Publications by authors named "Gabi Mueller"

Article Synopsis
  • The study aimed to assess how lifestyle and behavioral interventions impact body composition and anthropometric measures in individuals with spinal cord injury (SCI).
  • Researchers conducted a systematic review of 61 studies, primarily focusing on exercise interventions, including those paired with functional electrical stimulation, supplements, or educational efforts.
  • Findings suggested that exercise led to reductions in BMI and waist circumference, although there were no significant changes in total body fat or lean mass, indicating that exercise-based strategies could be effective for improving body composition in this population.
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Article Synopsis
  • - The study evaluates vaccination coverage against respiratory diseases (SARS-COV-2, influenza, and pneumococcus) in Swiss individuals with spinal cord injuries, using a survey conducted in 2022 and examining factors like demographics and health conditions.
  • - Among 1158 participants, vaccination rates were highest for SARS-COV-2 at 86.5%, followed by influenza at 44.6% and pneumococcus at just 7.5%, with doubts about vaccine effectiveness and side effects being common reasons for hesitancy.
  • - The findings reveal low vaccination rates for influenza and pneumococcus in this population, highlighting the need for better public health strategies and specific interventions to address vaccine hesitancy effectively.
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  • The study aims to analyze the changes in secondary health conditions and their risk factors in newly injured individuals with spinal cord injuries once they transition from inpatient rehab to community life.
  • Of the 280 participants, most were men with traumatic spinal cord injuries; a significant rise in conditions like pain, urinary tract infections, and pressure sores was observed after discharge, along with increased heart disease and diabetes cases.
  • The findings underline the need for targeted intervention programs to support individuals during this critical transition period in their recovery from spinal cord injuries.
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In late summer of 2023 bed bug () infestations received much media attention especially from Paris Fashion Week (2023-09-25/2023-10-03). Concern in France has grown in recent years and the public may have been sensitised from the recent release of the report from the Agence Nationale de Sécurité Sanitaire. Additionally, families returning from summer travel for the start of the school year (2023-09-04) may have brought spp.

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Objectives: The aims of the study are to determine the cardiovascular risk burden rehabilitation discharge and to explore the association between recovery during rehabilitation and cardiovascular disease risk profile.

Methods: We included adults without cardiovascular disease admitted for rehabilitation. We evaluated rehabilitation outcomes on admission and discharge.

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Background: Mechanical ventilation is widely used in ICU patients as a lifesaving intervention. Diaphragmatic atrophy and thinning occur from lack of contractions of the diaphragm during mechanical ventilation. It may prolong weaning and increase the risk of respiratory complications.

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Article Synopsis
  • * Key risk factors identified include being ventilator-dependent, which has an odds ratio (OR) of 10.2, and the presence of pressure injuries, which has an OR of 16.3 at discharge.
  • * The findings emphasize the need for increased awareness and regular screening for malnutrition in SCI patients during their rehabilitation process to improve clinical outcomes.
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The aim of this study was to describe the needs and research priorities of Swiss children/adolescents and young adults (from here, "young people") with spinal cord injury/disorder (SCI/D) or spina bifida (SB) and their parents in the health and life domains as part of the international Pan-European Pediatric Spinal Cord Injury (PEPSCI) collaboration. Surveys included queries about the satisfaction, importance, research priorities, quality of life (QoL), and characteristics of the young people. Fifty-three surveys with corresponding parent-proxy reports were collected between April and November 2019.

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Study Design: Mixed-methods observational study.

Objective: To describe the sleep-disordered breathing (SDB) management models of three spinal cord injury (SCI) rehabilitation centres that are screening, diagnosing and treating uncomplicated SDB, and to determine their common elements.

Setting: Three specialist SCI rehabilitation centres.

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Pneumonia continues to complicate the course of spinal cord injury (SCI). Currently, clinicians and policy-makers are faced with only limited numbers of pneumonia incidence in the literature. A systematic review of the literature was undertaken to provide an objective synthesis of the evidence about the incidence of pneumonia in persons with SCI.

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Introduction: Pneumonia is one of the leading complications and causes of death after a spinal cord injury (SCI). After a cervical or thoracic lesion, impairment of the respiratory muscles decreases respiratory function, which increases the risk of respiratory complications. Pneumonia substantially reduces patient's quality of life, may prolong inpatient rehabilitation time, increase healthcare costs or at worse, lead to early death.

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Aims Of The Study: Examinations and assessments can be used to ensure good quality rehabilitation. Within the framework of a quality improvement project, the aims of the current analysis were: first, to analyse the time points of selected examinations and assessments in the rehabilitation process of patients with a newly acquired spinal cord injury. Second, to identify differences between the subgroups with different aetiologies, levels and completeness of spinal cord injuries.

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Study Design: Multicenter, cross-sectional study.

Objectives: To validate previously developed respiratory function prediction models for persons with long-term spinal cord injury (SCI) and if necessary develop and validate new models.

Setting: Ten SCI rehabilitation centers.

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Study Design: Retrospective cohort study.

Objectives: To investigate the effect of training intensity and -volume on improvements in respiratory muscle strength in individuals with spinal cord injury (SCI).

Setting: SCI rehabilitation center in Switzerland.

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Study Design: Qualitative study.

Objectives: The aim of this study was to evaluate peer counselling during inpatient rehabilitation of patients with spinal cord injuries (SCI). This article describes the experience with peer counselling from the perspective of patients with SCI as well as from the perspective of the peer counsellors.

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Study Design: Retrospective cohort study.

Objective: To evaluate the clinical implementation of a respiratory muscle training group during rehabilitation of individuals with spinal cord injury.

Setting: Spinal cord injury rehabilitation center.

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Aim Of The Study: To examine biophysical skin properties in the sacral region in spinal cord injury (SCI) patients suffering from a grade 1 pressure ulcer (PU) defined as non-blanchable erythema (SCI/PU), SCI patients in the post-acute phase (SCI/PA) and able-bodied participants (CON). Also, for SCI/PU patients, both the affected skin and healthy skin close to the PU were examined.

Study Design: An experimental controlled study with a convenience sample.

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Background: Respiratory complications remain a major cause of mortality among individuals with spinal-cord injury (SCI). The present study investigated whether respiratory function is a discriminator of pneumonia in individuals with SCI and is aimed to determine the best predictive parameter.

Methods: This was a retrospective cohort study.

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Aim Of The Study: To combine measurement methods of biophysical skin properties in a clinical setting and to measure baseline values in the unloaded sacral region of healthy persons after lying 30 min in supine position.

Methods: Hydration (Corneometer® CM 825), redness (Mexameter® MX 18), elasticity (Cutometer® MPA 580) and perfusion (PeriFlux System 5000) of the skin in the sacral region of 10 healthy participants (median age: 26.9 years) were measured consecutively in the laying position by two trained examiners.

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Background: Secretion removal is a key issue in patients with respiratory diseases, and is known to be most effective at vibration frequencies of ∼ 13 Hz and with the greatest amplitudes possible. The Acapella devices and the water bottle are used for secretion removal in daily clinical practice but without detailed knowledge on optimal settings. The aim of this study was to evaluate the 3 different Acapella devices and the water bottle at various settings and flows to determine the optimal devices and settings for effective secretion removal.

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Objective: To compare the effects of inspiratory resistance training (IRT) and isocapnic hyperpnea (IH) versus incentive spirometry (placebo) on respiratory function, voice, and quality of life in individuals with motor complete tetraplegia.

Methods: In this randomized controlled trial, 24 individuals with traumatic, motor complete (AIS A) tetraplegia (C5-C8), 6 to 8 months post injury, were randomly assigned to 1 of 3 groups. They completed either 90 repetitions of IRT, 10 minutes of IH, or 16 repetitions of placebo training in 32 supervised training sessions over 8 weeks.

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Objective: To compare the effects of inspiratory resistance training and isocapnic hyperpnoea vs incentive spirometry (placebo) on respiratory function, voice, thorax mobility and quality of life in individuals with tetraplegia.

Design: Randomized controlled trial.

Patients/methods: A total of 24 individuals with traumatic, complete tetraplegia (C5-C8, American Spinal Injury Association (ASIA) Impairment Scale; AIS A) were randomly assigned to 1 of 3 groups.

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Objective: To develop statistical models to predict lung function and respiratory muscle strength from personal and lesion characteristics of individuals with motor complete spinal cord injury.

Design: Cross-sectional, multi-centre cohort study.

Subjects: A total of 440 individuals with traumatic, motor complete spinal cord injury, time post-injury ≥ 6 months, lesion level C4-T12, underwent measurements of lung function and respiratory muscle strength.

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