226 results match your criteria: "Paraplegic Center[Affiliation]"

Background: Spinal cord tethering and syringomyelia after trauma are well-known pathologies in patients suffering from spinal cord injury (SCI). In symptomatic cases, various surgical options are available, but untethering and expansion duraplasty is the currently preferred treatment strategy. However, patient outcomes are usually limited by rather high rates of surgical revisions.

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Background: The Ponseti method for clubfoot treatment is a non-surgical treatment with a successful outcome. However, many children are not able to complete Ponseti treatment due to various barriers and are termed dropout children. This study aimed to find out the factors responsible for dropout from clubfoot treatment in Peshawar, Pakistan.

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Article Synopsis
  • Posttraumatic spinal cord tethering and syringomyelia are serious conditions following spinal cord injuries, and surgery is a key treatment option that can lead to positive outcomes for patients.
  • A study involving 60 patients assessed the surgical costs and reimbursement rates from the Swiss diagnosis related group (DRG) system, finding that the average surgical cost was significantly lower than the average reimbursement received.
  • Despite surgeries being largely covered financially, the study raises concerns about whether current reimbursement rates are sufficient to ensure quality and personalized patient care, potentially affecting access to optimal treatments.
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Labor Market Participation of Persons With Spinal Cord Injury Living in Switzerland Between 2012 and 2022: A Comparison to the General Population.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (US, MGA, GA-C, MWGB); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (US, MGA, GA-C, MWGB); and Swiss Paraplegic Center, Nottwil, Switzerland (SS).

Objectives: The aim of the study is to examine labor market participation of individuals with spinal cord injury living in Switzerland over the past decade and in relation to the general population.

Design: This is a descriptive study, using longitudinal panel data from the 2012, 2017, and 2022 community surveys of the Swiss Spinal Cord Injury Cohort Study and general population data from the Swiss Labor Force Survey.

Results: Employment rates among spinal cord injury responders were 56% in 2012, 61% in 2017, and 64.

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The Complexity of Health Self-Management Behavior. Beliefs and Attitudes of Individuals Living With Spinal Cord Injury in Switzerland.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (ND, EQ, MB, SR); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (ND, EQ, AG, AS-S, SR); Clinique Romande de Réadaptation, Sion, Switzerland (XJ); and Swiss Paraplegic Center, Nottwil, Switzerland (AS-S).

Objective: Within the objective of defining targets for interventions to support self-management behaviors among people living with spinal cord injury, this study aims to describe self-management attitudes and beliefs in community-dwelling people living with spinal cord injury in Switzerland and to identify their correlates in terms of personal characteristics and outcomes, such as secondary health conditions and quality of life.

Design: This is a cross-sectional, observational study using data from the third community survey of the Swiss Spinal Cord Injury Cohort Study.

Results: Out of 1158 individuals, the data revealed high endorsement in areas of prevention importance, perceived knowledge, adherence to recommendations, and proactive problem-solving.

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Participation in Social and Community Life Before and After Spinal Cord Injury/Disease: Factors Influencing Changes in Short-Term and Long-Term Participation.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Guido A. Zäch Institute, Nottwil, Switzerland (MHGH, MWGB, US, MGA); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (AG, MWGB, IEH, US, MGA); and Swiss Paraplegic Center, Nottwil, Switzerland (IEH, SS).

Article Synopsis
  • The study aimed to analyze the changes in participation frequency in productive, leisure, and social activities from before a spinal cord injury/disorder (SCI/D) to at least two years after, focusing on sociodemographic factors and characteristics of the SCI/D that affect these changes.
  • It utilized a longitudinal approach, assessing participation frequency retrospectively 12 weeks post-injury and then one and two years later, using data from the Swiss Spinal Cord Injury Cohort study.
  • Results showed a significant decline in productive activities among 550 participants, with key factors like education and age influencing the observed changes; the findings could improve rehabilitation strategies and support long-term participation for those affected by SCI/D.
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Impact of Psychosocial Resources on Mental Health During the Transition From the Initial Rehabilitation to Community: The Case of Spinal Cord Injury.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (JL, MG, US, CD); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (JL, US); and Swiss Paraplegic Center, Nottwil, Switzerland (MD).

Objectives: This study aims to examine the change in mental health from the clinical to community setting in persons with spinal cord injury and to identify the role of psychosocial resources for this transition.

Design: Longitudinal survey self-report data from N = 240 persons with spinal cord injury from the Swiss Spinal Cord Injury Cohort study.

Results: Latent profile analysis identified three profiles for each the clinical and the community setting: low, medium, and high mental health load.

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Changes in Secondary Health Conditions Among Individuals With Spinal Cord Injury After Transition From Inpatient Rehabilitation to Community Living.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (MG, JS, GM, JP, IE-H); Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland (MG, JS); Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland (MS); Clinique romande de readaptation, Sion, Switzerland (XJ); REHAB Basel, Basel, Switzerland (MH-G); Department of Urology, Bern University Hospital, University of Bern, Switzerland (JP); Neuro-Urology, Swiss Paraplegic Center, Nottwil, Switzerland (JP); and Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (IE-H).

Article Synopsis
  • The study aims to analyze the changes in secondary health conditions and their risk factors in newly injured individuals with spinal cord injuries once they transition from inpatient rehab to community life.
  • Of the 280 participants, most were men with traumatic spinal cord injuries; a significant rise in conditions like pain, urinary tract infections, and pressure sores was observed after discharge, along with increased heart disease and diabetes cases.
  • The findings underline the need for targeted intervention programs to support individuals during this critical transition period in their recovery from spinal cord injuries.
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Time Since Injury Is Key to Modeling Trends in Aging and Overall Functioning of Persons With Spinal Cord Injury: A Longitudinal Analysis of a Swiss Community Survey.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (CS, CF, JH, CE, IE-H, VS, GS); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (CS, IE-H, VS, GS), Center for Rehabilitation in Global Health Systems, University of Lucerne, Lucerne, Switzerland (CS, VS, GS); and Swiss Paraplegic Center, Nottwil, Switzerland (IE-H).

Article Synopsis
  • The study aims to analyze how health functioning changes over time for individuals with spinal cord injuries in Switzerland, focusing on factors like age and injury details.
  • It utilizes a longitudinal approach with community survey data and employs mixed models to track functioning trends.
  • Findings reveal that the severity and completeness of injuries, along with age at injury and health conditions, significantly affect long-term functioning, suggesting that time since injury is a more relevant factor than chronological age in understanding functioning decline.
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Introduction: Patients with spinal cord injury/disorder (SCI/D) and neurogenic lower urinary tract dysfunction (NLUTD) are on a 16-28 folder higher risk for bladder cancer [1]. Whereas in the general population 90% of bladder tumors are transitional cell carcinoma (TCC) patients with NLUTD have a shift to squamous cell carcinoma with 36,8% and only 46.3% TCC [2].

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Background: The increasing prevalence of individuals experiencing disabilities underscores the importance of rehabilitation. Nevertheless, healthcare systems are already facing financial constraints, which makes it imperative to strive for a more efficient delivery of services. The first step, however, is to understand how the provision of services behaves for patients with different characteristics.

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Objective: The aim of this study was to assess the cultural adaptation and validation in Italian of the Seated Postural Control Measure for Adults 2.0 (SPCMA 2.0).

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Brown-Séquard Syndrome (BSS) is a rare neurological condition caused by a unilateral spinal cord injury (SCI). Upon initial ipsilesional hemiplegia, patients with BSS typically show substantial functional recovery over time. Preclinical studies on experimental BSS demonstrated that spontaneous neuroplasticity in descending motor systems is a key mechanism promoting functional recovery.

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Background: Increased COVID-19 transmission among the populace may be caused by healthcare workers (HCWs) who lack knowledge, awareness, and good preventive practices. Additionally, it may cause elevated stress levels, anxiety, poor medical judgement, and situational overestimation.

Objectives: The present survey aimed to assess knowledge and risk perception regarding COVID-19 among HCWs in Khyber Pakhtunkhwa (KP), Pakistan.

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Introduction: In the acute phase after a spinal cord injury or disease (SCI/D), various therapeutic assessments and interventions are applied with the goal of restoring structures, preventing complications and preparing the patient as best as possible for further activity and finally participation. The goal was to identify and evaluate the available evidence on assessments and interventions for body functions and structures to prepare adults with acute spinal cord SCI/D for activity and participation during the first 14 days.

Methods: A scoping review was conducted.

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Background And Aims: Increasing data suggest that stress-related neural activity (SNA) is associated with subsequent major adverse cardiovascular events (MACE) and may represent a therapeutic target. Current evidence is exclusively based on populations from the U.S.

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Article Synopsis
  • The 2024 EAU guidelines for neurourology emphasize the importance of lifelong management for patients with neurological conditions affecting urinary, sexual, and bowel functions.
  • The guidelines were updated based on a literature review from 2021-2023, with evidence and strength ratings assigned to each recommendation to ensure a comprehensive approach to diagnosis and treatment.
  • Key recommendations include early diagnosis, customized management plans involving multidisciplinary care, and continuous follow-up to maintain patients' quality of life.
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Article Synopsis
  • The intersection of ageing and spinal cord injury (SCI) presents two main scenarios: an increase in average age of SCI onset, and longer life after injury, both leading to complex healthcare and rehabilitation needs.
  • A review of Clinical Practice Guidelines (CPGs) found that only 30% of them addressed ageing-related recommendations for rehabilitation, mostly from recent US or European sources, and lacking comprehensive sections on ageing issues.
  • Although there were 40 ageing-related recommendations, they were often based on low-quality evidence and did not adequately incorporate stakeholder values, with notable gaps in the overall quality and completeness of guidance on associated health conditions.
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The EOS™2D/3D system is a low-dose, 3D imaging system that utilizes two perpendicular X-ray beams to create simultaneous frontal and lateral images of the body. This is a useful modality to assess spinal pathologies. However, due to the slow imaging acquisition time up to 25 s, motion artifacts (MA) frequently occur.

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Interbody cages are routinely used in lumbar reconstruction surgery of deformity cases for restoration of lordosis and sagittal balance of the spine. However, if hyperlordotic implants are inserted into the intervertebral space, special consideration has to be taken concerning the height of the neural foramen during cage implantation. The greater the lordotic angle of the cage is, the higher the posterior size of the cage needs to be in order to avoid neuroforaminal nerve root impingement.

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The Swiss Spinal Cord Injury Cohort Study (SwiSCI) biobank: from concept to reality.

Spinal Cord

March 2024

Swiss Paraplegic Research, Guido A. Zäch Str. 4, 6207, Nottwil, Switzerland.

Objectives: To describe the concept, establishment and the operationalization of the biobank of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), the available biosamples, and demographic and clinical characteristics of study participants.

Setting: The SwiSCI biobank is a platform for research within SwiSCI. It collects and processes serum, plasma, PBMCs, RNA, DNA, and urine from three rehabilitation centers.

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How to avoid intraoperative complications of active paragangliomas?

Surg Neurol Int

November 2023

Department of Neurosurgery, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Ortopedico Galeazzi, Milan, Italy.

Background: Paragangliomas (PGs) are very rare neuroendocrine tumors that can be found in unusual locations such as the spinal canal. Some PGs may be endocrinologically active, containing neurotransmitters such as noradrenaline, adrenaline, and serotonin. This can lead to unexpected neurotransmitter release during the removal of PGs, leading to a hypertensive crisis.

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Do robots outperform humans in human-centered domains?

Front Robot AI

November 2023

Sensory-Motor Systems Laboratory, Institute of Robotics and Intelligent Systems, ETH Zurich, Zurich, Switzerland.

The incessant progress of robotic technology and rationalization of human manpower induces high expectations in society, but also resentment and even fear. In this paper, we present a quantitative normalized comparison of performance, to shine a light onto the pressing question, "How close is the current state of humanoid robotics to outperforming humans in their typical functions (e.g.

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Individuals with spinal cord injury (SCI) have higher infection rates compared to those without SCI. In this review, the immune status difference between individuals with and without traumatic SCI is investigated by examining their peripheral immune cells and markers. PubMed, Cochrane, EMBASE, and Ovid MEDLINE were searched without language or date restrictions.

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In 2013, it was reported that pulsed radiofrequency (PRF) could be applied to obtain a systemic anti-inflammatory effect. Patients with chronic pain and patients with an inflammatory condition from other disciplines could potentially profit from this finding. At that time, intravenous application was used, but since then, it became clear that it could be applied transcutaneously as well.

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