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Leziuni medulare

Leziuni medulare, paraplegie și tetraplegie.

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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

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

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.

StudiuLeziuni medulareÎncredere înaltă20.06.2026

Developing a Lifetime Cost Calculator for Spinal Cord Injury: The SCI Cost Calculator

This health economic study developed a user-friendly calculator estimating lifetime costs of spinal cord injury, ranging from $1.9M to over $10M CAD depending on age and injury severity. The findings reveal that current cost estimates significantly understate the true economic burden of living with SCI, with initial healthcare costs representing only 3-24% of lifetime expenses.

StudiuLeziuni medulareÎncredere înaltă20.06.2026

Spinal Cord Injury Epidemiology in Bangladesh: An 11-Year Single-Centre Analysis

This retrospective study of 3,575 spinal cord injury patients at a rehabilitation center in Bangladesh (2011-2021) found that traumatic injuries account for 92.7% of cases, primarily from falls and traffic accidents, with higher prevalence of paraplegia overall but tetraplegia in accident cases. Non-traumatic SCIs (11.8%) were mainly caused by tumors and transverse myelitis, with mortality at 8.7% largely attributable to pressure sores, highlighting the need for prevention and rehabilitation strategies.

StudiuLeziuni medulareÎncredere bună20.06.2026

Reliability and validity of the Bengali version of WHODAS 2.0 in individuals with spinal cord injury

This study validated the Bengali translation of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in 144 individuals with spinal cord injury, demonstrating acceptable reliability and validity across most domains through comprehensive psychometric testing including test-retest reliability and convergent validity measures. The tool showed internal consistency ranging from questionable to excellent across domains, supporting its clinical use in resource-limited settings, though further validation with larger samples is recommended.

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.