475 results match your criteria: "Paraplegic Centre[Affiliation]"

Background: Spinal cord injury/disease (SCI/D) profoundly affects both sexuality and urinary function. Catheterization is often necessary to manage bladder voiding and it can interfere with sexual activity.

Aim: We aim to investigate the effect of the bladder evacuation method on sexual activity in women with chronic SCI/D.

View Article and Find Full Text PDF

Background/objectives: Overall priorities of the international pediatric-onset spinal cord injury (SCI) population are unknown. The purpose was to describe and compare Life and Health (L&H) domain overall priorities of European youth with SCI and their parents and caregivers (P&C).

Methods: A survey with a cross-sectional design, prepared by the PEPSCI Collaboration, was conducted in six European countries.

View Article and Find Full Text PDF

Introduction: By combining nerve and tendon transfer procedures, a more versatile hand function can be expected. Here we report the long-term outcomes of novel, individualized reconstruction strategies using combined nerve and tendon transfer procedures (CNaTT) to restore prehension and grasp in two patients with tetraplegia.

Case Presentation: Two women, 45 years of age, underwent bilateral nerve transfer according to the Bertelli S-PIN (supinator to posterior interosseous nerve transfer) procedure.

View Article and Find Full Text PDF

Wheelchair users with poor trunk control and postural abnormalities require additional posture support devices and wheelchair modifications to sit upright. Therefore, this study was conducted to observe the function of wheelchair users in the modified wheelchair and their satisfaction with both the modified wheelchair and intermediate wheelchair service. A descriptive study was conducted, and 14 participants were recruited through consecutive sampling.

View Article and Find Full Text PDF

Risk Factors for Dysphagia After Traumatic Cervical Spinal Cord Injury: A Retrospective Study.

Arch Phys Med Rehabil

December 2024

Spinal Cord Injury Center, BG Trauma Center Murnau, Murnau, Germany; ParaMove, SCI Research Unit, BG Trauma Center Murnau, Murnau, Germany; Institute of Molecular Regenerative Medicine, Paracelsus Medical University, Salzburg, Austria. Electronic address:

Objective: To identify risk factors for dysphagia in individuals who sustained traumatic cervical SCI. The pathophysiologic mechanisms of dysphagia in individuals with traumatic cervical spinal cord injury (SCI) are not well understood yet. Several risk factors for developing dysphagia after SCI were postulated including mechanical ventilation, tracheostomy, age, female sex, anterior surgical approach, SCI severity, and multilevel spinal fusion.

View Article and Find Full Text PDF

Background: Spinal cord injury results in permanent neurological impairment and disability due to the absence of spontaneous regeneration. NG101, a recombinant human antibody, neutralises the neurite growth-inhibiting protein Nogo-A, promoting neural repair and motor recovery in animal models of spinal cord injury. We aimed to evaluate the efficacy of intrathecal NG101 on recovery in patients with acute cervical traumatic spinal cord injury.

View Article and Find Full Text PDF

Mega scientific conferences increasingly suffer from the need for short and poster presentations without discussion. An alternative is to organize workshops in hotels large enough to accommodate all participants. This significantly increases the opportunities for constructive discussion during breakfasts, lunches, dinners and long evenings that can bring together experts of scientific and clinical sub-specialties and young fellows.

View Article and Find Full Text PDF

Background: Insufficient 25-hydroxyvitamin D [25(OH)D] levels are associated with falls, fractures, and worse overall health outcomes. We evaluated 25(OH)D levels in individuals with spinal cord injury or disorder (SCI/D) during postacute rehabilitation who received vitamin D3 supplementation according to routine clinical practice. Associations with clinical outcomes were also assessed.

View Article and Find Full Text PDF

Context: Breast and cervical cancer are among the most common types of cancer, with breast cancer being a leading cause of death in females. Participation in preventive cancer screening is thought to be lower for females with spinal cord injury (SCI) compared to the general population, which could lead to late diagnosis and increased mortality.

Objective: To summarize evidence on the prevalence of breast and cervical cancer, adherence to cancer screening recommendations, and factors influencing participation in preventive programs among females with SCI.

View Article and Find Full Text PDF

Can Lifestyle and Behavioral Interventions Improve Weight Management in Individuals With Spinal Cord Injury? A Systematic Review and Meta-analysis.

Arch Phys Med Rehabil

November 2024

Swiss Paraplegic Research, Nottwil, Switzerland; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. Electronic address:

Article Synopsis
  • The study aimed to assess how lifestyle and behavioral interventions impact body composition and anthropometric measures in individuals with spinal cord injury (SCI).
  • Researchers conducted a systematic review of 61 studies, primarily focusing on exercise interventions, including those paired with functional electrical stimulation, supplements, or educational efforts.
  • Findings suggested that exercise led to reductions in BMI and waist circumference, although there were no significant changes in total body fat or lean mass, indicating that exercise-based strategies could be effective for improving body composition in this population.
View Article and Find Full Text PDF

Objectives: The purpose of this systematic review is to provide an overview of published follow-up care programs of primary and secondary health conditions (SHCs) in spinal cord injury/disorder (SCI/D) and spina bifida and describe recommendations on content, frequency, setting of follow-up care programs for persons with SCI/D and spina bifida.

Methods: According to the sequence of procedures of the AWMF (Association of the Scientific Medical Societies in Germany) a systematic literature search was performed (in PubMed, Cochrane Library and nine additional databases for guidelines) between 5 September 2019 and 22 September 2019. Publications (Jan.

View Article and Find Full Text PDF

Introduction: The transition from paediatric to adult medical care is a critical period for adolescents with spina bifida, often marked by deteriorating health and functional status.

Objectives: To describe the health status and functioning of individuals with spina bifida at the time of transition from paediatric to adult care and to identify risk profiles for potentially modifiable secondary health conditions (urinary tract infections, pressure injuries, respiratory problems and obesity).

Methods: Descriptive study of data (derived from medical records) from all adolescents and young adults with spina bifida aged 15-25 years who were referred to a single specialised spinal cord injury centre as part of the transition programme during the period from 1 September 2015 to 31 May 2022.

View Article and Find Full Text PDF

Respiratory Vaccination Rates in People Living With Spinal Cord Injury/Disorder in Switzerland: A Descriptive Analysis of Coverage and Vaccine Hesitancy.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (GM, MWGB); Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (GM, IE-H, MWGB); Swiss Paraplegic Centre, Nottwil, Switzerland (IE-H); REHAB Basel, Basel, Switzerland (MH-G); Clinique Romande de Réadaptation, Sion, Switzerland (XJ); Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland (MS); and Corporate Health Consulting, Düdingen, Switzerland (SB); and General practitioner practice, Schenkon, Switzerland (CW).

Article Synopsis
  • - The study evaluates vaccination coverage against respiratory diseases (SARS-COV-2, influenza, and pneumococcus) in Swiss individuals with spinal cord injuries, using a survey conducted in 2022 and examining factors like demographics and health conditions.
  • - Among 1158 participants, vaccination rates were highest for SARS-COV-2 at 86.5%, followed by influenza at 44.6% and pneumococcus at just 7.5%, with doubts about vaccine effectiveness and side effects being common reasons for hesitancy.
  • - The findings reveal low vaccination rates for influenza and pneumococcus in this population, highlighting the need for better public health strategies and specific interventions to address vaccine hesitancy effectively.
View Article and Find Full Text PDF

Is Home Care Use Associated With Secondary Health Conditions in Persons With Spinal Cord Injury? Findings From a Longitudinal Cohort Study.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (AW, MB, AS-S, AG); Swiss Paraplegic Centre, Nottwil, Switzerland (AS-S); Faculty of Health Science and Medicine, University Lucerne, Lucerne, Switzerland (AS-S, AG); ParaHelp AG, Nottwil, Switzerland (MF); REHAB Basel, Klinik für Neurorehabilitation und Paraplegiologie, Basel, Switzerland (MH-G); Clinique Romande de Réadaptation, Sion, Switzerland (XJ); Balgrist University Hospital, Zurich, Switzerland (MS); and Center of Primary and Community Care, University of Lucerne, Lucerne, Switzerland (AG).

Article Synopsis
  • The study examines the use of professional home care for individuals with spinal cord injuries (SCI) over a decade, assessing its impact on health outcomes and hospitalizations.
  • Data was collected through longitudinal surveys conducted in 2012, 2017, and 2022, with a total of 1549, 1294, and 1158 participants respectively.
  • Results indicate a decline in home care usage, less pain among those receiving care, but no improvement in other health conditions, and a higher likelihood of hospitalization in the long term for home care users.
View Article and Find Full Text PDF

Adherence to Physical Activity Guidelines in Manual Wheelchair Users With Spinal Cord Injury and the Association With Shoulder Pain.

Am J Phys Med Rehabil

November 2024

From the Swiss Paraplegic Research, Nottwil, Switzerland (WHKdV, UA, FMB, CP); Institute for Biomechanics, Department of Health Sciences and Technology, ETH Zurich, Switzerland (FMB); Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands (SdG); Amsterdam Rehabilitation Research Center | Reade, Amsterdam, the Netherlands (SdG); Swiss Paraplegic Centre, Nottwil, Switzerland (IE-H); and Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (IE-H, CP).

Objective: The aim of the study is to investigate the association between adherence to spinal cord injury-specific physical activity guidelines in manual wheelchair users with spinal cord injury and shoulder pain prevalence.

Design: This is a cross-sectional analysis of the SwiSCI Community Survey 2022 data, assessing aerobic activity and muscle strength training adherence in manual wheelchair users with spinal cord injury and shoulder pain prevalence. Logistic regression analysis was used to identify the association between meeting the physical activity guidelines and shoulder pain.

View Article and Find Full Text PDF

Determinants of Between-Person Variation in Shoulder Pain in Individuals With Spinal Cord Injury: A Population-Based Cohort Study.

Am J Phys Med Rehabil

November 2024

From the Neuro-musculoskeletal Functioning and Mobility Group, Swiss Paraplegic Research, Nottwil, Switzerland (FMB, UM, UA); Institute for Biomechanics, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland (FMB); Life Course Epidemiology Group, Swiss Paraplegic Research, Nottwil, Switzerland (MWGB); Swiss Paraplegic Centre, Nottwil, Switzerland (IE-H); Faculty of Health Science and Medicine, University Lucerne, Lucerne, Switzerland (IE-H, UM, MWGB); and Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland (MS).

Article Synopsis
  • The study evaluated factors affecting shoulder pain among individuals with spinal cord injury in Switzerland, using data from surveys conducted in 2012, 2017, and 2022.
  • The analysis found that 34.4% of respondents reported shoulder pain, with females, individuals with spasticity or contractures, those experiencing depression, and those with incomplete tetraplegia being at higher risk.
  • Overall, findings highlight the importance of gender, injury severity, time since injury, health conditions, and wheelchair use as key determinants of shoulder pain variability among affected individuals.
View Article and Find Full Text PDF

Evidence based clinical practice guideline for follow-up care in persons with spinal cord injury.

Front Rehabil Sci

September 2024

Department of Paraplegiology, Clinique Romande de Réadaptation, Sion, Switzerland.

Introduction: While it is well-established that follow-up care programs play a crucial role in preventing and early detecting secondary health conditions (SHCs) in persons with spinal cord injury [SCI, including spina bifida (SB)], the availability of evidence-based follow-up care programs remains limited. Under the leadership of the German-speaking Medical Society for Paraplegiology (DMGP), we have developed an evidence based clinical practice guideline for follow-up care of SHCs in persons with SCI and identify research gaps.

Methods: This guideline was developed in accordance with the regulations of the Association of the Scientific Medical Societies in Germany (AWMF e.

View Article and Find Full Text PDF

A cross-sectional survey on the effects of the COVID-19 pandemic on psychological well-being and quality of life in people with spinal cord injury.

J Orthop Surg Res

September 2024

Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jie-Fang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China.

Background: SARS-CoV-2 (COVID-19) has disrupted lives worldwide, affecting individuals from all walks of life. Individuals who have a spinal cord injury (SCI) are also affected by this phenomenon. This survey compares the quality of life (QOL), depression, and anxiety of SCI patients before and during COVID-19 in Wuhan City, China.

View Article and Find Full Text PDF

Study Design: Retrospective cohort study.

Objectives: This study aims to identify the prevalence, causes, time pattern and risk profile of rehospitalizations in persons with spinal cord injury (SCI) within a 10-year period following primary rehabilitation and identify most common secondary health conditions (SHCs) and risk profile leading to rehospitalizations.

Setting: Specialized hospital and rehabilitation center for SCI in Switzerland.

View Article and Find Full Text PDF

Introduction: Recurrent urinary tract infections (UTIs) are common in individuals with neurogenic lower urinary tract dysfunction (NLUTD) and greatly affect their quality of life. There is currently no established prophylactic measure based on evidence. We have therefore evaluated the effects of a horseradish root and nasturtium herb product on the frequency of UTIs in a retrospective cohort.

View Article and Find Full Text PDF

Explorative sensory profile evaluation in central neuropathic pain following spinal cord injury.

Eur J Pain

February 2025

Division of Neurological Pain Research and Therapy, Department of Neurology, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.

Background: Sensory profiling in neuropathic pain using quantitative sensory testing (QST) has not been extended to central neuropathic pain due to spinal cord injury (SCI). This study aims to fill this gap by evaluating sensory profiles in patients with neuropathic SCI pain.

Method: We retrospectively analysed consecutive QST data from 62 patients with neuropathic spinal cord injury pain (SCIP), following the German Research Network on Neuropathic Pain protocol.

View Article and Find Full Text PDF

Non-adherence to follow-up care in persons with spinal cord injury within 10 years after initial rehabilitation.

J Rehabil Med

August 2024

Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Department of Neuro-Urology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Objective: This study aimed to describe the temporal dynamics of and risk factors for non-adherence to outpatient follow-up care in the first 10 years after spinal cord injury.

Design: Retrospective single-centre cohort study using data from medical records and municipal resident registers.

Subjects/patients: Patients admitted to a specialized spinal cord injury centre in Switzerland discharged between 1 January 2010 and 31 December 2012 (n = 225).

View Article and Find Full Text PDF

In this study, we report the functional and perceived outcomes of 51 posterior deltoid-to-triceps transfers in patients with tetraplegia. With a minimum follow-up of 12 months, patients were divided into two subcategories based on preoperative posterior deltoid strength: Medical Research Council (MRC) 3 and MRC 4/5. At 12-month follow-up, all patients achieved antigravity elbow extension.

View Article and Find Full Text PDF
Article Synopsis
  • About 50% of individuals with long-term catheters experience encrustations and bladder stones, making prophylaxis essential, yet no standardized models currently exist for testing preventive measures.
  • Researchers developed an in-vitro model to evaluate catheter encrustations by incubating catheters in various media with different bacterial strains and assessing the encrustations formed after six weeks.
  • Results showed that the highest encrustation occurred with Pseudomonas aeruginosa, even in sterile urine, indicating that the model, despite lacking human factors, effectively assesses factors influencing catheter encrustation.
View Article and Find Full Text PDF
Article Synopsis
  • The study is a feasibility assessment of a virtual walking therapy for patients with spinal cord injury (SCI) experiencing chronic neuropathic pain.
  • Conducted at the Swiss Paraplegic Centre, it involved four patients who provided feedback on their satisfaction and adherence to the therapy while tracking their pain through diaries and drawings.
  • Results indicated high satisfaction and acceptance of the therapy, although only one patient showed improvement in pain levels, suggesting the need for additional research on this rehabilitation approach.
View Article and Find Full Text PDF