4.1 Article

Therapeutic Interventions to Improve Mobility with Spinal Cord Injury Related Upper Motor Neuron Syndromes

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pmr.2020.04.002

Keywords

Practice; Training; Walking; Wheeling

Categories

Ask authors/readers for more resources

Mobility is essential for quality of life and social participation. Some individuals with spinal cord injury have sufficient residual lower extremity motor control to walk. Improving walking function incorporates practice and training, and assistive devices or stimulation to augment function and balance. Overground robotic exoskeletons may have the potential to transform upright mobility in the future. Most individuals with spinal cord injury use a wheelchair for at least some of their mobility needs. Wheelchair skills training can open up new possibilities for participation. Regardless of the means of mobility, developing habits that protect joint health are essential for optimal lifelong mobility.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.1
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Clinical Neurology

Impact of spasticity on transfers and activities of daily living in individuals with spinal cord injury

Jacqueline Tibbett, Eva G. Widerstrom-Noga, Christine K. Thomas, Edelle C. Field-Fote

JOURNAL OF SPINAL CORD MEDICINE (2019)

Article Clinical Neurology

Reliability of S3 pressure sensation and voluntary hip adduction/ toe flexion and agreement with deep anal pressure and voluntary anal contraction in classifying persons with traumatic spinal cord injury

Ralph J. Marino, Mary Schmidt-Read, Anna Chen, Steven C. Kirshblum, Trevor A. Dyson-Hudson, Edelle Field-Fote, Ross Zafonte

JOURNAL OF SPINAL CORD MEDICINE (2020)

Article Rehabilitation

Spasticity and Pain after Spinal Cord Injury: Impact on Daily Life and the Influence of Psychological Factors

Jacqueline A. Tibbett, Edelle C. Field-Fote, Christine K. Thomas, Eva G. Widerstrom-Noga

Editorial Material Clinical Neurology

Importance and Significance: Synonyms Sometimes But Not Specifically in Statistics

Edelle Edee Field-Fote

JOURNAL OF NEUROLOGIC PHYSICAL THERAPY (2019)

Article Engineering, Biomedical

Budget impact analysis of robotic exoskeleton use for locomotor training following spinal cord injury in four SCI Model Systems

Daniel Pinto, Mauricio Garnier, Jason Barbas, Shuo-Hsiu Chang, Susan Charlifue, Edelle Field-Fote, Catherine Furbish, Candy Tefertiller, Chaithanya K. Mummidisetty, Heather Taylor, Arun Jayaraman, Allen W. Heinemann

JOURNAL OF NEUROENGINEERING AND REHABILITATION (2020)

Editorial Material Clinical Neurology

Applauding Our Peer Reviewers-the Unsung Heroes of Science

Edelle Edee Field-Fote

JOURNAL OF NEUROLOGIC PHYSICAL THERAPY (2020)

Review Clinical Neurology

Disrupted Ankle Control and Spasticity in Persons With Spinal Cord Injury: The Association Between Neurophysiologic Measures and Function. A Scoping Review

Jasmine M. Hope, Ryan Z. Koter, Stephen P. Estes, Edelle C. Field-Fote

FRONTIERS IN NEUROLOGY (2020)

Article Rehabilitation

Modified PRISM and SCI-SET Spasticity Measures for Persons With Traumatic Spinal Cord Injury: Results of a Rasch Analyses

W. Mark Sweatman, Allen W. Heinemann, Catherine L. Furbish, Edelle C. Field-Fote

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION (2020)

Article Engineering, Biomedical

Users with spinal cord injury experience of robotic Locomotor exoskeletons: a qualitative study of the benefits, limitations, and recommendations

Dominique Kinnett-Hopkins, Chaithanya K. Mummidisetty, Linda Ehrlich-Jones, Deborah Crown, Rachel A. Bond, Marc H. Applebaum, Arun Jayaraman, Catherine Furbish, Gail Forrest, Edelle Field-Fote, Allen W. Heinemann

JOURNAL OF NEUROENGINEERING AND REHABILITATION (2020)

Article Medicine, General & Internal

Combined Transcutaneous Spinal Stimulation and Locomotor Training to Improve Walking Function and Reduce Spasticity in Subacute Spinal Cord Injury: A Randomized Study of Clinical Feasibility and Efficacy

Stephen Estes, Anastasia Zarkou, Jasmine M. Hope, Cazmon Suri, Edelle C. Field-Fote

Summary: The study assessed the feasibility and preliminary efficacy of LT + TSS in subacute spinal cord injury patients, finding significant improvements in walking outcomes in the LT + TSS group compared to the LT + TSSsham group. There were no significant changes in spasticity in either group, possibly due to variability in the measurements.

JOURNAL OF CLINICAL MEDICINE (2021)

Article Clinical Neurology

Acceptability and impact on spasticity of a single session of upper extremity vibration in individuals with tetraplegia

Marissa R. Mirecki, Sarah Callahan, Kyle M. Condon, Edelle C. Field-Fote

Summary: This study aimed to explore the effect of a self-applied upper extremity vibration intervention on UE spasticity for individuals with tetraplegia. Results showed that participants with higher spasticity demonstrated decreased spasticity after the intervention, although there was no clear effect on grasp, transport, and release function. Most participants were satisfied with the intervention and believed it would be valuable to have at home.

SPINAL CORD SERIES AND CASES (2022)

Article Rehabilitation

Appraisals of robotic locomotor exoskeletons for gait: focus group insights from potential users with spinal cord injuries

Allen W. Heinemann, Dominique Kinnett-Hopkins, Chaithanya K. Mummidisetty, Rachel A. Bond, Linda Ehrlich-Jones, Catherine Furbish, Edelle Field-Fote, Arun Jayaraman

DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY (2020)

Article Clinical Neurology

International Spinal Cord Injury Physical Therapy-Occupational Therapy Basic Data Set (Version 1.2)

Kim D. Anderson, Edelle C. Field-Fote, Fin Biering-Sorensen, Anne Bryden, Lisa A. Harvey, Linda Jones, M. J. Mulcahey, Sara Mulroy, Vanessa K. Noonan, Marcel W. M. Post, Rudiger Rupp, Mary Schmidt-Read

SPINAL CORD SERIES AND CASES (2020)

Article Rehabilitation

Technological Modalities in the Assessment and Treatment of Disorders of Consciousness

Gang Liu, Bradley Chi

Summary: This article provides a comprehensive review of the technological advances in the diagnosis and treatment of patients with a disorder of consciousness over the past 10 years. While these advances show promise, there is limited high-quality evidence supporting their widespread clinical adoption.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Education, Training, and Support Across the Continuum of Recovery for Caregivers of Persons with Disorders of Consciousness

Amy Shapiro-Rosenbaum, Michelle P. Jaffe

Summary: Caregivers of persons with DoC experience high levels of perceived burden, which is associated with adverse physical, emotional, psychosocial, and financial outcomes and is directly tied to expressed needs for information and support. Providing individualized education and training at each phase of recovery can enhance effective communication between providers and caregivers, helping to increase caregiver proficiency in managing their loved one's care while also helping to mitigate the challenges associated with perceived burden. This may subsequently increase the rate of community discharge among persons with DoC, potentially translating to a reduction in the long-term costs of care for this population.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Medical, Neurologic, and Neuromusculoskeletal Complications

Jean E. Woo, Abana Azariah, Eboni A. Reed, Nicholas Gut

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Special Considerations in Behavioral Assessments for Disorders of Consciousness

Katherine O'Brien, Bei Zhang, Elizabeth Anderl, Sunil Kothari

Summary: Behavioral assessment is essential in the clinical evaluation of disorders of consciousness, and it should be supplemented by qualitative behavioral observations and individualized quantitative assessments. Therapy disciplines, staff, and family members all play important roles in this process.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Prognostication and Trajectories of Recovery in Disorders of Consciousness

Mary E. Russell, Cindy B. Ivanhoe, Eboni A. Reed

Summary: Acquired brain injury, especially severe brain injury, is a chronic medical condition that lacks research studies on postacute care and long-term outcomes. There is a need for standardized admission criteria, diagnostic tools, and prognostic protocols. Furthermore, healthcare systems should consider personalized factors and different perspectives on meaningful recovery and quality of life.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Emergence from Disorders of Consciousness Optimizing Self-Agency Through Communication

Brooke Murtaugh, Susan Fager, Tabatha Sorenson

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Strategy and Philosophy for Treating Pain and Sleep in Disorders of Consciousness

Amanda Appel, Eric Spier

Summary: This article discusses the importance of the emergence of consciousness in brain-injured patients and presents a framework for evaluating and tailoring treatment of sleep and pain. Although more research is needed, validated tools are currently available for assessing consciousness, pain, and sleep.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Disorders of Consciousness Programs Components, Organization, and Implementation

Kristen A. Harris, Yi Zhou, Stacey Jou, Brian D. Greenwald

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Evaluation and Management of Disorders of Consciousness in the Acute Care Setting

Ruth Tangonan, Christos Lazaridis

Summary: Acute disorders of consciousness refer to impairments in arousal and awareness that occur within 28 days of an initial injury, which can be caused by various insults. Thorough evaluations, including assessments of consciousness level, brainstem reflexes, and motor responses, are important. Laboratory tests, imaging, and electrophysiology testing are needed for the evaluation of acute disorders of consciousness. Prognostication in this phase should be done cautiously, with open and frequent communication with families, considering the significant multidimensional uncertainty.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Editorial Material Rehabilitation

Disorders of Consciousness

Sunil Kothari, Bei Zhang

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Pharmacology in Treatment of Patients with Disorders of Consciousness

Michael H. Marino

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Neuroimaging in Disorders of Consciousness and Recovery

Linda B. Xu, Stephen Hampton, David Fischer

Summary: Neuroimaging in DoC has evolved to characterize complex brain networks and may have significant implications for understanding the natural history of DoC and optimizing long-term management.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Structural and Functional Neuroanatomy of Core Consciousness A Primer for Disorders of Consciousness Clinicians

David B. Arciniegas, Lindsey J. Gurin, Bei Zhang

Summary: Understanding the neuroanatomy of wakefulness and awareness is crucial for clinicians dealing with disorders of consciousness. Wakefulness is supported by brainstem-forebrain-diencephalic systems, while awareness is a result of integrated activity within and between wakefulness systems and cortical areas. Disruptions in these neural systems can inform the clinical presentation and treatment options for disorders of consciousness.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Disorders of Consciousness Classification and Taxonomy

Katherine Golden, Yelena G. Bodien, Joseph T. Giacino

Summary: This article discusses the classification associated with the four major disorders of consciousness (DoC): coma, vegetative state or unresponsive wakefulness syndrome, minimally conscious state, and post-traumatic confusional state. The history of each disorder are briefly reviewed and operational definitions and diagnostic criteria are provided. The article heavily relies on recently released practice guidelines and identifies knowledge gaps and discusses future directions to advance DoC research and practice.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Disorders of Consciousness in Children: Assessment, Treatment, and Prognosis

Beth S. Slomine, Stacy J. Suskauer

Summary: Research on children with disorders of consciousness (DoC) lags behind adult literature, and there is a lack of rigorous evaluation of assessment tools for this population. However, recent developments show promise in improving assessment for young children and those without overt command following. Early signs of consciousness are associated with better long-term outcomes. Although large clinical trials are lacking, programmatic data provide valuable information for standards of care and treatment options for children with DoC.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)