Urodynamics in patients with spinal cord injury: A clinical review and best practice paper by a working group of The International Continence Society Urodynamics Committee

2017 ◽  
Vol 37 (2) ◽  
pp. 581-591 ◽  
Author(s):  
Brigitte Schurch ◽  
Valerio Iacovelli ◽  
Marcio A. Averbeck ◽  
Stefano Carda ◽  
Waleed Altaweel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Review ◽  
Working Group ◽  
Best Practice ◽  
International Continence Society ◽  
Cord Injury

scholarly journals Development of priorities for a Canadian strategy to advance activity-based therapies after spinal cord injury

Spinal Cord ◽  
2021 ◽  
Author(s):  
Kristin E. Musselman ◽  
Kristen Walden ◽  
Vanessa K. Noonan ◽  
Hope Jervis-Rademeyer ◽  
Nancy Thorogood ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Stroke Rehabilitation ◽  
Participatory Design ◽  
Best Practice ◽  
Optimal Timing ◽  
Activity Levels ◽  
Cord Injury ◽  
Healthcare Administrators ◽  
Psychosocial Benefits

Abstract Study Design Participatory design. Objectives Activity-based therapies (ABT) have physical and psychosocial benefits for individuals with spinal cord injury (SCI). A Canadian ABT summit was held to: (1) identify methods used in stroke rehabilitation that may be appropriate for SCI; (2) understand the current state of ABT activities in Canada; and (3) identify priorities for ABT research and care for the next five years. Setting Stakeholder-engaged meeting at a tertiary rehabilitation hospital. Methods Thirty-nine stakeholders, including individuals with SCI, frontline clinicians, healthcare administrators, researchers, funders and health policy experts, attended. Two participants were note-takers. Priority identification occurred through input from stakeholder groups, followed by individual voting. Conventional content analysis was used to synthesize the information in the meeting notes. Results The strengths of ABT in stroke rehabilitation included clear and clinically feasible definitions, measurements and interventions, and recognized requirements for implementation (e.g. behavior change, partnerships). Knowledge gaps concerning ABT activities in Canada were identified for acute and community settings, non-traumatic populations, and the interventions, equipment and standardized measures (i.e. upper limb, activity levels) used. Five priorities for ABT across the continuum of care were identified: (1) Identify current ABT activities; (2) Create a network to facilitate dialog; (3) Track engagement in ABT activities; (4) Develop and implement best practice recommendations; and (5) Study optimal timing, methods, and dose of ABT. Working groups were formed to address priorities 1–3. Conclusions The priorities will guide SCI research and care activities in Canada over the next five years. Sponsorship Praxis Spinal Cord Institute.

scholarly journals A clinical review of the deceased from cervical spinal cord injury. Disorder of the coagulation and fibrinolysis.

1988 ◽  
Vol 37 (2) ◽  
pp. 609-613
Author(s):  
Yasuhiro Matsueda ◽  
Hiromichi Yokoi ◽  
Kanji Matsumoto ◽  
Hideki Sonoda ◽  
Eiji Kawaguchi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Review ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Coagulation And Fibrinolysis

scholarly journals Sarcopenia: A Clinical Review in Spinal Cord Injury Patients

2021 ◽  
Vol 4 (7) ◽  
pp. 47-52
Author(s):  
Ali Otom ◽  
Bilal F Shanti ◽  
Ihsan F Shanti ◽  
Maram Bani Mustafa
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Review ◽  
Cord Injury

The development of an outcome measures toolkit for spinal cord injury rehabilitation

2017 ◽  
Vol 84 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Christie W. L. Chan ◽  
William C. Miller ◽  
Matthew Querée ◽  
Vanessa K. Noonan ◽  
Dalton L. Wolfe ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Practice ◽  
Outcome Measures ◽  
Best Practice ◽  
Outcome Measure ◽  
Medical Condition ◽  
Measurement Properties ◽  
Injury Rehabilitation ◽  
Cord Injury

Background. Spinal cord injury (SCI) is a complex medical condition that can be difficult to monitor. Purpose. This study aimed to establish a common set of validated outcome measures specifically for SCI clinical practice. Method. In a three-round online Delphi process, experts in SCI care across Canada suggested and ranked outcome measures for clinical practice. The facilitators provided feedback between rounds and determined if consensus (at least 75% agreement) was reached on a single outcome measure per clinical area. Findings. One hundred and forty-eight outcome measures were initially considered for inclusion. After three rounds, consensus was reached for 23 out of 30 clinical areas. In the remaining seven, more than one outcome measure was recommended. The final toolkit comprises 33 outcome measures with sufficient measurement properties for use with a SCI population. Implications. An outcome measures toolkit validated specifically for SCI should lead to improved identification of best practice and enable clinicians to monitor client progress effectively.

scholarly journals Development of the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline: Methods and overview

2021 ◽  
Vol 44 (sup1) ◽  
pp. S52-S68
Author(s):  
Eleni M. Patsakos ◽  
Mark T. Bayley ◽  
Ailene Kua ◽  
Christiana Cheng ◽  
Janice Eng ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Best Practice ◽  
Cord Injury

Bet 1: Can induced hypertension improve outcome following acute traumatic spinal cord injury?

2018 ◽  
Vol 35 (4) ◽  
pp. 270.2-272
Author(s):  
Elliott Bertram-Ralph ◽  
Daniel Horner
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Best Practice ◽  
Careful Consideration ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Induced Hypertension ◽  
Observational Cohort ◽  
Study Type ◽  
Case Basis

A shortcut review was carried out to establish whether augmentation of blood pressure to a high mean arterial pressure (MAP) target in the early phase of traumatic spinal cord injury (SCI) could lead to improvements in morbidity or mortality. 23 directly relevant papers were found using the reported search strategy. Of these, two systematic reviews collated the best evidence to answer the clinical question. The author, date and country of publication; patient group studied; study type; relevant outcomes; results and study weaknesses of the best papers are tabulated. It is concluded that data from observational cohort studies support high MAP targets and avoidance of hypotension in the early stages of traumatic SCI, but there are insufficient trial data to support routine use as best practice. Given the intervention carries risk, induced hypertension requires careful consideration on a case-by-case basis.

scholarly journals Prevention of thromboembolism in spinal cord injury -S1 guideline

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Norbert Weidner ◽  
Oliver J. Müller ◽  
Viola Hach-Wunderle ◽  
Karsten Schwerdtfeger ◽  
Rüdiger Krauspe ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Best Practice ◽  
Neurological Dysfunction ◽  
Screening Methods ◽  
Thromboembolic Events ◽  
Compression Stockings ◽  
Prophylactic Measures ◽  
Mechanical Methods ◽  
Cord Injury

Abstract Introduction Traumatic and non-traumatic spinal cord injury bears a high risk for thromboembolism in the first few months after injury. So far, there is no consented guideline regarding diagnostic and prophylactic measures to prevent thromboembolic events in spinal cord injury. Based on a Pubmed research of related original papers and review articles, international guidelines and a survey conducted in German-speaking spinal cord injury centers about best practice prophylactic procedures at each site, a consensus process was initiated, which included spinal cord medicine experts and representatives from medical societies involved in the comprehensive care of spinal cord injury patients. The recommendations comply with the German S3 practice guidelines on prevention of venous thromboembolism. Recommendations Specific clinical or instrument-based screening methods are not recommended in asymptomatic SCI patients. Based on the severity of neurological dysfunction (motor completeness, ambulatory function) low dose low molecular weight heparins are recommended to be administered up to 24 weeks after injury. Besides, mechanical methods (compression stockings, intermittent pneumatic compression) can be applied. In chronic SCI patients admitted to the hospital, thromboembolism prophylactic measures need to be based on the reason for admission and the necessity for immobilization. Conclusions Recommendations for thromboembolism diagnostic and prophylactic measures follow best practice in most spinal cord injury centers. More research evidence needs to be generated to administer more individually tailored risk-adapted prophylactic strategies in the future, which may help to further prevent thromboembolic events without causing major side effects. The present article is a translation of the guideline recently published online (https://www.awmf.org/uploads/tx_szleitlinien/179-015l_S1_Thromboembolieprophylaxe-bei-Querschnittlaehmung_2020-09.pdf).

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