Outreach physiatry clinics in remote Manitoba communities: an economic cost analysis.

Background: One in 5 people in Canada have a disability affecting daily activities, and, for rural patients, accessing lifelong physiatry care to improve function and manage symptoms requires complex and expensive travel. We compared the costs of new outreach physiatry clinics with those of conventional urban clinics in Manitoba.

Methods: Six outreach clinics were held from January 2018 to September 2019 in the remote communities of St.

A randomized double-blind, placebo-controlled, cross-over trial assessing the effect of tadalafil (Cialis) on the cardiovascular response in men with complete spinal cord injury above the sixth thoracic level: A Pilot Study.

Study Design: Double-blind, randomized cross-over placebo-controlled pilot study.

Objectives: To determine the effects of tadalafil on systolic blood pressure (SBP), heart rate (HR), and dizziness of men with American Spinal Injury Association Impairment Scale-A (AIS-A) spinal cord injury (SCI) between cervical-4 (C4) and thoracic-5 (T5) levels.

Setting: Outpatient rehabilitation clinic.

Barriers to wheelchair use in the winter.

Objectives: To test the hypothesis that challenges to community participation posed by winter weather are greater for individuals who use scooters, manual and power wheelchairs (wheeled mobility devices [WMDs]) than for the general ambulatory population, and to determine what WMD users identify as the most salient environmental barriers to community participation during the winter.

Design: Cross-sectional survey organized around 5 environmental domains: technological, natural, physical, social/attitudinal, and policy.

Setting: Urban community in Canada.

Exercise stress testing in subacute stroke patients using a combined upper- and lower-limb ergometer.

Objective: To assess functional cardiopulmonary exercise tolerance in a subset of patients with residual neurologic deficits after stroke by exercise stress testing using the Power Trainer, a combined upper- and lower-limb ergometer.

Design: Prospective, observational study using a convenience sample.

Setting: Clinical locomotor laboratory in a tertiary rehabilitation hospital.

Efficacy and safety of tolterodine in people with neurogenic detrusor overactivity.

Objective: To compare tolterodine with oxybutynin and placebo in people with neurogenic detrusor overactivity.

Design: Prospective, randomized, double-blind, crossover trial plus open-label comparative stage.

Participants: Ten participants with neurogenic detrusor overactivity due to spinal cord injury or multiple sclerosis who used intermittent catheterization.

The effects of sildenafil on the cardiovascular response in men with spinal cord injury at or above the sixth thoracic level.

Background: Sildenafil is efficacious for erectile dysfunction in men with spinal cord injury (SCI), but can induce hypotension in neurologically intact people. Those with SCI at or above the sixth thoracic level (T6) often have pre-existing hypotension, yet the cardiovascular response to sildenafil has not been studied in this group.

Objective: To evaluate the effect of sildenafil on the cardiovascular response in men with complete SCI at or above T6.