1,076 results match your criteria: "Autonomic Dysreflexia in Spinal Cord Injury"
Top Spinal Cord Inj Rehabil
December 2024
James J. Peters VA Medical Center, Bronx, New York.
Clin Auton Res
November 2024
Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, V5A 1S6, Canada.
Phys Med Rehabil Clin N Am
February 2025
International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, British Columbia, Canada; ICORD-BSCC, UBC, 818 West 10th Avenue, Vancouver, British Columbia V5Z 1M9, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; G.F. Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada. Electronic address:
Autonomic dysfunctions are a major challenge to individuals following spinal cord injury. Despite this, these consequences receive far less attention compared with motor recovery. This review will highlight the major autonomic dysfunctions following SCI predominantly based on our present understanding of the anatomy and physiology of autonomic control and available clinical data.
View Article and Find Full Text PDFPhys Med Rehabil Clin N Am
February 2025
Division of Physical Medicine and Rehabilitation, Department of Neurosurgery, UofL Health Frazier Rehab Institute, University of Louisville, 220 Abraham Flexner Way, Louisville, KY 40202, USA.
Women encompass about 20% of all the traumatic spinal cord injury (SCI) population and there is increased incidence and prevalence of women with SCIs. The most recent data estimate that approximately 40,000-45,000 women with SCI are living in the United States, increasing from previous years, with the most common cause still being motor vehicle collisions. Throughout their lifespan, women with SCI present with unique healthcare needs compare to the male population.
View Article and Find Full Text PDFJ Spinal Cord Med
November 2024
Service de Médecine Physique et Réadaptation, Hôpital Henry-Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France.
Context: Spasticity is characterized by muscle hypertonia due to a velocity-dependent increase in tonic stretch reflexes, mostly related to hyperactive spinal reflexes. After spinal cord injury, the impact of noxious stimuli on autonomic dysreflexia is well documented. It is admitted in clinical practice that sublesional noxious stimuli can also increase spasticity.
View Article and Find Full Text PDFPLoS One
October 2024
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Background: Adults with spinal cord injury/dysfunction (SCI/D) face challenges with medications they take to manage their secondary conditions (e.g., pain, urinary tract infections, autonomic dysreflexia).
View Article and Find Full Text PDFJ Neurophysiol
November 2024
Rehabilitation Medicine Research Center, Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota, United States.
Exp Neurol
December 2024
International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada; Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, Canada; GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, Canada. Electronic address:
Neurospine
September 2024
University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Objective: Endoscopic spine surgery is an emerging technique of minimally invasive spine surgery. However, headache, seizure, and autonomic dysreflexia are possible irrigation-related complications following full-endoscopic lumbar discectomy (FELD). Pressure elevation through fluid irrigation may contribute to these adverse events.
View Article and Find Full Text PDFSpinal Cord Ser Cases
October 2024
Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Study Design: Longitudinal observational study. Measurements were undertaken between weeks 4-6 post-spinal cord injury (SCI), repeated at week 8 and every 4 weeks thereafter until week 20 or rehabilitation discharge, whichever occurred first.
Objectives: Observe variation in measured resting energy expenditure (REE) and body composition in males undergoing SCI rehabilitation, compare REE with SCI-specific prediction equations incorporating fat-free mass (FFM), and explore the prevalence of clinical factors that may influence individual REE.
Disabil Rehabil
September 2024
Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Hospital, Hines, IL, USA.
Spinal Cord Ser Cases
September 2024
Rehabilitation Medicine Service, Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Introduction: Autonomic dysreflexia (AD) is a potentially life-threatening syndrome that can occur in patients with traumatic injury to the spinal cord; however, it has not been well described in patients with non-traumatic spinal cord injury (SCI) from cancer and its treatments.
Case Presentation: We report four cases of autonomic dysreflexia secondary to primary spinal cord tumors and metastatic disease to the spine, and as sequela to cancer treatment. The clinical characteristics, diagnostic considerations, and therapeutic strategies used to mitigate the symptoms are discussed.
J Spinal Cord Med
September 2024
Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
J Physiol
August 2024
Departments of Physiology and Pharmacology, Cardiac Sciences, Clinical Neurosciences, Biomedical Engineering, Libin Cardiovascular Institute, Hotchkiss Brain Institute, RESTORE.network, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Spinal Cord
September 2024
Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Study Design: Systematic review and meta-analysis.
Objectives: Many individuals with spinal cord injury (SCI) experience autonomic dysfunction, including profound impairments to bowel and cardiovascular function. Neurogenic bowel dysfunction (NBD) is emerging as a potential determinant of quality of life (QoL) after SCI.
Front Rehabil Sci
June 2024
Spinal Injuries Association, Milton Keynes, United Kingdom.
Background: People with spinal cord injury (SCI) are at high risk of developing pressure injuries. Reports in the SCI-community had indicated that a new class of wound treatment, MPPT (micropore-particle-technology), was effective in treating pressure injuries. The British Spinal Injuries Association therefore conducted a survey among MPPT-users to learn from their experiences.
View Article and Find Full Text PDFBiomed Eng Online
June 2024
The Laboratory for Rehabilitation Engineering, Institute for Human Centred Engineering, Bern University of Applied Sciences, Biel, Switzerland.
Sci Transl Med
June 2024
Department of Neuroscience, Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Robust structural remodeling and synaptic plasticity occurs within spinal autonomic circuitry after severe high-level spinal cord injury (SCI). As a result, normally innocuous visceral or somatic stimuli elicit uncontrolled activation of spinal sympathetic reflexes that contribute to systemic disease and organ-specific pathology. How hyperexcitable sympathetic circuitry forms is unknown, but local cues from neighboring glia likely help mold these maladaptive neuronal networks.
View Article and Find Full Text PDFSci Rep
June 2024
Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No.707 Sec.3, Zhongyang Rd., Hualien City, 970473, Taiwan (R.O.C.).
This study explores 15-year urological complications in chronic spinal cord injury (SCI) patients and investigates the predictive factors from video-urodynamic study (VUDS) and bladder management. Analyzing 864 SCI patients with a mean 15.6-year follow-up, we assessed complications and utilized multivariate logistic regression for risk evaluation.
View Article and Find Full Text PDFTop Spinal Cord Inj Rehabil
May 2024
Department of Physical Medicine and Rehabilitation at the University of Michigan Medical School, Ann Arbor, Michigan.
Introduction: Individuals with spinal cord injury (SCI) commonly have autonomic dysreflexia (AD) with increased sympathetic activity. After SCI, individuals have decreased baroreflex sensitivity and increased vascular responsiveness.
Objective: To evalate relationship between baroreflex and blood vessel sensitivity with autonomic dysreflexia symptoms.
Bioelectron Med
May 2024
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Electrical stimulation of spinal neurons has emerged as a valuable tool to enhance rehabilitation after spinal cord injury. In separate parameterizations, it has shown promise for improving voluntary movement, reducing symptoms of autonomic dysreflexia, improving functions mediated by muscles of the pelvic floor (e.g.
View Article and Find Full Text PDFJ Spinal Cord Med
July 2024
John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA.
Med Devices (Auckl)
April 2024
Northwest Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK.
Methods: We used a Urethrotech catheterisation device in 57 male patients with spinal cord injury, in whom urethral catheterisation was unsuccessful or previous catheterisation was difficult.
Results: Urethrotech catheter could be inserted in 51 patients. No patient developed urinary tract infection.
Spinal Cord
June 2024
Students Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Study Design: Systematic review and meta-analysis.
Objectives: The current study aimed to assess the efficacy and safety of Onabotulinum toxin A (OBTX-A) treatment for neurogenic detrusor overactivity (NDO) in spinal cord injury (SCI) patients.
Setting: Iran.