Publications by authors named "Mary Ann Richmond"

Study Design: Longitudinal, qualitative cohort study.

Objectives: To understand how people with newly acquired spinal cord injury (PWS) and their support person (SP) define recovery and successful community reintegration (CR) across the first 12 months post-injury (mpi) and their satisfaction with the rate of recovery and reintegration experienced.

Setting: Academic and Veterans hospitals in Midwest USA.

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Women's sexual health within the context of sexual function and psychosocial dimensions while living with a spinal cord injury (SCI) has rarely been discussed separately from men living with a SCI or from a collective with other chronic conditions. To date, over 64,000 women in the U.S.

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Article Synopsis
  • A multisite, double-blinded clinical trial aims to assess the safety and effectiveness of noninvasive transcranial direct current stimulation (tDCS) combined with rehabilitation for improving upper extremity recovery in individuals with chronic cervical spinal cord injury (SCI).
  • The study involves 44 adults with tetraplegia, who will be randomly assigned to receive either active or sham tDCS alongside rehabilitation, with evaluations occurring at multiple points throughout the trial.
  • Primary outcome measures will focus on upper extremity motor impairment and functional abilities, while secondary measures will investigate changes in brain activity and track treatment feasibility and safety.
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Background: Pressure injuries (PrI) are serious complications for many with spinal cord injury (SCI), significantly burdening health care systems, in particular the Veterans Health Administration. Clinical practice guidelines (CPG) provide recommendations. However, many risk factors span multiple domains.

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Objectives: The aims of the study were to assess reports of wheelchair mobility-related injuries from inadvertent lower extremity displacement (ILED) on footplates, which were submitted to the Food and Drug Administration Manufacturer and User Facility Device Experience (MAUDE) database during 2014-2018, characterize injury types, and evaluate MAUDE data quality.

Methods: A systematic MAUDE database review was performed. Annual reports were searched using keywords: (a) "power wheelchair" and "injury" and (b) "mechanical (also known as manual) wheelchair" and "injury.

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To investigate potential linkages between pressure injury (PrI) recurrence following spinal cord injury (SCI) and muscle-based and circulatory biomarkers, specifically fatty metabolites and inflammatory cytokines. Observational study. Tertiary Care Center.

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Objective: To investigate intersections between pressure injury (PrI) history, muscle composition, and tissue health responses under physiologically relevant loading conditions for individuals with spinal cord injury (SCI).

Design: Repeated measures study design with annual follow-up for up to 3 years.

Setting: Tertiary care center.

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Context/objective: Multiple medical specialties are often involved in the management of patients with both spinal cord injuries (SCI) and pressure injuries (PIs), sometimes leading to inadequate communication. Our Veterans Affairs (VA) hospital has an interdisciplinary team for PI patients in the SCI unit. This team conducts monthly bedside rounds and journal clubs; there is no similar team for patients with PIs outside the SCI unit.

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Article Synopsis
  • The study aimed to see if combining transcranial direct current stimulation (tDCS) with rehabilitation over two weeks could enhance motor function recovery in individuals with incomplete spinal cord injury (iSCI).
  • Conducted at the Cleveland Clinic, the research involved eight male participants with chronic incomplete motor tetraplegia, who underwent massed practice training with or without tDCS.
  • Results indicated that those who received tDCS showed significantly greater improvements in muscle strength compared to a control group, suggesting the need for further clinical trials to explore this rehabilitation strategy.
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Background/objective: Patients with spinal cord injury (SCI) are at risk of acquiring colonization with Clostridium difficile and vancomycin-resistant Enterococcus (VRE) due to prolonged hospitalization and frequent antimicrobial use. We examined the frequency of stool, skin, and environmental contamination with C. difficile and VRE in hospitalized patients with SCl.

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