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Leziuni medulare

Leziuni medulare, paraplegie și tetraplegie.

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StudiuLeziuni medulareÎncredere bună22.06.2026

Perceived Benefits of Spinal Cord Rehabilitation in Low-Middle Income Countries: A Qualitative Study

This qualitative study assessed 16 participants with chronic motor-incomplete tetraplegia enrolled in a 24-week rehabilitation pilot RCT in South Africa, comparing robotic locomotor training with standard activity-based training. Participants reported improvements in functional independence, reduced secondary complications, and enhanced psychosocial well-being, highlighting the importance of patient-centered approaches in SCI rehabilitation.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Epidemiology of pediatric spinal trauma with neurological deficits in Catalonia: a 36-year experience

A retrospective study of 249 children (mean age 13.9 years) with post-traumatic spinal cord injury admitted to a Catalan hospital between 1986-2022, documenting fracture types, locations, associated injuries, and neurological status using standardized assessment scales. Findings showed 82% had vertebral fractures, 43.4% had multilevel injuries, and 45% had associated injuries to limbs, thorax, abdomen or skull.

StudiuLeziuni medulareÎncredere bună21.06.2026

Functional Priorities of Individuals with Spinal Cord Injury: A Saudi Arabian Perspective

This study surveyed 101 Saudi Arabian adults with spinal cord injury to identify which bodily functions they considered most important for improving quality of life. Walking was ranked as the top priority (26.7%), followed by hand/arm function (20.8%), while sexual function was least prioritized (39.6%), with priorities varying significantly by injury type and completeness.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Motor Resonance Mechanism in Spinal Cord Injury: EEG Evidence for Action Sound Processing Deficits

This neuroimaging study examined how individuals with spinal cord injury (paraplegia/tetraplegia) process action-related sounds compared to healthy controls, using EEG recordings. Researchers found reduced brain activation in premotor and motor cortices specifically for actions involving paralyzed body parts, with greater deficits correlating to longer post-injury duration, suggesting the motor resonance mechanism adapts following spinal disconnection.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Health Management and Time-Use With Tetraplegia: A Narrative Inquiry

This qualitative study explores how individuals with tetraplegia (cervical spine injury causing motor/sensory loss) manage their health and daily routines, examining how caregiving relationships and situational contexts shape their engagement in occupations. Findings reveal that disability-related disruptions and caregiver dependence significantly influence time allocation and participation patterns, with implications for clinical intervention design.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Epidemiological Investigation of Traumatic Spinal Cord Injury from Object Strike in China: Workplace Safety Implications

This epidemiological analysis of 435 cases (2013-2022) found that strike-induced spinal cord injury predominantly affects young and middle-aged males (11.8:1 ratio) in manual labor occupations, with 89.4% occurring in workplace settings like construction and mining. The study emphasizes the need for enhanced workplace safety education to reduce these preventable injuries.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Activity limitations, participation restrictions, and environmental barriers among persons with traumatic spinal cord injury in Kenya

A cross-sectional survey of 90 adults with traumatic spinal cord injury in Kenya found high prevalence of activity limitations (e.g., 90% difficulty with public transportation, 83% unable to stand unsupported) and participation restrictions, with significant environmental barriers including inadequate finances and inaccessible public infrastructure. Individuals with tetraplegia experienced greater functional limitations than those with paraplegia, highlighting the need for comprehensive rehabilitation and environmental modifications.

StudiuLeziuni medulareÎncredere bună21.06.2026

Cardiovascular Disease Risk Assessment in Veterans with Spinal Cord Injury: Comparison of Three Risk Scoring Systems

This retrospective study compared three cardiovascular risk calculators (Framingham Risk Score, American Heart Association, and Metabolic Syndrome Severity Score) in 194 veterans with spinal cord injury to evaluate agreement between risk assessment methods. Results showed moderate agreement between FRS and AHA scores but poor agreement with MSSS, with significant variation in risk classification across tools, suggesting caution in interpreting CVD risk predictions in SCI populations.

StudiuLeziuni medulareÎncredere bună21.06.2026

Aquatic Therapy Effectiveness on Daily Living Independence and Mobility in Post-Acute Spinal Cord Injury: A Matched Case-Control Study

This matched case-control study evaluated aquatic therapy (using Halliwick concept) versus conventional rehabilitation in spinal cord injury patients, measuring independence in activities of daily living and functional ambulation using standardized instruments (FIM, SCIM-III, WISCI-II). Both groups received equivalent total rehabilitation hours at the same specialized center, with rigorous matching for age, injury characteristics, and baseline function to isolate aquatic therapy effects.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Characterizing Concerns and Stressors During Subacute Spinal Cord Injury: A Thematic Analysis of Psychotherapy Session Notes

This qualitative study analyzed psychotherapy notes from 22 individuals with spinal cord injury during the subacute phase to identify and categorize their primary concerns and stressors using thematic analysis. Participants received 10 sessions of telehealth cognitive-behavioral therapy over 12 weeks, with documented concerns organized according to socioecological frameworks including intrapersonal, interpersonal, and systemic levels.

StudiuLeziuni medulareÎncredere bună21.06.2026

Heat Acclimation Training in Elite Para-Cyclists with Spinal Cord Injury: A Pre-Paralympic Protocol Study

A study of five elite para-cycling athletes with spinal cord injury examined whether seven days of supervised heat training (30°C, 75% humidity) could improve thermoregulation and exercise performance. All participants showed improvements in sweat rate, body mass loss, and time-to-exhaustion, suggesting heat acclimation is an effective preparation strategy for athletes with SCI competing in hot environments.

StudiuLeziuni medulareÎncredere înaltă21.06.2026

Complete Spinal Cord Injury from Non-Traumatic Cervical Disc Herniation with Epidural Haematoma: A Case Report

A 40-year-old woman developed sudden complete tetraplegia (C8 level, AIS-A severity) caused by acute cervical disc herniation at C6/C7 with accompanying epidural haematoma, confirmed by MRI. The case highlights the clinical importance of recognizing non-traumatic disc herniation as a potential cause of acute spinal cord injury requiring urgent diagnosis and treatment.

StudiuLeziuni medulareÎncredere bună21.06.2026

Real-time Virtual Reality Sailing Simulator for Spinal Cord Injury Rehabilitation: A Clinical Training Study

A clinical trial evaluated whether virtual reality sailing simulation (VSail®) could enable people with spinal cord injuries to safely learn sailing techniques and subsequently sail competently in real-world conditions. Thirteen participants with varying SCI levels completed training and demonstrated improved sailing proficiency and navigation skills, with physical and well-being assessments conducted at baseline and follow-up intervals.

StudiuLeziuni medulareÎncredere bună20.06.2026

Nutritional Status, Body Composition and Cardiometabolic Profile in Individuals with Tetraplegia: A Pilot Cross-Sectional Study

This pilot study examined body composition, dietary patterns, and metabolic markers in 11 adults with chronic tetraplegia, finding elevated body fat despite normal BMI and dietary imbalances (excessive lipids, suboptimal protein). Cross-domain analyses revealed associations between macronutrient intake and metabolic markers, with higher protein intake inversely correlated with triglyceride levels.

StudiuLeziuni medulareÎncredere bună20.06.2026

Upper Limb Function Improvement in Tetraplegia Using Gravity-Balanced Exoskeleton Robot Training

A preliminary study evaluated gravity-balanced exoskeleton robot training for patients with tetraplegia, showing significant improvements in shoulder and elbow muscle strength and range of motion over six training sessions. While functional task performance improvements were observed, they were not statistically significant, suggesting the device shows promise for motor recovery despite limitations in translating to daily activities.

StudiuLeziuni medulareÎncredere înaltă20.06.2026

Shoulder pain prevalence and pain-relief strategies in individuals with spinal cord injury: A cross-sectional questionnaire study

This cross-sectional study of 100 individuals with chronic spinal cord injury found shoulder pain prevalence of 34% in the past week, with higher rates in tetraplegia patients and more bilateral pain in wheelchair users. Non-pharmacological treatments such as exercise, massage, and TENS were commonly used, while pharmacological interventions were relatively uncommon among this population.

StudiuLeziuni medulareÎncredere înaltă20.06.2026

Long-term trajectories of community integration after spinal cord injury in a Mediterranean setting: identification, characterisation and trajectory predictors

This retrospective study identified three distinct trajectory classes of community integration outcomes in 238 adults with chronic spinal cord injury in Catalonia over 19 years post-injury using growth mixture modeling. Motor functional independence, depression, and injury severity (tetraplegia vs paraplegia) emerged as significant predictors of different long-term community integration patterns.