Publications by authors named "Mark Andrew Wright"
Article Synopsis
- The study aimed to compare characteristics and rehabilitation outcomes of post-acute stroke patients with and without urinary tract infections (UTIs) in a cohort of 1,683 inpatients admitted for rehabilitation from 2005 to 2023.
- It found that 11.6% of patients experienced UTIs, with most occurring within the first two weeks of admission, and notable associations with factors like older age and higher stroke severity among those who developed UTIs.
- Patients with UTIs showed significantly poorer rehabilitation outcomes, indicated by lower Functional Independence Measure (FIM) and Functional Ambulation Categories (FAC) scores at discharge.
Article Synopsis
- The ABLE Exoskeleton has proven safe and feasible for individuals with spinal cord injuries (SCI) during clinical testing, but its effectiveness in home and community settings has not been previously assessed.
- A user-centered design process was utilized to evaluate the ABLE Exoskeleton's capability for performing essential tasks in everyday environments and to gather feedback for developing a personal-use version.
- The study involved 10 SCI participants undergoing a training program, revealing that while some experienced minor device-related issues, most achieved increased independence and were able to don and doff the device with minimal assistance.
Article Synopsis
- Aquatic therapy (AT) may be beneficial for patients with spinal cord injury (SCI), but there is limited clinical research on its effectiveness, which hinders its use in practice.
- A study compared 29 SCI patients who underwent AT rehabilitation with a control group that did not, using measures like the Functional Independence Measure (FIM) and Walking Index for Spinal Cord Injury (WISCI-II).
- Results indicated that while there were no significant differences in overall functional independence between groups, the AT group showed significant improvements in walking ability and efficiency, suggesting some benefits of aquatic therapy.
Falls characteristics experienced by working-age adults during inpatient post-stroke rehabilitation and their impact on length of stay, discharge functional status, ambulation and destination.
J Stroke Cerebrovasc Dis
November 2024
Background: In-hospital falls are frequent post-stroke medical complications and will remain of concern because it may not be possible to prevent all of them. We aimed to i) compare admission clinical and sociodemographic characteristics between fallers and non-fallers ii) determine falls characteristics iii) compare length of stay (LOS), discharge functional independence, ambulation and destination between fallers and non-fallers.
Methods: A matched case-control study, comparing individuals (n = 302) who fell during inpatient post-acute rehabilitation, matched (on time to admission, age and motor Functional Independence Measure (mFIM)) to individuals (n = 302) who didn´t fall, admitted within 3 months post-injury to a center between 2008 and 2023.
Article Synopsis
- The study investigates pediatric traumatic spinal cord injuries (PTSCI) in Catalonia, Spain, focusing on long-term trends in etiology, fracture types, and neurological outcomes among patients aged 0-17 admitted between 1986 and 2022.
- A total of 249 children were analyzed, with a predominance of boys and an average age of 13.9 years; 82% had at least one spinal fracture, with road traffic accidents being the main cause.
- The results also show a notable shift from road traffic accidents to falls and sports injuries as the primary causes of PTSCI from 2016 onward, particularly affecting the cervical and thoracic spine regions in older children.
Background: Most studies focus on the risk factors associated with the development of pressure ulcers (PUs) during acute phase or community care for individuals with spinal cord injury (SCI).
Objectives: This study aimed to i) compare clinical and demographic characteristics of inpatients after SCI with PUs acquired during rehabilitation vs inpatients without PUs and ii) evaluate an existing PU risk assessment tool iii) identify first PU predictors.
Methods: Individuals (n = 1,135) admitted between 2008 and 2022 to a rehabilitation institution within 60 days after SCI were included.
Background: Telerehabilitation in spinal cord injury (teleSCI) is a growing field that can improve access to care and health outcomes in patients with spinal cord injury (SCI). The clinical effectiveness of teleSCI is not known.
Objectives: To compare independence in activities of daily living and mobility capacity in patients following teleSCI and matched controls undergoing traditional rehabilitation.
Objectives: To compare independence in activities of daily living (ADLs) in post-acute patients with stroke following tele-rehabilitation and matched in-person controls.
Materials And Methods: Matched case-control study. A total of 35 consecutive patients with stroke who followed tele-rehabilitation were compared to 35 historical in-person patients (controls) matched for age, functional independence at admission and time since injury to rehabilitation admission (<60 days).
Background: Cognitively impaired neurological rehabilitation inpatients are at an increased risk for falls; yet, little is known regarding fall risk of different groups, such as stroke versus traumatic brain injury.
Objectives: To determine if rehabilitation patients' fall characteristics differ for patients with stroke versus patients with traumatic brain injury.
Methods: This retrospective observational cohort study evaluates inpatients with stroke or traumatic brain injury admitted to a rehabilitation center in Barcelona, Spain, between 2005 and 2021.
Background: Robotic lower-limb exoskeletons have the potential to provide additional clinical benefits for persons with spinal cord injury (SCI). However, high variability between protocols does not allow the comparison of study results on safety and feasibility between different exoskeletons. We therefore incorporated key aspects from previous studies into our study protocol and accordingly conducted a multicentre study investigating the safety, feasibility and usability of the ABLE Exoskeleton in clinical settings.
View Article and Find Full Text PDFObjectives: To (1) determine fall characteristics (eg, cause, location, witnesses) of inpatients with spinal cord injury (SCI) and whether they were different for ambulatory persons vs wheelchair users; (2) visualize the total number of daily falls per clock-hour for different inpatients' features (eg, cause of injury, age); (3) compare clinical and demographic characteristics of inpatients who experienced a first fall event vs inpatients who did not experience such event; and (4) identify first fall event predictors.
Design: Retrospective observational cohort study.
Setting: Institution for inpatient neurologic rehabilitation.
Background: Predicting the ability to walk after traumatic spinal cord injury is of utmost importance in the clinical setting. Nevertheless, only a small fraction of predictive models are evaluated on their performance by other authors using external data. The Dutch Clinical Prediction Rule for long-term walking ability was developed and validated using neurological assessments performed within 15 days postinjury.
View Article and Find Full Text PDFContext/objective: Compare community integration, quality of life, anxiety and depression of people with chronic spinal cord injury (SCI) living in the community before the outbreak of coronavirus SARS-CoV-2 disease (COVID-19) and during it.
Design: Prospective observational cohort study.
Setting: In-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during COVID-19.