scholarly journals Cervical spinal cord injuries without radiographic evidence of trauma: the potential for recovery of upper extremity function

Spinal Cord ◽  
2013 ◽  
Vol 51 (11) ◽  
pp. 801-801
Author(s):  
J J Wyndaele
2015 ◽  
Vol 136 (4) ◽  
pp. 780-792 ◽  
Author(s):  
Ida K. Fox ◽  
Kristen M. Davidge ◽  
Christine B. Novak ◽  
Gwendolyn Hoben ◽  
Lorna C. Kahn ◽  
...  

PM&R ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1173-1184.e2 ◽  
Author(s):  
Ida K. Fox ◽  
Christine B. Novak ◽  
Emily M. Krauss ◽  
Gwendolyn M. Hoben ◽  
Craig M. Zaidman ◽  
...  

2018 ◽  
pp. 809-836 ◽  
Author(s):  
Rüdiger Rupp ◽  
Martin Rohm ◽  
Matthias Schneiders

For individuals with tetraplegia, restoring limited or missing grasping function is the highest priority. In patients with high Spinal Cord Injury (SCI) and a lack of surgical options, restricted upper extremity function can be improved with the use of neuroprostheses based on Functional Electrical Stimulation (FES). Grasp neuroprostheses with different degrees of complexity and invasiveness exist, although few models are available for routine clinical application. Hybrid systems combining FES with orthoses hold promise for restoring completely lost upper extremity function. Novel user interfaces integrating biosignals from several sources are needed to make full use of the many degrees of freedom of hybrid neuroprostheses. Motor Imagery (MI)-based Brain-Computer Interfaces (BCIs) are an emerging technology that may serve as a valuable adjunct to traditional control interfaces. This chapter provides an overview of the current state of the art of BCI-controlled upper-extremity neuroprostheses and describes the challenges and promises for the future.


2008 ◽  
Vol 13 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Donna Loupus ◽  
Susan Schuetrumpf ◽  
Laura F. Vazquez

Abstract Introduction: Peripherally Inserted Central Catheters (PICCs) are a proven and cost effective alternative to traditional short term central venous catheters inserted via subclavian or jugular vein routes. It has been theorized that persons with cervical spinal cord injury (SCI) are more prone to upper extremity deep venous thrombosis (DVT) post PICC insertion. Purpose: This study was conducted to determine if there is a statistically significant increase in the incidence of PICC-related upper extremity thrombosis in persons with quadriplegia as compared to other patient populations. Methods: A retrospective chart review of 56 PICC insertions, performed on 44 patients, was conducted to identify risk factors associated with symptomatic upper extremity DVTs. Results: The overall incidence of symptomatic DVTs was 7.1% per PICC line insertion (95% CI 2.8% - 17.0%) and 9.1% per patient (95% CI 3.6% - 21.2%) and the number of DVTs per 1,000 catheter days was 3.14. DVT diagnosis was not significantly associated with any of the patient or PICC-related characteristics examined. The incidence of symptomatic DVTs per PICC line insertion was not significantly different than the lowest incidence of thrombosis reported in the scientific literature among all patients receiving PICCs. Conclusions: Results from this study do not suggest that persons with cervical spinal cord injuries are at increased risk for developing upper-extremity DVTs related to PICC insertion. Due to the retrospective nature of the present study and small sample size, prospective studies are recommended to further examine DVTs in patients' with spinal cord injuries. Estimates from the present study can be used in planning prospective studies.


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