Inpatient Rehabilitation is Effective for Severe Daily Activity Deficits Related to Chronic Low Back Pain.

Background And Objective: Chronic low back pain disability (CLBPD) is a syndrome that includes pain, disability, emotional impairments, and social problems. The study was conducted to examine the effect of an inpatient rehabilitation program on the performance of everyday life tasks (daily activities), and report on pain in CLBPD patients with primary activities of daily living (ADL) deficits.

Methods: In a retrospective cohort study, demographic and clinical data were retrieved from records of inpatients admitted consecutively to the program.

[THE CONTRIBUTION OF INPATIENT REHABILITATION IN ISRAEL TO THE IMPROVEMENT OF DAILY FUNCTIONING AFTER SPINAL CORD LESIONS].

Introduction: Spinal cord lesions (SCL) are usually followed by neurological and functional improvement. The neurological improvement is natural and improves the functional potential of the patients, while rehabilitation improves the realization of that potential. The functional change depends on the neurological change, and usually does not represent the contribution of rehabilitation alone to the functional improvement.

Assessment of ability realization using the 4th version of the Spinal Cord Independence Measure.

Context: Change in ability realization reflects the main contribution of rehabilitation to improvement in the performance of daily activities after spinal cord lesions (SCL).

Objective: To adapt a Spinal Cord Ability Realization Measurement Index (SCI-ARMI) formula to the new Spinal Cord Independence Measure version 4 (SCIM4).

Methods: Using data from 156 individuals for whom American Spinal Injury Association Motor Score (AMS) and SCIM4 scores were collected, we obtained an estimate for the highest possible SCIM4 given the patient's AMS value, using the 95th percentile of SCIM4 values at discharge from rehabilitation (SCIM95) for patients with any given AMS at discharge.

The role of comprehensive rehabilitation in the care of degenerative cervical myelopathy.

Study Design: Retrospective cohort study.

Objective: To find out if comprehensive rehabilitation itself can improve daily performance in persons with DCM.

Setting: The spinal department of a rehabilitation hospital.

The net contribution of rehabilitation to improvement in performance in patients with spinal cord lesions in five countries.

Context: Change in ability realization reflects the main contribution of rehabilitation to improvement in the performance of daily activities in patients with spinal cord lesions (SCL).

Objective: To assess the net effect of rehabilitation of patients with SCL and compare it between countries.

Methods: We calculated the Spinal Cord Ability Realization Measurement Index (SCI-ARMI) and its change from admission to rehabilitation to discharge, for inpatients admitted to SCL units in five countries, between 2016 and 2019.

Venous thromboembolism and anticoagulation in spinal cord lesion rehabilitation inpatients: A 10-year retrospective study.

Background: Venous thromboembolism (VTE) is a concern following the onset of spinal cord lesions (SCL).

Objectives: To assess the current efficacy and risks of anticoagulation after SCL and consider changes in thromboprophylaxis.

Methods: This retrospective cohort study included individuals admitted to inpatient rehabilitation within 3 months of SCL onset.

A multi-center international study on the spinal cord independence measure, version IV: Rasch psychometric validation.

Context: The Spinal Cord Independence Measure is a comprehensive functional rating scale for individuals with spinal cord lesion (SCL).

Objective: To validate the scores of the three subscales of SCIM IV, the fourth version of SCIM, using advanced statistical methods.

Study Design: Multi-center cohort study.

Satisfaction scores can be used to assess the quality of care and service in spinal rehabilitation.

Study Design: Cohort comparative study.

Objective: Evaluate the suitability of satisfaction scores for the assessment of quality of care and service in spinal rehabilitation.

Setting: Spinal rehabilitation department.

Ability Realization Improves During Inpatient Rehabilitation for Guillain-Barré Syndrome.

Objective: The aim of the study was to investigate improvement in ability realization and additional long-term outcomes, during and after inpatient rehabilitation for Guillain-Barré syndrome.

Design: This is a retrospective, longitudinal cohort study, in which outcomes were examined using validated scales, for 47 inpatients with Guillain-Barré syndrome.

Results: Scores improved from 65 on the American Spinal Injury Association Motor Score and 50 on the Spinal Cord Independence Measure, at admission to inpatient rehabilitation, to 81 and 80 at discharge, and to 92 and 95 at the end of 7.

Reliability Validity and Responsiveness of the Spinal Cord Independence Measure 4th Version in a Multicultural Setup.

Objective: To examine the fourth version of the Spinal Cord Independence Measure for reliability and validity.

Design: Partly blinded comparison with the criterion standard Spinal Cord Independence Measure III, and between examiners and examinations.

Setting: A multicultural cohort from 19 spinal cord injury units in 11 countries.

Stabilization of Electrosurgical Cutting Performance Based on Electrode Speed.

Electrosurgical cutting is used for surgical incisions and resections where hemostasis is important. Much research has been performed on electrosurgical generator control methods that can improve cutting performance. It is also known that speed of the electrode as it is applied to tissue can impact cutting performance.

[POSITION STATEMENT FOR INTERMITTENT CATHETERIZATION OF URINARY BLADDER].

A position paper presents the standpoint of the Israeli Urological Association on clean intermittent catheterization (CIC) for all physicians and nurses. The position paper is based on international guidelines and professional literature and is adapted to medical activities in Israel. CIC is indicated for the treatment of temporary/permanent disability in the emptying of the bladder, which is expressed by large post-voided urine/urine retention and related complications.

SCIM III (Spinal Cord Independence Measure version III): reliability of assessment by interview and comparison with assessment by observation.

Study Design: Psychometric study.

Objectives: The objective of this study was to examine the reliability of the Spinal Cord Independence Measure III (SCIM III) by interview and compare the findings with those of assessment by observation.

Setting: This study was conducted at Loewenstein Rehabilitation Hospital, Israel.

Using a Sniff Controller to Self-Trigger Abdominal Functional Electrical Stimulation for Assisted Coughing Following Cervical Spinal Cord Lesions.

Individuals with cervical spinal cord lesions (SCLs) typically depend on caregivers to manually assist in coughing by pressing against their abdominal wall. Coughing can also be assisted by functional electric stimulation (FES) applied to abdominal muscles via surface electrodes. Efficacy of FES, however, depends on precise temporal synchronization.

Coronary artery disease and hypertension in a non-selected spinal cord injury patient population.

Study Design: Retrospective observational comparative study.

Objectives: The objectives of this study were to assess the atherosclerosis diseases and risk factors prevalence after spinal cored injury (SCI).

Setting: Loewenstein Rehabilitation Hospital, Israel.

Safety considerations for wireless delivery of continuous power to implanted medical devices.

Wireless power systems for use with implants are referred to as transcutaneous energy transmission systems (TETS) and consist of an implanted secondary coil and an external primary coil along with supporting electronics. A TETS system could be used to power ventricular assist systems and eliminate driveline infections. There are both direct and indirect safety concerns that must be addressed when continuously transferring power through the skin.

An international age- and gender-controlled model for the Spinal Cord Injury Ability Realization Measurement Index (SCI-ARMI).

Background. A quadratic formula of the Spinal Cord Injury Ability Realization Measurement Index (SCI-ARMI) has previously been published. This formula was based on a model of Spinal Cord Independence Measure (SCIM95), the 95th percentile of the SCIM III values, which correspond with the American Spinal Injury Association Motor Scores (AMS) of SCI patients.

Genetic algorithm optimization of transcutaneous energy transmission systems for implantable ventricular assist devices.

Transcutaneous energy transmission systems (TETS) wirelessly transmit power through the skin. TETS is particularly desirable for ventricular assist devices (VAD), which currently require cables through the skin to power the implanted pump. Optimizing the inductive link of the TET system is a multi-parameter problem.

Occurrence of fatigue over 20 years after recovery from Guillain-Barré syndrome.

Introduction: Reports regarding outcome of Guillain-Barré syndrome (GBS) are usually limited to relatively short follow-up. We assessed the occurrence of fatigue and correlated it to clinical measures in patients who had suffered from GBS over 20 years previously.

Methods: We contacted 24 patients with GBS requiring in-hospital rehabilitation during the years 1970-1987.

Non-linear formulas for the spinal cord injury ability realization measurement index.

Study Design: The spinal cord injury ability realization measurement index (SCI-ARMI) assesses rehabilitation potential and efficacy based on the linear relationship between the Spinal Cord Independence Measure (SCIM) and the American Spinal Injury Association impairment scale (AIS) motor scores (AMS).

Objectives: The objective of this study is to develop new SCI-ARMI formulas using a more flexible approach that is less sensitive to the distribution of the AMS score among spinal cord lesion (SCL) patients.

Setting: Loewenstein Rehabilitation Hospital, Raanana, and the Statistical Laboratory, School of Mathematics, Faculty of Exact Sciences, Tel-Aviv University, Israel.

A new grading for easy and concise description of functional status after spinal cord lesions.

Background: Disability scales do not enable the transmission of concise, meaningful and daily function description for clinical purposes.

Study Design: Cross-sectional statistical analysis of 328 patients' Spinal Cord Independence Measure (SCIM) III item scores (SIS).

Objective: To develop a concise and clinically interpretable data-based characterization of daily task accomplishment for patients with spinal cord lesions (SCLs).

Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions.

Study Design: Multicenter international cohort study.

Objective: The objective of this study was to establish target values for Spinal Cord Independence Measure (SCIM) III scoring in rehabilitation for clinically complete spinal cord lesion (SCL) neurological levels.

Setting: In total, 13 spinal cord units in six countries from North America, Europe and the Middle East were taken.

Insulin resistance in tetraplegia but not in mid-thoracic paraplegia: is the mid-thoracic spinal cord involved in glucose regulation?

Study Design: Controlled experimental human study.

Objectives: To assess insulin resistance (IR) in tetraplegia and paraplegia, and the role of the spinal cord (SC) in glucose regulation.

Setting: Laboratory of Spinal Research, Loewenstein Rehabilitation Hospital.