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Sănătate mintală și neurodezvoltare

Afecțiuni neurologice

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StudiuLeziuni medulareÎncredere înaltă20.06.2026

Sleep Disordered Breathing in Spinal Cord Injury: Recent Updates on Epidemiology and Management

Sleep-disordered breathing (SDB) is highly prevalent in both tetraplegic and paraplegic spinal cord injury patients and significantly impacts daytime functioning and quality of life, yet remains largely undiagnosed and untreated. Recent research expands understanding beyond tetraplegia to include paraplegia, identifies limitations of screening questionnaires, and explores alternative treatments such as mandibular advancement devices as potential management options.

StudiuLeziuni medulareÎncredere bună20.06.2026

Efficacy of Vitamin D3 Supplementation in Raising 25(OH)D Levels in Chronic Spinal Cord Injury: A Randomized Controlled Trial

A 12-month randomized double-blind placebo-controlled trial examined vitamin D3 supplementation efficacy in 42 individuals with chronic spinal cord injury and baseline vitamin D insufficiency. High-dose supplementation (24,000 IU every 2 weeks) achieved sufficient 25(OH)D levels in 46% of participants, with dose-response effects observed and good tolerability; outcomes were influenced by lesion completeness, baseline levels, BMI, and season.

StudiuLeziuni medulareÎncredere înaltă19.06.2026

Factors Affecting Self-Care Activities and Mobility in Patients With Incomplete Tetraplegia

This study examined 63 patients with incomplete spinal cord injury to identify factors influencing daily living activities and mobility using standardized clinical measures and regression analysis. Results identified that hand function, trunk control, and injury severity significantly predict self-care and mobility outcomes in this population.

StudiuLeziuni medulareÎncredere înaltă19.06.2026

Impacts of Climate Change and Adverse Weather on Individuals with Spinal Cord Injury: A Narrative Review

This systematic narrative review examines how climate change and extreme weather events disproportionately affect individuals with spinal cord injury through physiological vulnerabilities (autonomic dysregulation), physical barriers to evacuation and healthcare access, and psychological impacts like anxiety. The review identifies a critical gap between perceived and actual preparedness for climate disasters among SCI populations, alongside systemic inequities in disability-inclusive climate adaptation policies globally.

StudiuLeziuni medulareÎncredere bună19.06.2026

Cortical Brain Activation During Robot-Assisted Gait in Humans With Acute and Chronic Spinal Cord Injury: A Functional Near-Infrared Spectroscopy Study

This fNIRS neuroimaging study examined brain motor cortex activation in 23 individuals with spinal cord injury (acute and chronic) during robot-assisted gait training. Results showed significant activation in supplementary motor area and primary motor cortex during robotic gait versus rest, with greater activity in chronic versus acute injury groups and in paraplegic versus tetraplegic participants, demonstrating cortical plasticity and adaptive mechanisms.