Article
Rehabilitation
Lynn A. Worobey, Allen W. Heinemann, Kim D. Anderson, Denise Fyffe, Trevor A. Dyson-Hudson, Theresa Berner, Michael L. Boninger
Summary: This study investigated the frequency and consequences of wheelchair repairs and found that over 50% of wheelchair users were significantly affected by financial and personal costs. The highest repair rates were found for seating systems, electronics, and tires. Active users experienced more repairs and consequences compared to less active users. Repairs were more common among Black individuals and power wheelchair (PWC) users, whereas consequences were more common among Black individuals, PWC or power assist users, and those with public insurance. The consequences lasted longer than 2 weeks for many and could be minimized by having a working backup chair. Costs may present a barrier to repair completion for some individuals.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Lynn A. Worobey, Gina McKernan, Maria Toro, Jonathan Pearlman, Rachel E. Cowan, Allen W. Heinemann, Trevor A. Dyson-Hudson, Jessica Presperin Pedersen, Matthew Mesoros, Michael L. Boninger
Summary: This study assessed the effectiveness of group wheelchair maintenance training and identified participant characteristics associated with training responsiveness. The results showed that the training improved maintenance capacity and performance for both manual and power wheelchair users. Furthermore, delivering the training in a structured group format reduced costs and enhanced the likelihood of adoption into clinical practice.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Benjamin J. H. Beirens, Fransiska M. Bossuyt, Ursina Arnet, Lucas H. van der Woude, Wiebe H. K. de Vries
Summary: This study investigated the association between wheelchair propulsion biomechanics and shoulder pain in individuals with spinal cord injury. Results showed that individuals with severe shoulder pain had less smooth strokes during propulsion, indicating a possible link between shoulder pain and smoothness of applied forces.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Anthony F. DiMarco, Robert T. Geertman, Kutaiba Tabbaa, Gregory A. Nemunaitis, Krzysztof E. Kowalski
Summary: This study aimed to investigate the use of spinal cord stimulation (SCS) to improve bowel management in individuals with spinal cord injury (SCI). Results showed that SCS significantly reduced time required for bowel management, increased airway pressure generation, and improved overall quality of life. Importantly, the improvement in bowel management was associated with restoration of intra-abdominal pressure development.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Rehabilitation
James J. Laskin, Zeina Waheed, Nancy P. Thorogood, Tom E. Nightingale, Vanessa K. Noonan
Summary: This scoping review provides an overview of the current status of spinal cord stimulation (SCS) research for individuals with spinal cord injury (SCI). The review identifies the need for more rigorous study designs, larger sample sizes, comparative studies, improved reporting of stimulation parameters and adverse event data, and alignment of outcomes with the priorities of the SCI community.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
Nicholas Dietz, Sarah Wagers, Susan J. Harkema, Jessica M. D'Amico
Summary: The objective of this study was to examine the efficacy, dosing, and safety profiles of intrathecal and oral baclofen in treating spasticity after spinal cord injury (SCI). The study found that baclofen is the most commonly-prescribed antispasmodic after SCI, but there is a lack of large, placebo-controlled, double-blinded clinical trials, and further research is needed to compare baclofen with alternative treatments.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Engineering, Biomedical
Sonja de Groot, Rachel E. Cowan, Megan K. MacGillivray, Marika T. Leving, Bonita J. Sawatzky
Summary: The aim of this study was to assess the impact of treadmill slope variance on external power output and propulsion technique, and to examine the association between power output and propulsion technique. The results showed that when speed and wheelchair set-up remained constant, the variability in power output accounted for 50-90% of the variability in propulsion technique. Therefore, small differences in power output between interventions could mask the effect of the interventions on propulsion technique.
IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING
(2022)
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
Rehabilitation
Sara J. T. Guilcher, Mary-Ellen Hogan, Qi Guan, Daniel McCormack, Andrew Calzavara, Tejal Patel, Sander L. Hitzig, Tanya Packer, Aisha K. Lofters
Summary: The study found a significant proportion of individuals with traumatic spinal cord injury were prescribed opioids in a recent one-year period, with some receiving doses exceeding the maximum recommended by the Canadian opioid guideline. The research also identified risk factors associated with chronic, high-dose opioid use.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Neurosciences
Takahiro Kondo, Risa Saito, Yuta Sato, Kenta Sato, Akito Uchida, Kimika Yoshino-Saito, Munehisa Shinozaki, Syoichi Tashiro, Narihito Nagoshi, Masaya Nakamura, Junichi Ushiba, Hideyuki Okano
Summary: This study developed a rehabilitation model of severe traumatic spinal cord injury in nonhuman primates and found that locomotor recovery can be promoted through rehabilitation training, restoring the connection between supraspinal input and the lumbosacral network.
FRONTIERS IN CELLULAR NEUROSCIENCE
(2022)
Article
Rehabilitation
Yue Cao, David Murday, Elizabeth H. Corley, Nicole D. DiPiro, James S. Krause
Summary: The study found that 70% of patients with spinal cord injury in the southeastern United States were rehospitalized within five years of initial discharge, with high costs involved. Participants who could walk independently had fewer rehospitalizations, shorter length of stay, and lower charges, and college education was associated with lower charges.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
Shelley S. Selph, Andrea C. Skelly, Ngoc Wasson, Joseph R. Dettori, Erika D. Brodt, Erik Ensrud, Diane Elliot, Kristin M. Dissinger, Marian McDonagh
Summary: This study summarized the benefits and harms of physical activity in populations requiring a wheelchair, focusing on MS, CP, and SCI. It found that physical activity can improve walking, function, balance, depression, sleep, ADL, spasticity, female sexual function, and aerobic capacity in these populations, indicating the overall positive impact of physical activity on individuals with these conditions.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Nicole D. DiPiro, James S. Krause
Summary: The objective of this study was to identify patterns and relationships of nonprescription psychoactive substance (PAS) use among individuals with spinal cord injury (SCI). The results demonstrated a prevalent use of nonprescription PAS among adults with chronic SCI, with clear differences in patterns and characteristics of use.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
Gabriel Ribeiro de Freitas, Libak Abou, Aline de Lima, Laura A. Rice, Jocemar Ilha
Summary: This article aims to evaluate the measurement properties of clinical instruments used to assess manual wheelchair mobility in individuals with spinal cord injury. The study identified 29 studies with 21 instruments, showing low methodological quality and evidence quality, as well as inconsistent results for different measurement properties. The Wheelchair Outcome Measure and Wheelchair Skills Test Questionnaire are currently the most promising instruments to be recommended for clinical and research use.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Rehabilitation
Hannah Tough, Mirja Gross-Hemmi, Silvia Stringhini, Inge Eriks-Hoogland, Christine Fekete
Summary: This study aimed to develop a more thorough understanding of the risk factors for loneliness in persons with a physical impairment, using a population-based sample of persons with spinal cord injury (SCI), based on regression modeling and a recursive partitioning approach. The results showed that individuals with disadvantaged socioeconomic characteristics and greater functional limitations were more likely to experience loneliness.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Neurosciences
Nina Gras, Torsten Brauner, Scott Wearing, Thomas Horstmann
Summary: This study aimed to investigate the challenge posed by progressively unstable balance devices to bipedal stance during early functional rehabilitation in THA patients. The results showed that increasingly compliant balance pads provided a progressive challenge, while the challenge posed by the oscillating platform was lower and independent of the ability to stand independently.
Article
Neurosciences
Sharon M. H. Tsang, Evest H. W. Chan, Jason Y. H. Chan, Gladys P. Y. Huang, Kelly K. T. Lam, Eunice W. Y. Lam, Allan C. L. Fu, Eliza R. Sun
Summary: This study examined the differences in postural adjustments between erect, hyperlordotic, and swayback postures when facing external perturbations. The findings suggest that adopting hyperlordotic and swayback postures alters the contributions of the active and passive subsystems of the spine in postural control, potentially reducing the spine's ability to withstand loading and shear forces.
Article
Neurosciences
Hsin-yi Wang, Cheng-Yi Ho, Min-Chun Pan
Summary: This study investigated the differences in lumbar and hip movements during gait and muscle activities related to knee osteoarthritis (KOA) patients and healthy participants. The results showed that KOA patients used a hyperlordotic lumbar and hip flexed strategy, leading to excessive stress on the lower extremity joints during gait.
Article
Neurosciences
Yoshitaka Otani, Osamu Aoki
Summary: This study found that feelings of fear affect postural control but not the internal focus of attention. This finding may be useful in assessments and interventions for older adults with a fall risk.
Article
Neurosciences
Haruki Toda, Hiroaki Hobara, Mitsunori Tada
Summary: This study investigated sex differences in lower limb dynamic joint stiffness (DJS) during walking in older adults. The results showed that ankle DJS was lower in older women, which was caused by the reduced ankle plantarflexion moment. However, knee DJS did not elucidate the cause of knee osteoarthritis (OA) in older women.
Article
Neurosciences
Luis H. Cubillos, Elliott J. Rouse, Thomas E. Augenstein, Varun Joshi, Edward S. Claflin, Chandramouli Krishnan
Summary: The study found that the reliability of stiffness, viscosity, and inertia of the ankle joint was good to excellent during standing. During walking, the reliability of stiffness and viscosity was also good to excellent, while that of inertia was fair to good. The minimal detectable change (MDC) ranged widely, but was higher for inertia during walking.
Article
Neurosciences
Alexandra F. Dejong Lempke, Danielle L. Hunt, Sarah B. Willwerth, Pierre A. d'Hemecourt, William P. Meehan III, Kristin E. Whitney
Summary: Adolescent athletes alter their gait patterns throughout a marathon race, and there are correlations between biomechanical features and race performance among young marathoners.
Article
Neurosciences
Ali Esmaeili, Sayed Esmaeil Hosseininejad, Amirali Jafarnezhadgero, Valdeci Carlos Dionisio
Summary: This study investigates the effects of footwear type, navicular drop and ankle pronation on lower limb joint stiffness during running. The results show that navicular drop and dynamic ankle pronation do not affect joint stiffness, but footwear type significantly affects joint stiffness. Conventional footwear increases ankle and hip joint stiffness while reducing knee joint stiffness, which may have implications for injury risk.
Article
Neurosciences
Takahiro Watanabe, Tomoya Takabayashi, Takanori Kikumoto, Yudai Kikuchi, Shunsuke Suzuki, Shiori Hiratsuka, Masayoshi Kubo
Summary: This study suggests that there are differences in abductor hallucis activity between individuals with chronic ankle instability and ankle sprain copers, indicating neuromuscular dysfunction in these patients, which leads to pain and instability symptoms.
Letter
Neurosciences
Susan M. Linder, Mandy Miller Koop, Jay L. Alberts
Article
Neurosciences
Elza van Duijnhoven, Marit van der Veen, Fieke S. Koopman, Frans Nollet, Sjoerd M. Bruijn, Merel-Anne Brehm
Summary: Gait stability is impaired in polio survivors with plantarflexor weakness, characterized by increased step width and step length variability and lower MoSAP. These factors are related to the elevated energy cost of walking in polio survivors.
Article
Neurosciences
Rebecca Hemming, Alister du Rose, Liba Sheeran, Robert van Deursen, Valerie Sparkes
Summary: In a forward bending task, there is a relationship between trunk muscle activation and regional thoracic and lumbar kinematics in NSCLBP subgroups, indicating different motor control strategies adopted by different subgroups when performing bending tasks.
Review
Neurosciences
Carina Pohle, Linda Becker, Jochen Baumeister
Summary: This systematic review is the first to compile evidence on the effect of the menstrual cycle on postural control. The evidence regarding the influence of the menstrual cycle on postural control is unclear. However, a trend of decreased postural control from the early follicular phase to the ovulatory phase was observed in balance tasks that eliminated or altered sensory input.