257 results match your criteria: "GF Strong Rehabilitation Centre[Affiliation]"

Assessment of clinical adherence to the international autonomic standards following spinal cord injury.

Spinal Cord

September 2015

International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Study Design: Retrospective chart analysis.

Objectives: To investigate the use of the International Autonomic Standards (IAS, 2009 edition) for classification of remaining autonomic function following spinal cord injury (SCI) over a 1-year period in a rehabilitation center, to determine clinical adherence to use of the IAS, and to examine the most common autonomic dysfunctions, as determined by using the IAS.

Setting: Tertiary rehabilitation hospital.

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Iatrogenic urological triggers of autonomic dysreflexia: a systematic review.

Spinal Cord

July 2015

1] International Collaboration on Repair Discoveries (ICORD), Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada [2] Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada [3] GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada.

Study Design: This is a systematic review.

Objective: The objective of this study was to review the literature on iatrogenic urological triggers of autonomic dysreflexia (AD).

Setting: This study was conducted in an international setting.

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A narrative literature review to direct spinal cord injury patient education programming.

Top Spinal Cord Inj Rehabil

February 2016

GF Strong Rehabilitation Centre, University of British Columbia , Vancouver, Canada ; Division of PM&R, University of British Columbia Department of Medicine, Vancouver, Canada.

Purpose: To summarize the evidence on SCI-related education literature, while looking at potential barriers, solutions, benefits, and patient preferences regarding SCI patient education.

Method: A literature review was conducted using 5 electronic databases. Quality appraisal instruments were designed to determine the methodological rigor of the quantitative and qualitative studies found.

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Objective: To describe and compare epidemiologic characteristics of patients with spinal cord dysfunction admitted to spinal rehabilitation units (SRUs) in 9 countries (Australia, Canada, Italy, India, Ireland, The Netherlands, Switzerland, United Kingdom, and United States).

Design: Retrospective multicenter open-cohort case series.

Setting: SRUs.

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Characterizing the temporal development of cardiovascular dysfunction in response to spinal cord injury.

J Neurotrauma

June 2015

1 International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada .

Spinal cord injury (SCI) is associated with rapid and sustained impairments in cardiovascular function that ultimately cause an early onset of cardiovascular disease. We know remarkably little about the temporal progression of cardiovascular disturbances, but such an understanding is critical to inform clinical management and develop appropriate intervention strategies. To characterize the cardiovascular response to SCI, six male Wistar rats were instrumented with telemetry and assessed for continuous arterial blood pressure (BP), core body temperature, and heart rate (HR) 7 days before and up to 28 days after T3 SCI.

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Study Design: Despite significant progress in bladder management, urinary tract infections (UTIs) are still common among individuals with spinal cord injury (SCI), and could negatively impact their health and quality of life. However, there are no data available on bladder management and frequency of UTIs among elite athletes with SCI.

Methods: Athletes were assessed during the London 2012 Paralympic Games and 2013 Paracycling World Championships.

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Assessment of autonomic function after acute spinal cord injury using heart rate variability analyses.

Spinal Cord

January 2015

1] Department of Spinal Cord Injuries, Glostrup hospital/Rigshospitalet 2081, Copenhagen, Denmark [2] Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.

Objectives: Spinal cord injury (SCI) often results in severe dysfunction of the autonomic nervous system. C1-C8 SCI affects the supraspinal control to the heart, T1-T5 SCI affects the spinal sympathetic outflow to the heart, and T6-T12 SCI leaves sympathetic control to the heart intact. Heart rate variability (HRV) analysis can serve as a surrogate measure of autonomic regulation.

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Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury.

Scand J Med Sci Sports

August 2015

International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty-three elite male paracycling athletes (C3-T8) were assessed for neurological level/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3-km World Championship time-trial test.

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The role of autonomic function on sport performance in athletes with spinal cord injury.

PM R

August 2014

International Collaboration on Repair Discoveries, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada∗

Devastating paralysis, autonomic dysfunction, and abnormal cardiovascular control present significant hemodynamic challenges to individuals with spinal cord injury (SCI), especially during exercise. In general, resting arterial pressure after SCI is lower than with able-bodied individuals and is commonly associated with persistent orthostatic intolerance along with transient episodes of life-threatening hypertension, known as "autonomic dysreflexia." During exercise, the loss of central and reflexive cardiovascular control attenuates maximal heart rate and impairs blood pressure regulation and blood redistribution, which ultimately reduces venous return, stroke volume, and cardiac output.

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Regional neurovascular coupling and cognitive performance in those with low blood pressure secondary to high-level spinal cord injury: improved by alpha-1 agonist midodrine hydrochloride.

J Cereb Blood Flow Metab

May 2014

1] Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada [2] International Collaboration on Repair Discoveries (ICORD), Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, and GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada.

Individuals with high-level spinal cord injury (SCI) experience low blood pressure (BP) and cognitive impairments. Such dysfunction may be mediated in part by impaired neurovascular coupling (NVC) (i.e.

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Response to 'Breastfeeding by women with tetraplegia: some evidence for optimism'.

Spinal Cord

March 2014

1] International Collaboration on Repair Discoveries (ICORD), Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada [2] Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada [3] GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, British Columbia, Canada.

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Spinal cord injury and type 2 diabetes: results from a population health survey.

Neurology

November 2013

From the School of Population and Public Health, Faculty of Medicine (J.J.C.), International Collaboration on Repair Discoveries (J.J.C., A.K., J.F.B.), Division of Spine, Department of Orthopaedics (M.D.), Department of Medicine, Division of Physical Medicine and Rehabilitation (A.K.), and Cardiovascular Imaging Research Core Laboratory, Division of Cardiology, Department of Medicine (G.B.J.M.), University of British Columbia, Vancouver; Rick Hansen Institute (V.K.N.), Vancouver; Acute Spine Program (M.D.), Vancouver General Hospital; GF Strong Rehabilitation Centre (A.K.), Vancouver Health Authority, Vancouver; and British Columbia Institute of Technology (J.F.B.), Burnaby, Canada.

Objective: The objective of this study was to evaluate the association between spinal cord injury (SCI) and type 2 diabetes in a large representative sample and to determine whether an association exists irrespective of known risk factors for type 2 diabetes.

Methods: Data were obtained on 60,678 respondents to the Statistics Canada 2010 Cycle of the cross-sectional Canadian Community Health Survey. Multivariable logistic regression, incorporating adjustment for confounders and probability weights to account for the Canadian Community Health Survey sampling method, was conducted to quantify this association.

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Purpose: To examine the association between social participation and subjective quality of life (SQOL) for non-employed, community-dwelling adults with moderate to severe traumatic brain injury (TBI) at 1 year or greater post-injury.

Method: A correlational study was conducted involving 46 participants. Social participation was measured using the Community Integration Questionnaire, Social Provisions Scale and the Adult Subjective Assessment of Participation.

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Inpatient stroke rehabilitation lengths of stay in Canada derived from the National Rehabilitation Reporting System, 2008 and 2009.

Arch Phys Med Rehabil

January 2014

University of British Columbia, Faculty of Medicine, Division of Physical Medicine and Rehabilitation, Vancouver, BC, Canada; GF Strong Rehabilitation Centre, Vancouver, BC, Canada.

Objective: To determine rehabilitation length of stay (LOS) for patients with stroke in Canada, and to evaluate which factors contribute to variations in LOS.

Design: A retrospective cohort study of Canadians rehabilitating from stroke using medical, functional, and sociodemographic variables extracted from the Canadian Institute for Health Information's National Rehabilitation Reporting System.

Setting: Canadian rehabilitation hospitals providing stroke rehabilitation services.

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Physical activity correlates with arterial stiffness in community-dwelling individuals with stroke.

J Stroke Cerebrovasc Dis

February 2014

Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada; Vancouver General Hospital, Vancouver, British Columbia, Canada.

Background: Physical inactivity contributes to atherosclerotic processes, which manifest as increased arterial stiffness. Arterial stiffness is associated with myocardial demand and coronary perfusion and is a risk factor for stroke and other adverse cardiac outcomes. Poststroke mobility limitations often lead to physical inactivity and sedentary behaviors.

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Objectives: To evaluate the feasibility of the Nintendo WiiFit™ as an adjunct to usual therapy in individuals with a lower limb amputation.

Methods: The study was a Multiple Baseline (AB) Single Subject Research Design. Subjects were ≥19 years old, had their first unilateral transtibial or transfemoral amputation  ≤12 months ago, and were participating in prosthetic training.

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Measurement properties of the occupational therapy discharge needs screen.

Can J Occup Ther

October 2012

GF Strong Rehabilitation Centre, Vancouver Coastal Health, 4255 Laurel St., Vancouver BC, V5Z 2G9.

Background: Pre-discharge home assessments are integral to discharge planning; however, there is no screening tool identifying clients with complex needs.

Purpose: To determine the inter- and intrarater reliability and predictive and concurrent validity of the Occupational Therapy Discharge Needs Screen (OTDNS), a screening tool that identifies clients with more complex discharge needs.

Methods: The OTDNS Functional Independence Measure (FIM) and Functional Autonomy Measurement System (SMAF) were administered to 89 participants.

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A review of thoracic outlet syndrome and the possible role of botulinum toxin in the treatment of this syndrome.

Toxins (Basel)

November 2012

Department of Physical Medicine and Rehabilitation, University of British Columbia, GF Strong Rehabilitation Centre, 4255 Laurel Street, Vancouver V5Z 2G9, Canada.

The objective of this paper is to discuss the classification, diagnosis, pathophysiology and management of Thoracic outlet syndrome (TOS). Thoracic outlet syndrome (TOS) is a complex entity that is characterized by different neurovascular signs and symptoms involving the upper limb. TOS is defined as upper extremity symptoms due to compression of the neurovascular bundle in the area of the neck just above the first rib.

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Relationship between perceived and measured changes in walking after stroke.

J Neurol Phys Ther

September 2012

Department of Physical Therapy, University of British Columbia, GF Strong Rehabilitation Centre, Rehabilitation Research Lab, Vancouver, British Columbia, Canada.

Background And Purpose: Examining participant-perceived change in walking provides insight into whether changes were meaningful for participants. This study examined the relationships between change scores in standardized walking outcomes and ratings of perceived change following exercise poststroke.

Methods: Self- and fast-paced gait speed and Six-Minute Walk Test (6MWT) distance were assessed in 22 participants (age 67 ± 10.

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Autonomic dysreflexia: current evidence related to unstable arterial blood pressure control among athletes with spinal cord injury.

Clin J Sport Med

January 2012

Division of Physical Medicine and Rehabilitation, Department of Medicine, International Collaboration on Repair Discoveries, University of British Columbia, and GF Strong Rehabilitation Centre, Vancouver Coastal Health, Vancouver, BC, Canada.

Objective: To present the complex issues of the impact of spinal cord injury (SCI) in sport, with a specific focus on autonomic dysreflexia (AD) and the potential debilitating effects of unstable blood pressure control among athletes.

Data Sources And Methods: A literature review based on a key word electronic literature search of articles, practice guidelines, and review articles pertaining to AD was conducted using MEDLINE, SportDiscus, and EMBASE.

Results: Spinal cord injury results not only in devastating paralysis; it also commonly is associated with a range of autonomic dysregulation that can interfere with cardiovascular, bladder, bowel, temperature, and sexual function.

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Objective: To develop a Chinese version of the Frenchay Activities Index (FAI-C) and evaluate the reliability and validity of its scores.

Design: A 2-week test-retest study.

Setting: Chinese community in Vancouver, BC, Canada.

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Objective: To compare social participation for individuals with traumatic brain injury (TBI) ≥1 year post-injury who attend brain injury drop-in centres (BIDCs) with individuals who do not attend but were identified as potentially benefitting from attending.

Research Design: Cross-sectional study with 23 individuals attending BIDCs and a comparison group of 19 individuals not attending. KEY OUTCOME MEASURES: Community Integration Questionnaire, Social Provisions Scale and Adult Subjective Assessment of Participation.

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There is considerable clinical interest in the risks and benefits of offering oral water intake, in the form of water protocols, to patients with thin-liquid dysphagia. We describe the design and implementation of a water protocol for patients in a rehabilitation setting with videofluoroscopically confirmed thin-liquid aspiration. The GF Strong Water Protocol (GFSWP) is an interdisciplinary initiative, with roles and accountabilities specified for different members of the interprofessional health-care team.

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Arm-hand use in healthy older adults.

Am J Occup Ther

February 2011

Rehab Research Lab, GF Strong Rehabilitation Centre, Vancouver, British Columbia, Canada.

Objective: Our objectives were (1) to quantify arm-hand use of older adults without a disability and to determine the effects of hand dominance, gender, and day on hand usage and (2) to determine the factors that predict arm-hand use. This information will enhance understanding of the extent of the client's occupational performance.

Method: Twenty men and 20 women, ages 65-85, wore wrist and hip accelerometers for 7 consecutive days.

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