scholarly journals AN ANALYSIS FROM THE PERSPECTIVE OF BIOMECHANICS AND KINESIOLOGY OF A MECHANICAL FUNCTIONAL ORTHESIS FOR SPINAL INJURY LEVEL C6 AND C7

2021 ◽  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Injury ◽  
Severe Disabilities ◽  
Occupational Performance ◽  
Use Of Resources ◽  
Extensor Muscles ◽  
Cord Injury ◽  
Unique Factor

The spinal cord injury is characterized by damage to the spinal canal, which causes various complications in the individual’s life, whether physical, psychological and / or social. The incorporation of Assistive Technology consists of one of the forms of care and of increasing the quality of life of people with severe disabilities, such as quadriplegia. In the present study, there is the presentation of the mechanical functional orthosis for tetraplegic spinal cord injury level C6 and C7, triggered by the contraction of the extensor muscles of the wrist, flexors or extensors of the elbow, kinesiological functions compatible with the remaining functions observed in dermatomes. Understanding the important effects of spinal cord injury on affected patients, it is considered that the use of resources and products that aim to maintain, restore and / or maximize functionality is a primary factor for improving occupational performance. With this in mind, the orthosis presented in this work corroborates this scope, being a unique factor for engagement and return in the performance of activities of daily living, in addition to assisting in the rehabilitation process of these people.

scholarly journals A CLINICAL CASE OF UROLOGICAL REHABILITATION OF A CHILD WITH YATROGENIC COMPLICATIONS OF THE URINARY TRACT DUE TO A SPINAL CORD INJURY

2019 ◽  
Vol 22 (4) ◽  
pp. 251-254
Author(s):  
Irina N. Novoselova ◽  
N. V. Demin ◽  
I. V. Ponina ◽  
E. A. Ladygina ◽  
S. A. Valiullina
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract ◽  
Clinical Case ◽  
Spinal Injury ◽  
Urine Diversion ◽  
Iatrogenic Complications ◽  
Cord Injury ◽  
Urological Rehabilitation

The outcome both of patient recovery and spinal injury, in addition to a variety of clinical factors, is significantly affected by consequences and complications occurring during all periods of injury management. In acute, early and intermediate stages, complications of pelvic organs, according to different authors, are found in 77 - 100% of cases. The described clinical case serves as an illustration of irreversible complications had arisen because of improper management of a spinal cord injury (SCI) patient. An inadequate technique for urine diversion, underestimation of specific demands of the SCI patient, lack of proper positioning skills - all mentioned impacts caused inflammatory and trophic disorders. The article discusses an experience of urological rehabilitation specialists treated a child with iatrogenic complications of a urinary tract due to SCI at levels from Th8 to Th10. Particular attention is paid to mistakes made at the early rehabilitation stage and caused iatrogenic obliteration of the urethra in the area of penoscrotal angle and iatrogenic lysis of the bulbar urethra what inevitably worsened patient’s recovery and the quality of his and his family life.

Rehabilitation of the canine patient following spinal cord injury: a practical guide

2021 ◽  
Vol 26 (1) ◽  
pp. 1-6
Author(s):  
Cheryl Corral
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Injury ◽  
Neurological Deficits ◽  
Practical Guide ◽  
Cord Injury ◽  
Physical Therapies

This article forms part of a series exploring the rehabilitation of the canine shoulder, elbow, back, hip and stifle following injury or disease. Discussed here are different rehabilitation techniques used to address neurological deficits, pain and weakness following spinal injury, including physical therapies, electrotherapies and acupuncture.

scholarly journals Long term outcome of functional independence and quality of life after traumatic SCI in Germany

Spinal Cord ◽  
2021 ◽  
Author(s):  
Florian Möller ◽  
Rüdiger Rupp ◽  
Norbert Weidner ◽  
Christoph Gutenbrunner ◽  
Yorck B. Kalke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Independence ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cord Injury ◽  
Over Time

Abstract Study design Multicenter observational study. Objective To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury. Setting A multicenter study in Germany. Methods Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF). Results Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (p < 0.01) with moderate to strong influence. Conclusion SCIM score stability over time suggests a successful transfer of acquired independence skills obtained during primary rehabilitation into the community setting paralleled by positively related QoL measurements but bladder and bowel management may need special attention.

scholarly journals Improvement of hand functions of spinal cord injury patients with electromyography-driven hand exoskeleton: A feasibility study

2020 ◽  
Vol 1 ◽  
Author(s):  
Youngmok Yun ◽  
Youngjin Na ◽  
Paria Esmatloo ◽  
Sarah Dancausse ◽  
Alfredo Serrato ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Degrees Of Freedom ◽  
Standardized Test ◽  
Hand Function ◽  
Severe Disabilities ◽  
Finger Movements ◽  
Control Approach ◽  
Cord Injury ◽  
Hand Exoskeleton

Abstract We have developed a one-of-a-kind hand exoskeleton, called Maestro, which can power finger movements of those surviving severe disabilities to complete daily tasks using compliant joints. In this paper, we present results from an electromyography (EMG) control strategy conducted with spinal cord injury (SCI) patients (C5, C6, and C7) in which the subjects completed daily tasks controlling Maestro with EMG signals from their forearm muscles. With its compliant actuation and its degrees of freedom that match the natural finger movements, Maestro is capable of helping the subjects grasp and manipulate a variety of daily objects (more than 15 from a standardized set). To generate control commands for Maestro, an artificial neural network algorithm was implemented along with a probabilistic control approach to classify and deliver four hand poses robustly with three EMG signals measured from the forearm and palm. Increase in the scores of a standardized test, called the Sollerman hand function test, and enhancement in different aspects of grasping such as strength shows feasibility that Maestro can be capable of improving the hand function of SCI subjects.

Excretory dysfunction and quality of life after a spinal cord injury: A cross‐sectional study

2021 ◽  
Vol 30 (9-10) ◽  
pp. 1394-1402
Author(s):  
De Gong ◽  
Yingmin Wang ◽  
Lirong Zhong ◽  
Mengmeng Jia ◽  
Ting Liu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cord Injury

scholarly journals Improving the quality of life of caregivers of persons with spinal cord injury: A randomized controlled trial.

2009 ◽  
Vol 54 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Richard Schulz ◽  
Sara J. Czaja ◽  
Amy Lustig ◽  
Bozena Zdaniuk ◽  
Lynn M. Martire ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Cord Injury
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