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Leziuni medulare

Leziuni medulare, paraplegie și tetraplegie.

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StudiuLeziuni medulareÎncredere înaltă20.06.2026

Does time since spinal cord injury affect sperm retrieval rates in testicular sperm extraction? A multicenter cross-sectional study

This multicenter study examined 107 testicular sperm extraction procedures in 107 patients with spinal cord injury and anejaculation, finding a 81.3% sperm retrieval rate with 90.5% live birth rate after intracytoplasmic sperm injection. Time since spinal cord injury did not significantly affect sperm retrieval outcomes, suggesting the procedure remains viable regardless of injury duration.

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.

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.

StudiuLeziuni medulareÎncredere înaltă19.06.2026

Life after hospital: Community reintegration experiences of people with traumatic spinal cord injury in Rwanda

A qualitative study of 19 spinal cord injury survivors in Rwanda identified facilitators (personal resilience, family support, insurance, peer counseling) and barriers (inaccessible infrastructure, inadequate assistive devices, social stigma) to community reintegration. The research provides evidence-based insights for designing support strategies tailored to resource-constrained African healthcare contexts.

StudiuLeziuni medulareÎncredere bună19.06.2026

Home-Based Transcutaneous Spinal Stimulation Safety and Feasibility in Incomplete Tetraplegia

A feasibility study evaluated the safety of home-based transcutaneous spinal stimulation combined with blood flow restriction electrical stimulation in six males with chronic incomplete tetraplegia over 20 weeks, with cardiovascular monitoring via telehealth. The intervention showed high adherence rates with no adverse events reported, though caregiver availability was a significant enrollment barrier.

StudiuLeziuni medulareÎncredere înaltă19.06.2026

Validation of the Holmlund-Grooten Submaximal Arm Crank Ergometer Test for Estimating Peak Oxygen Uptake in Wheelchair Users with Spinal Cord Injury

A cross-sectional study validated a new submaximal exercise test for predicting peak oxygen consumption in 63 wheelchair users with motor-complete spinal cord injury, using heart rate, power output, sex, and injury level as predictors. The test demonstrated excellent criterion validity (ICC=0.88) with low measurement error and no adverse events, providing clinicians with a practical tool for fitness assessment in this population.

StudiuLeziuni medulareÎncredere înaltă19.06.2026

Innovative Assistive Technologies for Tetraplegia: A Narrative Review of Systematic and Emerging Evidence

This narrative review synthesizes recent systematic evidence on assistive technologies for tetraplegia across four domains: neural/regenerative interfaces, motor/biomechanical systems, digital rehabilitation, and psychosocial frameworks. The review identifies shifts toward personalized and adaptive systems using neurotechnologies and AI, while highlighting persistent gaps in outcome standardization, longitudinal evidence, system interoperability, and equitable access.

StudiuLeziuni medulareÎncredere bună19.06.2026

Ultrasound-guided Botulinum Toxin Injection for Intractable Abdominal Spasms in Spinal Cord Injury: A Case Report

A 43-year-old patient with C4 tetraplegia experienced severe, treatment-resistant spasms of the rectus abdominis muscle that failed high-dose oral baclofen therapy. Ultrasound-guided botulinum toxin injection into the affected abdominal muscle resulted in significant reduction in spasm frequency and severity, with improved comfort and quality of life, suggesting this targeted approach may be a safe alternative for focal abdominal spasticity in selected spinal cord injury patients.

StudiuLeziuni medulareÎncredere bună19.06.2026

The Relationship Between Care Preparedness and Care Competencies of Caregivers for Individuals With Spinal Cord Injury

A cross-sectional study of 122 first-time caregivers of individuals with paraplegia or tetraplegia found a strong positive correlation between caregiver preparedness and competence, with higher education and professional training associated with better outcomes. The research emphasizes the critical role of structured, individualized caregiver education and rehabilitation nursing interventions in reducing care burden and improving competence for managing transfers and other caregiving tasks.

StudiuLeziuni medulareÎncredere bună19.06.2026

Robot-assisted rehabilitation supports cortical reorganization after nerve transfer surgery for chronic cervical spinal cord injury

A prospective trial examined intensive robot-assisted rehabilitation in three individuals with complete cervical spinal cord injury who had undergone nerve transfer surgery at least one year prior. Participants showed improvements in hand and arm function with corresponding cortical reorganization on neurophysiological testing, suggesting rehabilitation may enhance outcomes following nerve transfer for chronic tetraplegia.

StudiuLeziuni medulareÎncredere bună19.06.2026

Gaps in recovery priorities between individuals with spinal cord injury and healthcare professionals

A survey of 103 individuals with spinal cord injury and 85 healthcare professionals in Japan revealed significant misalignment in recovery priorities: SCI patients prioritized bladder and bowel function, while clinicians assumed patients prioritized blood pressure control, mental health, and motor function. The study highlights the need for better inclusion of autonomic function goals and enhanced clinician education to align treatment planning with patient values.