scholarly journals The Features of Attitude to the Body of Persons with Consequences of Cerebral Palsy and Spinal Cord Injury

2021 ◽  
Vol 10 (1) ◽  
pp. 180-205
Author(s):  
T.A. Meshkova ◽  
E.L. Gavrilova
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cerebral Palsy ◽  
Negative Attitude ◽  
Disabled Persons ◽  
The Body ◽  
Body Parts ◽  
Body Appreciation ◽  
Cord Injury ◽  
Positive Statements

The features of attitude to the body of adults (from 21 to 65 years old; M=40,8) with consequences of cerebral palsy (13 persons) and spinal cord injury (15 persons) of varying severity and 40 persons (from 20 to 64 years old; M=35,3) without disabilities were studied. Two questionnaires with positive statements (Body Appreciation Scale and Functionality Appreciation Scale) were used, as well as a specially compiled questionnaire for assessing the negative attitude towards the body of persons with visible impairments and a non-verbal method for direct quantitative assessment of satisfaction with certain parts of the body. It was found that techniques aimed at direct assessment of body parts or assessment of negative attitude to the body reveal significant differences between healthy and disabled persons, indicating lower body assessments in persons with pathology, regardless of its type and severity, while questionnaires with positive statements can’t detect these differences. The level of positive attitude to the body in motor pathology is not lower than in the healthy persons. Analysis of the interaction of factors “type” vs “severity” of pathology reveals significant differences in the assessment of individual parts of the body (especially the legs and buttocks): persons with severe consequences of cerebral palsy rated their body areas higher than persons with severe forms of spinal trauma. The importance of the concept of a positive body image for the rehabilitation of persons with movement disorders is discussed.

scholarly journals Spinal cord injury affects the interplay between visual and sensorimotor representations of the body

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Silvio Ionta ◽  
Michael Villiger ◽  
Catherine R Jutzeler ◽  
Patrick Freund ◽  
Armin Curt ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Relative Weight ◽  
Body Representation ◽  
The Body ◽  
Lower Limbs ◽  
Whole Body ◽  
Body Parts ◽  
Postural Changes ◽  
Cord Injury

Abstract The brain integrates multiple sensory inputs, including somatosensory and visual inputs, to produce a representation of the body. Spinal cord injury (SCI) interrupts the communication between brain and body and the effects of this deafferentation on body representation are poorly understood. We investigated whether the relative weight of somatosensory and visual frames of reference for body representation is altered in individuals with incomplete or complete SCI (affecting lower limbs’ somatosensation), with respect to controls. To study the influence of afferent somatosensory information on body representation, participants verbally judged the laterality of rotated images of feet, hands and whole-bodies (mental rotation task) in two different postures (participants’ body parts were hidden from view). We found that (i) complete SCI disrupts the influence of postural changes on the representation of the deafferented body parts (feet, but not hands) and (ii) regardless of posture, whole-body representation progressively deteriorates proportionally to SCI completeness. These results demonstrate that the cortical representation of the body is dynamic, responsive and adaptable to contingent conditions, in that the role of somatosensation is altered and partially compensated with a change in the relative weight of somatosensory versus visual bodily representations.

scholarly journals Obstacles and Possibilities for Participation in Sport after Spinal Cord Injury

2018 ◽  
Vol 1 (88) ◽  
Author(s):  
Kęstutis Skučas
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Sport Participation ◽  
Athletic Identity ◽  
Body Part ◽  
Disabled Persons ◽  
Upper Body ◽  
Motor Disorder ◽  
Social Agents ◽  
Cord Injury

Research background and hypothesis. Studies have shown that persons after spinal cord injury rarely continue participating in sport (Stryker, Burke, 2000; Hanson, Nabavi, 2001; Stephan, Brewer, 2007). This could be caused by the obstacles that the persons face due to the motor disorder after spinal cord injury (Wu, Williams, 2001; Tasiemski et al., 2004). Hypothesis: persons with spinal cord injury while being involved in disabled sport face the same problems irrespectively of gender. Research aim was to determine the obstacles and possibilities for involvement and participation in sport after spinal cord injury.Research methods. The questionnaire method was used to collect sport participation data (Tasiemski et al., 2004) and determine socialization agents of persons after spinal cord injury (Williams, 1994). The athletic identity assessment scale (Brewer, Cornelius, 2002) was used in the research. Research results. Data showed that the majority of the subjects after spinal cord injury were not involved in sport; 11.9% did sports 1 hour per week, 13.2% – 2–3 hours per week, 10.6% – more than 6 hours per week. The value of athletic identity of paraplegic subjects was equal to 23 points, and that of tetraplegic subjects – 18 points (statistically significant data difference between the two groups when p < 0.05). It was found that athletic identity value of men after spinal cord injury (22 points) was statistically significantly higher compared to that of women (16 points, p < 0.05). Lack of adapted sport facilities – 49.6%, equipment – 53.2%, coaches – 48.4% and financial resources – 42.0% proved to be the major obstacles to participate in sport for persons after spinal cord injury.    Discussion and conclusions. According to the research, only a minority of persons after spinal cord injury identified  themselves  as  athletes.  It  was  found  that  the  main  social  agents  involving  disabled  persons  into  the mainstream of sport were other disabled persons, rehabilitation and physical therapists, coaches and other sports professionals.  Persons  after  spinal  cord  injury  believed  that  the  main  reasons  of  non-participation  in  sport  was lack  of  information  about  disabled  sport,  also  lack  of  sports  equipment,  financial  problems    and  lack  of  sports professionals. Most persons after spinal cord injury participated or would participate in sport with the aim of getting fit, strengthening the upper body part, socializing, feeling the joy of life. The majority of results of the study were similar to the results of other researchers (Tasiemski et al., 2004) who analyzed disabled persons’ problems while involving in sport.Keywords: involvement in disabled sport, athletic identity, social agents.

scholarly journals Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support?

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
David J. Kopsky ◽  
Jan M. Keppel Hesselink ◽  
Roberto Casale
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neuropathic Pain ◽  
Unusual Case ◽  
Body Schema ◽  
The Body ◽  
Sensory Loss ◽  
Pain Patient ◽  
Rehabilitation Programs ◽  
Cord Injury

Baclofen 5% cream can be used for the treatment of neuropathic pain. We describe an unusual case of a neuropathic pain patient with spinal cord injury. A 71-year-old woman with a partial spinal cord injury lesion at L4 complained of tingling, pins and needles, and burning in her legs. She scored her pain as 6 before adding baclofen 5% cream to her pain medication (pregabalin 450 mg, acetaminophen 3000 mg, and diclofenac 150 mg daily). One month later she experienced complete pain relief, though experienced increased difficulties in walking, leading to frequent falls. Her steadier walking without stumbling and falling was more important to her than pain reduction. Thus she decided to stop using baclofen. This unusual case report discusses two important issues that relate to pain medicine and rehabilitation in patients with painful spinal cord lesions: (1) the presence of wide areas of sensory loss “covered” by the presence of painful sensations and (2) pathological sensations that can be used and integrated in the body schema to create an improved spatiovisual orientation and thus mobility. Both these aspects have to be taken into account when treating pain and design rehabilitation programs.

Structural circumstances in the main types of fatal concomitant injury in children

2014 ◽  
Vol 5 (3) ◽  
pp. 58-63 ◽  
Author(s):  
Vladimir Mikhaylovich Karavayev
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Head Injury ◽  
The Body ◽  
Structure Damage ◽  
Forensic Research ◽  
Concomitant Injury ◽  
Cord Injury ◽  
Aggregate Amount

On the material of forensic research 284 corpses of children (108 own observations, 176 archive acts), died as a result of falling from height, hitting a moving car, drive to the wheels and the injury in a car, a study of the structure damage. Investigated the frequency and distribution of damage to the skin, skeletal and organ separate areas of the body, carried out the combined assessment of the extent of the damage when the considered variants of the circumstances of the injury. It is established that the children injured in the car to head injury in various manifestations, found in 100 % of cases. Damage to other areas of the body are less frequent than when hit by a car, moving its wheels and when falling from a height. In this regard, the aggregate amount of damages in case of injury in a car in children was less than for other types of trauma. The distribution of damage between the areas marked in cases of moving the wheels of the car; on trauma to the head, chest and limbs accounted for the same proportion of the damage. Under the circumstances spine-spinal cord injury, damage, neck, abdomen and pelvis met more frequently than other considered variants of injury. In cases of moving the wheels of the car and marked the largest amount of damage that significantly exceeds (рφ < 0,001) indicators when falling from a height, the shock of your vehicle and injury in his cabin.

scholarly journals In vivo and in vitro models of traumatic injuries of the spinal cord

2017 ◽  
Vol 5 (1) ◽  
pp. 87-93
Author(s):  
O. Rybachuk ◽  
I. Arkhypchuk ◽  
Yu. Lazarenko
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traffic Accidents ◽  
Experimental Models ◽  
The Body ◽  
Nerve Tissue ◽  
Economic Losses ◽  
Cord Injury

In recent years, there is a growing interest in the mechanisms of regeneration of damaged nerve tissue, including the spinal cord, as its injuries are quite common due to traffic accidents, industrial injuries and military actions. Damage to the spinal cord results in the loss of functional activity of the body below the injury site, which affects person’s ability to self-service and significantly reduces its efficiency. The effects of spinal injuries annually cause significant social and economic losses worldwide, including Ukraine. The development of new treatments for pathologies of the central nervous system requires mandatory pre-testing of their effectiveness in experiments in vitro and in vivo. Therefore, searching and creation of optimal animal model of spinal cord injury is in order to it meets most complete picture of the damage characteristic of real conditions in humans. This is an important task of modern neurophysiology. Such models can be used, primarily, for a more detailed clarification of the pathogenesis of all levels of nerve tissue damage and research of its own recovery potential by endogenous reparation mechanisms. In addition, experimental models allow to estimate the safety and predict the effectiveness of various therapeutic approaches to spinal cord injury.

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