Publications by authors named "Thomas E Nightingale"

Introduction: Motor and autonomic dysfunctions are widespread among people with spinal cord injury (SCI), leading to poor health and reduced quality of life. Exercise interventions, such as locomotor training (LT), can promote sensorimotor and autonomic recovery post SCI. Recently, breakthroughs in SCI research have reported beneficial effects of electrical spinal cord stimulation (SCS) on motor and autonomic functions.

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  • Traumatic lower-limb amputation increases the risk of chronic health conditions, particularly metabolic disorders and cardiovascular disease, for affected individuals.
  • A study compared 16 males with unilateral and bilateral limb amputations to 13 healthy controls, assessing their cardiometabolic risks, body composition, and physical activity over time.
  • Findings revealed that those with bilateral amputations had worse body composition and lower physical activity levels, with 63% diagnosed with cardiometabolic syndrome, while no significant differences were noted among the groups.
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Spinal cord injury (SCI) results in both motor and autonomic impairments, which can negatively affect independence and quality of life and increase morbidity and mortality. Despite emerging evidence supporting the benefits of activity-based training and spinal cord stimulation as two distinct interventions for sensorimotor and autonomic recovery, the combined effects of these modalities are currently uncertain. This scoping review evaluated the effectiveness of paired interventions (exercise + spinal neuromodulation) for improving sensorimotor and autonomic functions in individuals with SCI.

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  • - The study investigated the effects of fesoterodine on autonomic dysreflexia (AD) in 12 individuals with chronic spinal cord injury (SCI), focusing on its impact on urinary tract function over a 12-week treatment period.
  • - Results showed significant improvements in lower urinary tract function, with many participants experiencing increased bladder capacity and a decrease in detrusor pressure; AD severity and frequency also decreased notably.
  • - Overall, fesoterodine was effective in reducing AD symptoms and improving quality of life related to urinary incontinence, without adversely affecting cognitive or bowel functions.
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  • This study looked at how safe epidural spinal cord stimulation (eSCS) is for people with spinal cord injuries (SCI).
  • The researchers followed 14 participants at medical centers in Minnesota and monitored their health after receiving eSCS.
  • They found no major problems from the surgery or the device, and eSCS seemed just as safe for SCI patients as it is for treating chronic pain.
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Objective: Individuals with spinal cord injury (SCI) report using cannabis to self-manage chronic pain and spasticity. However, its safety and efficacy are not well understood. As more women with SCI are pursuing motherhood, clinicians must consider the possibility of maternal cannabis use and its impact on fetal development.

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Restoring muscle function to patients with spinal cord injuries (SCIs) will invariably require a functioning lower motor neuron (LMN). As techniques such as nerve transfer surgery emerge, characterizing the extent of LMN damage associated with SCIs becomes clinically important. Current methods of LMN diagnosis have inherent limitations that could potentially be overcome by the development of magnetic resonance imaging (MRI) biomarkers: specific features on MRI that are indicative of LMN integrity.

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Coronavirus disease 2019 (COVID-19) can lead to considerable lung damage and even death. Less is known about the effects of COVID-19 on the cardiovascular system. In their recent article, Shi and colleagues reported an association between cardiac injury and higher risk of in-hospital mortality in patients with COVID-19.

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Objective: To determine the effects of exercise on individual cardiometabolic syndrome (CMS) risk factors in adults with chronic spinal cord injury (SCI).

Data Sources: English language searches of PubMed, Web of Science, EMBASE, and Scopus (January 1, 1970, to July 31, 2019).

Study Selection: Articles were included if they met the following criteria: (1) original articles with statistical analysis, (2) participants were adults with a SCI sustained ≥1 year ago, (3) exercise intervention duration ≥2 weeks, and (4) included any CMS risk factor as an outcome.

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Background/objectives: To examine associations of different anthropometric measurements of central adiposity to visceral adipose tissue (measured via multi-axial magnetic resonance imaging; MRI) and cardiometabolic disease risk factors in men with spinal cord injury (SCI). Additionally, to determine population-specific seated/supine waist and abdominal circumference cutoffs, which may identify men at increased risk of cardiometabolic disease.

Participants/methods: Twenty-two men with chronic SCI underwent MRI scans, anthropometric measurements along with assessments of various cardiometabolic risk biomarkers.

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Wearable physical activity monitors are growing in popularity and provide the opportunity for large numbers of the public to self-monitor physical activity behaviours. The latest generation of these devices feature multiple sensors, ostensibly similar or even superior to advanced research instruments. However, little is known about the accuracy of their energy expenditure estimates.

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