton in clinical settings is safe and well-tolerated by the patients. Patients receiving treatment with the exoskeleton improved their walking independence as measured by the WISCI-II.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)
Article
Rehabilitation
Amanda Kelch, Cathy Harro
Summary: Individuals with dual diagnoses of cancer and spinal cord injury require modifications to physical therapy plans to address unique challenges. Task-specific training, fatigue management, and patient-centered goals are essential for successful rehabilitation outcomes. In this case, participation in inpatient rehabilitation positively impacted the patient's quality of life and ability to return home with family support.
PHYSIOTHERAPY THEORY AND PRACTICE
(2022)
Article
Veterinary Sciences
Angela Martins, Debora Gouveia, Ana Cardoso, Ines Viegas, Oscar Gamboa, Antonio Ferreira
Summary: The study compared locomotor recovery in dogs post-surgery for incomplete SCI undergoing BWSTT or COGI training, finding that BWSTT led to faster and better recovery outcomes. 90% of dogs achieved functional recovery and 100% recovered bladder function after training.
FRONTIERS IN VETERINARY SCIENCE
(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)
Review
Rehabilitation
Sydney E. Valentino, Michael J. Hutchinson, Victoria L. Goosey-Tolfrey, Maureen J. MacDonald
Summary: This study analyzed and summarized the effect of regulating exercise intensity with subjective measures on cardiorespiratory fitness in adults with spinal cord injury. The results showed that there was an improvement in cardiorespiratory fitness in adults with SCI when exercise intensity was regulated using subjective measures.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Robert W. Evans, Claire L. Shackleton, Sacha West, Wayne Derman, H. G. Laurie Rauch, Ed Baalbergen, Yumna Albertus
Summary: The study aimed to compare the effects of robotic locomotor training (RLT) and activity-based training (ABT) on cardiovascular indices in individuals with spinal cord injury. The results indicated that RLT was more effective in improving cardiac responses and cardiovascular efficiency.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Neil Jordan, Anne Deutsch
Summary: As the healthcare payment models change in the US, considering the costs and health outcomes of rehabilitation interventions becomes crucial for assessing their value. Understanding the costs and cost-effectiveness of implementing rehabilitation interventions compared to other alternatives is critical for decision-making by policymakers and healthcare administrators.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Clinical Neurology
Yu-Hsiang Kao, Yuying Chen, Anne Deutsch, Huacong Wen, Tung-Sung Tseng
Summary: This retrospective cohort study investigated the association between rehabilitation length of stay and motor function improvement among traumatic spinal cord injury patients. The study found that patients with longer rehabilitation stays tended to have more motor function improvement in specific neurological injury categories.
Article
Rehabilitation
Anne Deutsch, Lauren Palmer, Tara McMullen, Tri Le, Matt Toth, Molly Marino, Molly Vaughan, Carole Schwartz, Alrick Edwards
Summary: This study describes the development and quality measure scores of a cross-setting postacute care function process quality measure. The results indicate that most postacute care providers submitted standardized self-care and mobility data, resulting in high quality measure scores during the first year of implementation.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Yu-Hsiang Kao, Yuying Chen, Anne Deutsch, Huacong Wen, Tung-Sung Tseng
Summary: This study found that longer inpatient rehabilitation length of stay (LOS) can improve motor FIM (mFIM) in patients with traumatic spinal cord injury (TSCI). Obesity is negatively associated with mFIM improvement. Among obese patients, those with the longest rehabilitation LOS showed greater improvement in mFIM.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Anne Deutsch, Lauren Palmer, Molly Vaughan, Carole Schwartz, Tara McMullen
Summary: This study describes the abilities of Medicare patients in inpatient rehabilitation facilities (IRFs) using standardized self-care and mobility data elements, and examines the validity of these elements. The results show significant improvements in patients' function between admission and discharge, supporting the validity of the data elements in measuring functional abilities in the IRF Medicare population.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Anne Deutsch, Lauren Palmer, Molly Vaughan, Tara McMullen, Amol Karmarkar, Sophia Kwon, Melvin J. Ingber
Summary: This study describes the development, implementation, and testing of the reliability and validity of the Change in Self-Care and Change in Mobility quality measures in inpatient rehabilitation facilities (IRFs). The results provide evidence supporting the reliability and validity of these quality measures in IRFs.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Molly Vaughan, Anne Deutsch, Tara McMullen, Lauren Palmer, Sophia Kwon, Melvin J. Ingber
Summary: This study describes the exclusion criteria and updated risk adjustment model for evaluating the Change in Mobility quality measure in inpatient rehabilitation facilities. The study found that the risk adjustment model had good calibration and explained 20% of the variance in mobility change scores using 105 covariates.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Anne Deutsch, Tara McMullen, Molly Vaughan, Lauren Palmer, Sophia Kwon, Melvin J. Ingber
Summary: This study describes the exclusion criteria and risk-adjustment model developed for the quality measure Change in Self-Care. The model enables comparison of self-care scores across different inpatient rehabilitation facilities and quantifies the relationship between demographic and clinical factors and self-care change.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
T. S. Jesus, B. Z. Stern, J. Struhar, A. Deutsch, A. W. Heinemann
Summary: This study aims to characterize the use of patient experience feedback for person-centered rehabilitation quality improvement and codesign activities. The results showed that there were few examples of such use in the rehabilitation literature, and patient experience improvement activities relied mainly on retrospective survey data without combining more actionable forms of patient experience feedback. Further research is needed to design activities that collect and utilize patient experience feedback for rehabilitation service improvements.
CLINICAL REHABILITATION
(2023)
Article
Geriatrics & Gerontology
Matt Toth, Lauren Palmer, Molly E. Marino, Alice Smith, Carole Schwartz, Anne Deutsch, Tara McMullen
Summary: The objective of this study was to examine the distribution of admission and discharge functional abilities among Medicare fee-for-service beneficiaries with a skilled nursing facility (SNF) stay, and to assess the validity of standardized discharge self-care and mobility data. The results showed overall improvements in function between admission and discharge, and a positive association between higher discharge self-care and mobility scores and higher discharge to community rates.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Geriatrics & Gerontology
Anne Deutsch, Lauren Palmer, Molly Vaughan, Tara McMullen, Sophia Kwon, Amol Karmarkar, Melvin J. Ingber
Summary: The objective of this study was to assess the reliability and validity of the IRF Discharge Mobility Score and IRF Discharge Self-Care Score. The study found strong correlations and construct validity for these quality measures, indicating their effectiveness.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Nursing
Anne Deutsch, Lauren Palmer, Holly Neumann, John Potelle, Magdalena Ignaczak, Tara McMullen, Melvin J. J. Ingber
Summary: The aim of this descriptive study was to analyze the characteristics and outcomes of Medicare patients treated in inpatient rehabilitation facilities (IRFs) from 2013 to 2018. The number of Medicare patients treated in IRFs increased by about 9% during this period. There was a shift in patients' primary rehabilitation diagnosis, with more patients with stroke and neurological conditions and fewer patients with orthopedic conditions.
REHABILITATION NURSING
(2023)
Editorial Material
Nursing
Anne Deutsch
REHABILITATION NURSING
(2023)
Article
Dermatology
Daniel H. Barch, Julie Hayes Seibert, Amy Kandilov, Amarilys Bernacet, Anne Deutsch, Xiao (Joyce) Wang, Elissa Scherer, Tara McMullen, Stella Mandl, Alan Levitt, Jennifer Frank, Cynthia Stephanopoulos, Laura M. Smith
Summary: This study compared the incidence of new or worsened pressure injuries (PIs) and their associated risk factors in different inpatient post-acute care settings. The results showed variations in the incidence of PIs across these settings and identified seven consistent risk factors for new or worsened PIs.
ADVANCES IN SKIN & WOUND CARE
(2023)
Letter
Geriatrics & Gerontology
Zhanlian Feng, Alison Vadnais, Benjamin Huber, Anne Deutsch, Qinghua Li, Lawren Bercaw, Melvin J. Ingber, Micah Segelman, Galina Khatutsky, Nolan Sroczynski, Lanlan Xu
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)