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Leziuni medulare

Leziuni medulare, paraplegie și tetraplegie.

55 de articole
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StudiuLeziuni medulareÎncredere bună30.06.2026

Predictors of upper limb function in patients with cervical tetraplegia

This study identified prognostic factors for upper limb motor recovery in 190 patients with chronic cervical spinal cord injury using standardized neurological assessment (ASIA classification) and functional testing (Van Lushot Test). Linear discriminant analysis evaluated 10 potential predictors to determine functional outcome thresholds, providing clinicians with evidence-based rehabilitation potential estimates for tetraplegic patients.

StudiuLeziuni medulareÎncredere înaltă28.06.2026

Defining Abnormal Prostate-Specific Antigen Values for Prostate Cancer Screening in Spinal Cord Injury Patients

This study analyzed nearly 35,000 male veterans with spinal cord injury to establish age-adjusted PSA reference ranges for prostate cancer screening, accounting for factors like chronic urinary tract inflammation and hypogonadism that affect PSA levels in this population. The findings provide clinically relevant PSA threshold values specific to SCI patients, which differ from standard reference ranges used in the general population.

StudiuLeziuni medulareÎncredere bună27.06.2026

P2X7 receptor antagonism with Brilliant Blue G promotes functional recovery in spontaneous canine spinal cord injury: a preliminary study in a large animal model

This preliminary study investigates P2X7 receptor antagonism using Brilliant Blue G in naturally occurring canine spinal cord injury as a large animal model. The research demonstrates potential functional recovery benefits through modulation of inflammatory pathways, though findings are early-stage and require further validation.

StudiuLeziuni medulareÎncredere înaltă27.06.2026

Lived experiences, challenges and coping strategies of patients with spinal cord injury using intermittent catheterisation in Riyadh, Saudi Arabia: a qualitative study

This qualitative phenomenological study explored the daily experiences, challenges, and coping mechanisms of Arab male patients with spinal cord injury who use intermittent catheterization for bladder management. Three main themes emerged: frequent use of IC in daily life (including frequency, environmental challenges, privacy concerns, and fluid management), cleanliness and general care (catheter cleaning and incontinence management), and body image and sexuality concerns.

StudiuLeziuni medulareÎncredere bună27.06.2026

Challenges in Diagnosis and Management of Spondylodiscitis of L5/S1 Due to Propionibacterium acnes in a Patient with Tetraplegia

A 44-year-old tetraplegic patient with increased muscle spasms despite baclofen pump therapy was diagnosed with spinal infection (spondylodiscitis) at L5/S1 caused by Propionibacterium acnes. Diagnosis required PET imaging and guided bone biopsy; the patient was successfully treated with 8 weeks of intravenous antibiotics managed at home with community nursing support.

StudiuLeziuni medulareÎncredere înaltă27.06.2026

Multidimensional evaluation of the Atalante exoskeleton as an assistive device for individuals with complete paraplegia: a prospective longitudinal study

This prospective study evaluated the Atalante self-balancing exoskeleton in 13 adults with chronic complete thoracic spinal cord injury through a 6-week intensive training program. The evaluation examined safety metrics, technical usability, patient-reported comfort and perceived safety, and physiological responses to exoskeleton-assisted walking.

StudiuLeziuni medulareÎncredere înaltă22.06.2026

Validity of the Trunk Assessment Scale and Trunk Control Test for Spinal Cord Injury

This study evaluated the criterion and construct validity of two trunk function assessment tools (TASS and TCT-SCI) in 30 individuals with spinal cord injury, finding moderate correlation between them and establishing cut-off scores for identifying ambulatory capacity. Results support the validity of both scales for evaluating trunk function in SCI populations, with TASS scores ≥26 and TCT-SCI scores ≥18 indicating ambulatory potential.

StudiuLeziuni medulareÎncredere înaltă22.06.2026

Resilience and Well-Being Among Persons with Spinal Cord Injury/Disorders

This cross-sectional study of 298 individuals with spinal cord injury (predominantly veterans) identified resilient personality profiles using Big Five personality clustering and examined how positive psychology variables mediate the relationship between resilience and well-being. Resilient individuals reported significantly higher psychological flexibility, use of personal strengths, and health-related quality of life compared to nonresilient counterparts, with path models demonstrating these psychological resources explain the resilience-well-being relationship.

StudiuLeziuni medulareÎncredere bună22.06.2026

Does tele-exercise training for tetraplegia meet spinal cord injury-specific physical activity guidelines? A 7-month longitudinal study

This longitudinal study evaluated whether remote exercise training in 20 individuals with tetraplegia met established spinal cord injury (SCI) physical activity guidelines over 27 weeks. The tele-exercise program exceeded moderate-intensity recommendations but fell short of vigorous-intensity guidelines, with 45.1% adherence rates and gender-based differences in training load achievement.

StudiuLeziuni medulareÎncredere bună22.06.2026

Autonomic Cardiovascular Control, Psychological Well-Being, and Cognitive Performance in Spinal Cord Injury

This cross-sectional study of 52 people with spinal cord injury (SCI) and 42 uninjured controls examined relationships between cardiovascular autonomic nervous system function, psychological well-being, and cognitive performance. Participants with SCI showed significantly impaired cognitive performance on the PASAT task, altered cardiovascular responses, and self-reported anxiety levels correlated with cognitive scores, though ANS responses alone did not predict performance.

StudiuLeziuni medulareÎncredere bună22.06.2026

Adherence and perceptions of a home sports video gaming program in persons with spinal cord injuries: A pilot study

This pilot study evaluated 14 individuals with chronic spinal cord injury using home-based Wii sports video-gaming for 8 weeks to assess feasibility, adherence, and effects on upper extremity function. Mean adherence was 85% in the first month declining to 69% in the second month, with minimal significant changes in measured physical outcomes but generally positive participant perceptions of the program.

StudiuLeziuni medulareÎncredere bună22.06.2026

Seasonal Heat Effects and Thermal Discomfort in Spinal Cord Injury: A Self-Report Study

This cross-sectional survey compares how individuals with tetraplegia, paraplegia, and non-injured controls experience warm seasonal temperatures, examining thermal regulation challenges and activity limitations. Results show that persons with tetraplegia experience significantly greater heat-related difficulties, including prolonged cooling times, outdoor activity restrictions, and greater reliance on cooling devices compared to other groups.

StudiuLeziuni medulareÎncredere bună22.06.2026

Reliability of five-minute versus one-hour heart rate variability metrics in individuals with spinal cord injury

This study evaluated the test-retest reliability of heart rate variability (HRV) measurements in 37 people with spinal cord injury, comparing 5-minute and 1-hour recordings taken in a supine position. Results showed that 1-hour recordings provided better reliability across multiple HRV parameters (intraclass correlations 0.13-0.71) compared to 5-minute recordings, with participants with tetraplegia demonstrating lower overall reliability.

StudiuLeziuni medulareÎncredere înaltă22.06.2026

Traumatic Spinal Cord Injury: Limitations of Single-Treatment Approaches and Need for Combined Therapeutic Strategies

This review examines decades of experimental and clinical research on traumatic spinal cord injury, concluding that single-treatment interventions (medications, growth factors, cell transplants) have produced only modest clinical improvements despite significant animal model results. The authors argue that effective rehabilitation requires moving beyond isolated therapeutic approaches to explore combined strategies targeting multiple secondary injury mechanisms.

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 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.