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Locked-in syndrome revisited.
Ther Adv Neurol Disord
March 2023
Department of Neurology, Neurological Intensive Care and Neurorehabilitation, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.
The locked-in syndrome (LiS) is characterized by quadriplegia with preserved vertical eye and eyelid movements and retained cognitive abilities. Subcategorization, aetiologies and the anatomical foundation of LiS are discussed. The damage of different structures in the pons, mesencephalon and thalamus are attributed to symptoms of classical, complete and incomplete LiS and the locked-in plus syndrome, which is characterized by additional impairments of consciousness, making the clinical distinction to other chronic disorders of consciousness at times difficult.
View Article and Find Full Text PDFIdentifying barriers to upper extremity reconstruction in tetraplegia: a systematic scoping review.
Spinal Cord
October 2021
Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada.
Study Design: Systematic scoping review OBJECTIVES: The purpose of this study was to understand the barriers to accessing upper extremity (UE) reconstructive surgery among those living with tetraplegia, and to identify gaps in knowledge.
Methods: Using standardized scoping review methods, a literature search was conducted using four databases and 1069 articles were procured. Two independent reviewers systematically screened the articles in two phases.
Recovery target priorities of people with spinal cord injuries in Korea compared with other countries: a survey.
Spinal Cord
September 2020
Department of Rehabilitation Medicine, Rehabilitation Hospital, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, South Korea.
Study Design: Cross-sectional survey.
Objectives: To identify which functional areas are important in recovery and which psychosocial factors influence life quality among persons with spinal cord injuries in Korea and to compare our results with similar studies from other countries.
Setting: University-affiliated rehabilitation hospital.
Case Study: Cognitive Restructuring Hypnosis for Chronic Pain in a Quadriplegic Patient.
Am J Clin Hypn
April 2019
b University of Washington, Seattle , Washington , USA.
This case study reports on a 28-year-old male with spinal cord injury (SCI), quadriplegia, and chronic pain with neuropathic characteristics. The treatment had to be adapted to address the patient's needs, as he was on a respirator and paralyzed from the chin down. The intervention consisted of eight 90-minute sessions.
View Article and Find Full Text PDFThe golden year: How functional recovery sets the stage for tendon transfer surgery among patients with tetraplegia-a qualitative analysis.
Surgery
February 2019
Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Background: Tendon transfer surgery can effectively improve hand function for patients with tetraplegia but remains poorly utilized. Little is known regarding how patients' rehabilitation experiences influence their perception of function, identity, and coping to shape their reconstructive context.
Methods: We performed a cross-sectional qualitative analysis of 19 participants with C4-C7 cervical spinal injuries: 9 patients had undergone reconstruction; 10 had not.
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