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Articoli di riviste sul tema "Spinal cord injured users"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 4 febbraio 2022

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1

Samuelsson, K. A. M., H. Tropp e B. Gerdle. "Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users". Spinal Cord 42, n. 1 (gennaio 2004): 41–46. http://dx.doi.org/10.1038/sj.sc.3101490.

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Lee, Anita C. "Survey of Rancho Flexor Hinge Splint Users". British Journal of Occupational Therapy 51, n. 6 (giugno 1988): 197–98. http://dx.doi.org/10.1177/030802268805100607.

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In the Welsh Spinal Injury Unit, wrist-driven Rancho flexor hinge splints are fitted for patients who have suffered a spinal cord injury at C6 level. Twenty patients responded to a questionnaire to determine the significance of early fitting, types of activities performed and reasons for discarding the splint. The article concludes that patients should be encouraged to gain the maximum potential of the splint.

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Samuelsson, K., H. Larsson, M. Thyberg e H. Tropp. "Back Pain and Spinal Deformity—Common Among Wheelchair Users with Spinal Cord Injuries". Scandinavian Journal of Occupational Therapy 3, n. 1 (gennaio 1996): 28–32. http://dx.doi.org/10.3109/11038129609106679.

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Yang, Jennifer, Michael L. Boninger, Janet D. Leath, Shirley G. Fitzgerald, Trevor A. Dyson-Hudson e Michael W. Chang. "Carpal Tunnel Syndrome in Manual Wheelchair Users with Spinal Cord Injury". American Journal of Physical Medicine & Rehabilitation 88, n. 12 (dicembre 2009): 1007–16. http://dx.doi.org/10.1097/phm.0b013e3181bbddc9.

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Hogaboom, Nathan S., Michelle L. Oyster, Melissa S. Riggins e Michael L. Boninger. "Evacuation preparedness in full-time wheelchair users with spinal cord injury". Journal of Spinal Cord Medicine 36, n. 4 (luglio 2013): 290–95. http://dx.doi.org/10.1179/2045772312y.0000000050.

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Oyster, Michelle, Ian Smith, R. Kirby, Rory Cooper, Suzanne Groah, Jessica Pedersen e Michael Boninger. "Wheelchair Skill Performance of Manual Wheelchair Users With Spinal Cord Injury". Topics in Spinal Cord Injury Rehabilitation 18, n. 2 (aprile 2012): 138–39. http://dx.doi.org/10.1310/sci1802-138.

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Drury, Colin, Alicia Koontz, David Feathers, Padmaja Kankipati, Victor Paquet e Jui-Feng Lin. "Controllability of Manual and Powered Wheelchairs for Spinal Cord Injury Users". Proceedings of the Human Factors and Ergonomics Society Annual Meeting 52, n. 11 (settembre 2008): 714–18. http://dx.doi.org/10.1177/154193120805201104.

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Scherer, Marcia J. "Assistive Device Utilization and Quality of Life in Adults with Spinal Cord Injuries or Cerebral Palsy Two Years Later". Journal of Applied Rehabilitation Counseling 21, n. 4 (1 dicembre 1990): 36–44. http://dx.doi.org/10.1891/0047-2220.21.4.36.

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A study was done in 1986 that compared assistive device (AD) users and non-users on their functioning, temperament, and perceived quality of life. A follow-up study was conducted in 1988 with all of the original study participants in order to assess changes over time in the above mentioned areas. The original methodology was repeated with five female adults with cerebral palsy (CP) and five male adults with spinal cord Injuries (SCI). Additionally, two individuals with recent spinal cord injuries were added to the sample. The findings indicate that the functional capacities and temperament of participants with CP both tended to improve over time whereas most SCI participants seemed to become less well-adjusted in several areas. While the SCI users of ADs continued to display the best overall functioning of all participant groups, the SCI non-users reported the most functional declines over time with the gaps between them and the SCI users widening.

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JANSSEN, THOMAS W. J., CORNELIA A. J. M. VAN OERS, LUC H. V. VAN DER WOUDE e A. PETER HOLLANDER. "Physical strain in daily life of wheelchair users with spinal cord injuries". Medicine & Science in Sports & Exercise 26, n. 6 (giugno 1994): 661–70. http://dx.doi.org/10.1249/00005768-199406000-00002.

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McClure, Laura A., Michael L. Boninger, Michelle L. Oyster, Mary Joan Roach, Jennifer Nagy e Gregory Nemunaitis. "Emergency Evacuation Readiness of Full-Time Wheelchair Users With Spinal Cord Injury". Archives of Physical Medicine and Rehabilitation 92, n. 3 (marzo 2011): 491–98. http://dx.doi.org/10.1016/j.apmr.2010.08.030.

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Cock, Jacklyn. "Life ‘Inside the Shell’: A Needs Survey of Spinal Cord-injured Wheelchair Users in a Black South African Township". Disability, Handicap & Society 4, n. 1 (gennaio 1989): 3–20. http://dx.doi.org/10.1080/02674648966780011.

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Lee, B., Y. Lee e J. Yu. "Hospital Based Sexual Rehabilitation Programs for Persons with Disabilities (PWDS)". Klinička psihologija 9, n. 1 (13 giugno 2016): 157. http://dx.doi.org/10.21465/2016-kp-p-0024.

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Objective: Sexual intimacy is a basic right given to all humans. However, many PWD give up on their sex life, and equally, medical professionals are not effectively prepared to deal with these issues. Design and Method: In 1996, we began a Sexual Rehabilitation Program for PWDs. We delivered about 28,000 cases of sexual counseling and education, and 1,700 cases of sex therapy for erectile dysfunction. 380 couples used the ‘sex practice room’ in our hospital. We have conducted 21 research studies, produced 3 books and 1 DVD about sexual rehabilitation. Annual seminars are being held and as well as three day workshops for couples. Results: We studied sexual function and satisfaction of 214 spinal cord injured males and 49 female partners. The significant factors affecting sexual satisfaction of the patients were erectile function and sexual satisfaction before injury. Based on the results, we developed several programs, such as the 4 week small counseling program and the ‘sex practice room’ program. 380 couples with SCI have used the sex practice room. Among them, 71 spinal cord injured males and partners participated. 41 couples had successful penilevaginal intercourse and 91.3% of them used the woman-on-top position. 90% of the users reported that the experience of using the ‘sex practice room’ was helpful. Conclusions: Since 1996, we have developed many sexual rehabilitation programs and conducted counseling, sex therapy and research. Now we can confidently conclude that the hospital based rehabilitation program is very useful and essential for persons with disabilities.

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Hill, Timothy C., Richard Baverstock, Kevin V. Carlson, Eric P. Estey, Gary J. Gray, Denise C. Hill, Chester Ho, Rosemary H. McGinnis, Katherine Moore e Raj Parmar. "Best practices for the treatment and prevention of urinary tract infection in the spinal cord injured population". Canadian Urological Association Journal 7, n. 3-4 (16 aprile 2013): 122–30. http://dx.doi.org/10.5489/cuaj.337.

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The purpose of this review of clinical guidelines and best practices literature is to suggest prevention options and a treatment approach for intermittent catheter users that will minimize UTI. Recommendations are based both on evidence in the literature and an understanding of what is currently attainable within the Alberta context, through collaboration between both major tertiary care centres (Edmonton and Calgary) and between various professionals who regularly encounter these patients, including nursing, physiatry, and urology. Key references used to prepare this document included Canadian sources such as; SCIRE, along with the American Urological Association (AUA) and European Urological Association (EUA) documents on the topic and resources from Paralyzed Veterans of America. No details on neurogenic bladder management exist in the Canadian Urological Association list of publications. Finally, the impetus for preparing these protocols arose due to concerns identified by a survey of individuals with SCI regarding perceived gaps in knowledge and practice among caregivers and physicians about SCI and UTI prevention and management.

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Huggins, Jane E., Aisha A. Moinuddin, Anthony E. Chiodo e Patricia A. Wren. "What Would Brain-Computer Interface Users Want: Opinions and Priorities of Potential Users With Spinal Cord Injury". Archives of Physical Medicine and Rehabilitation 96, n. 3 (marzo 2015): S38—S45.e5. http://dx.doi.org/10.1016/j.apmr.2014.05.028.

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Nawoczenski, Deborah A., Jordan M. Ritter-Soronen, Christine M. Wilson, Benjamin A. Howe e Paula M. Ludewig. "Clinical Trial of Exercise for Shoulder Pain in Chronic Spinal Injury". Physical Therapy 86, n. 12 (1 dicembre 2006): 1604–18. http://dx.doi.org/10.2522/ptj.20060001.

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AbstractBackground and Purpose. The high prevalence of shoulder pain in wheelchair users may be related to the repetitive use of the upper limbs during self-care and wheelchair-related activities. The purpose of this study was to determine the effects of a controlled 8-week, scapula-focused exercise intervention on pain and functional disability in people with spinal cord injury (SCI) and shoulder impingement symptoms. Subjects. Forty-one manual wheelchair users (with SCI and spina bifida), both with (n=21) and without (n=20) shoulder impingement symptoms, participated. Methods. The study design was a clini\\cal trial with an asymptomatic control group. Subjects completed the Wheelchair User’s Shoulder Pain Index (WUSPI) and the Shoulder Rating Questionnaire (SRQ) and provided patient satisfaction scores at initial and 8-week visits. Subjects in the intervention group were instructed in a home exercise program consisting of stretching and strengthening exercises. Subjects in the asymptomatic control group received no intervention. An analysis of variance model was used to test for group and time effects for the WUSPI, SRQ, and satisfaction scores. Results. Subjects in the intervention group showed significant improvements in all measures as a result of the intervention, whereas asymptomatic control group subjects remained stable. Discussion and Conclusion. A selective 8-week home exercise program is effective in reducing pain and improving function and satisfaction in this population of wheelchair users.

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Butler Forslund, E., K. S. Roaldsen, C. Hultling, K. Wahman e E. Franzén. "Concerns about falling in wheelchair users with spinal cord injury—validation of the Swedish version of the spinal cord injury falls concern scale". Spinal Cord 54, n. 2 (11 agosto 2015): 115–19. http://dx.doi.org/10.1038/sc.2015.125.

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Kovindha, A., P. Kammuang-lue, P. Prakongsai e T. Wongphan. "Prevalence of pressure ulcers in Thai wheelchair users with chronic spinal cord injuries". Spinal Cord 53, n. 10 (5 maggio 2015): 767–71. http://dx.doi.org/10.1038/sc.2015.77.

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Nunes, Lucas Martins de Exel, Verônica Magalhães Raimundo, Quirino Cordeiro, Karen Fraga Moreira Guerrini, Arquimedes de Moura Ramos, Tae Mo Chung e Marcelo Riberto. "Prevalence of Carpal Tunnel syndrome in wheelchair users due to spinal cord injury". Acta Fisiátrica 18, n. 4 (2011): 192–95. http://dx.doi.org/10.5935/0104-7795.20110005.

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Lung, Chi-Wen, Tim D. Yang, Ben-Yi Liau, Waifong Catherine Cheung, Sanjiv Jain e Yih-Kuen Jan. "Dynamic changes in seating pressure gradient in wheelchair users with spinal cord injury". Assistive Technology 32, n. 5 (15 gennaio 2019): 277–86. http://dx.doi.org/10.1080/10400435.2018.1546781.

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Kirby, R. Lee, Lynn A. Worobey, Rachel Cowan, Jessica Presperin Pedersen, Allen W. Heinemann, Trevor A. Dyson-Hudson, Mary Shea, Cher Smith, Paula W. Rushton e Michael L. Boninger. "Wheelchair Skills Capacity and Performance of Manual Wheelchair Users With Spinal Cord Injury". Archives of Physical Medicine and Rehabilitation 97, n. 10 (ottobre 2016): 1761–69. http://dx.doi.org/10.1016/j.apmr.2016.05.015.

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Singh, Hardeep, Heather Flett, Sander Hitzig, Anita Kaiser, Beverley Catharine Craven, Susan Jaglal e Kristin Musselman. "A comparison of falls between wheelchair users and ambulators with spinal cord injury". Archives of Physical Medicine and Rehabilitation 100, n. 10 (ottobre 2019): e34. http://dx.doi.org/10.1016/j.apmr.2019.08.082.

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Souza, Fernanda Degani Alves, Daniel Marinho Cezar Cruz, Iracema Serrat Vergotti Ferrigno, Gracinda Rodrigues Tsukimoto e Carmen Silvia Figliolia. "Correlação entre papéis ocupacionais e independência de usuários com lesão medular em processo de reabilitação". O Mundo da Saúde 37, n. 2 (30 giugno 2013): 166–75. http://dx.doi.org/10.15343/0104-7809.2013372166175.

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Acharya, Bushnu Dutta, M. Rawal, P. K. Rokaya, D. Karki, D. Limbu e P. L. Binaya. "Prevalence of Shoulder Pain Disability among Assistive Device Users with Paraplegia". Journal of Karnali Academy of Health Sciences 1, n. 2 (6 ottobre 2018): 33–37. http://dx.doi.org/10.3126/jkahs.v1i2.24135.

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Introduction: To identify the prevalence of shoulder pain disability in paraplegic patients using assistive devices following Spinal Cord Injury. Methods: This was a cross-sectional study done among 53 SCI paraplegia patients having shoulder pain after use of assistive devices. Pre-test was done among 5 subjects. The association among different variables with shoulder was tested by using chi-square test. SPSS version 16 was applied to find the result. Results: The study showed that almost 98.11% of the respondents had shoulder pain with the assistive device users. Among them all of the participants were using wheelchair as the assistive devices and 86.3% had mild disability, 11.8% moderate disability and 2% sever disability. Among them, 72% of the patients had stayed in the hospital for less than six months. Shoulder pain was dependent on age, gender, duration of assistive devices used, type of assistive devices used and level of injury. Conclusions: Shoulder pain is common and has a high prevalence rate in both traumatic as well as non-traumatic spinal cord injury. Wheelchair user have more shoulder pain then other assistive devices users. Shoulder pain has a negative effect on activities of daily living and is a potential cause of activity limitations.

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Amann, Julia, Maddalena Fiordelli, Anke Scheel-Sailer, Mirjam Brach e Sara Rubinelli. "Opportunities and Challenges of a Self-Management App to Support People With Spinal Cord Injury in the Prevention of Pressure Injuries: Qualitative Study". JMIR mHealth and uHealth 8, n. 12 (9 dicembre 2020): e22452. http://dx.doi.org/10.2196/22452.

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Background Mobile health applications can offer tailored self-management support to individuals living with chronic health conditions. However, there are several challenges to the adoption of these technologies in practice. Co-design is a promising approach to overcoming some of these challenges by enabling the development of solutions that meet the actual needs and preferences of the relevant stakeholder groups. Objective Taking spinal cord injury as a case in point, the overall objectives of this study were to identify the perceived benefits of a co-designed self-management app that could promote its uptake and to explore the factors that may impede adoption. Methods We adopted a qualitative research approach guided by the Technology Acceptance Model. Data were collected through semistructured interviews with individuals with spinal cord injury (n=15) and two focus groups with health care professionals specialized in spinal cord injury (n=7, n=5). Prior to the interviews and focus groups, study participants were given time to explore the app prototype. All interviews were transcribed verbatim and analyzed using inductive thematic analysis. Results Findings of our analysis indicate that study participants perceived the app prototype as potentially useful for supporting individuals with spinal cord injury in preventing pressure injuries. In particular, we identified three concrete use cases highlighting the benefits of the app for different audiences: (1) a companion for newly injured individuals, (2) an emergency kit and motivational support, and 3) a guide for informal caregivers and family members. We also uncovered several challenges that might impede the adoption of the self-management app in practice, including (1) challenges in motivating individuals to use the app, (2) concerns about the misuse and abuse of the app, and (3) organizational and maintenance challenges. Conclusions This study adds to a growing body of research that investigates individuals’ adoption and nonadoption behavior regarding mobile health solutions. Building on earlier work, we make recommendations on how to address the barriers to the adoption of mobile health solutions identified by this study. In particular, there is a need to foster trust in mobile health among prospective users, including both patients and health care professionals. Moreover, increasing personal relevance of mobile health solutions through personalization may be a promising approach to promote uptake. Last but not least, organizational support also plays an instrumental role in mobile health adoption. We conclude that even though co-design is promoted as a promising approach to develop self-management tools, co-design does not guarantee adoption. More research is needed to identify the most promising strategies to promote the adoption of evidence-based mobile health solutions in practice.

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Ajao, K. R., T. Yahaya, H. A. Ajimotokan, A. A. Adeleke, M. Bello e O. Ojegbenro. "Design and Fabrication of an Adjustable Sitting Inclinations Spinal Cord Rehabilitation Chair". Technological Engineering 13, n. 1 (1 ottobre 2016): 12–14. http://dx.doi.org/10.2478/teen-2016-0004.

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Abstract The adjustable sitting inclination rehabilitation chair was fabricated with mild steel and soft upholstered fabric was used for the overlay on the seat, headrest and armrest. The components were coupled with a linear actuator at the upper frame for the reclining of the backrest about it axis. The wheels are located outboard of the seat of the chair to enhance stability while foot rest supports the posterior weight of the users. The narrow seat allows free movement of the leg when the user is seated. Sitting inclinations of 120 and 135° protect the spine disc from compression and proffer more comfort for the users than other angles experimented. The adjustable sitting inclination SCRC is simple and affordable for low-income people with Spinal cord injury, especially for those in developing countries in order to support other therapies for their recovery processes.

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Della Mea, Vincenzo, Dario Marin, Claudio Rosin e Agostino Zampa. "Web-Based Specialist Support for Spinal Cord Injury Person’s Care: Lessons Learned". International Journal of Telemedicine and Applications 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/861860.

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Persons with disability from spinal cord injury (SCI) are subject to high risk of pathological events and need a regular followup even after discharge from the rehabilitation hospital. To help in followup, we developed a web portal for providing online specialist as well as GP support to SCI persons. After a feasibility study with 13 subjects, the portal has been introduced in the regional healthcare network in order to make it compliant with current legal regulations on data protection, including smartcard authentication. Although a number of training courses have been made to introduce SCI persons to portal use (up to 50 users), the number of accesses remained very low. Reasons for that have been investigated by means of a questionnaire submitted to the initial feasibility study subjects and included the still easier use of telephone versus our web-based smartcard-authenticated portal, in particular, because online communications are still perceived as an unusual way of interacting with the doctor. To summarize, the overall project has been appreciated by the users, but when it is time to ask for help to, the specialist, it is still much easier to make a phone call.

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Vang, Chia, Sergio Cuevas, Noreen Graf e Irmo Marini. "Exercise Experiences and Barriers Among Individuals With Spinal Cord Injury". Rehabilitation Research, Policy, and Education 34, n. 3 (1 settembre 2020): 190–205. http://dx.doi.org/10.1891/re-19-09.

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PurposeTo explore exercise experiences and beliefs related to barriers among individuals with spinal cord injury (SCI).MethodsSeventy-four participants were recruited from a hospital, an independent living center, and online support groups. The Exercise Experiences and Spinal Cord Injury (EESCI) instrument included three scales to assess beliefs and experiences related to exercise participation.ResultsOur study found 80% of participants do not currently engage in competitive exercise or sports, however 48.6% do participate in noncompetitive sports. Most participants found it difficult to gather up motivation and allocate time to exercise. Also, 52% of participants who visited fitness centers reported no availability of accessible exercise equipment and access for wheelchair users. T-tests and ANOVA analyses were conducted to compare group means between demographic variables. Results indicated the perceived barriers among persons with SCI regarding lack of personal resources/finances, beliefs about fitness center accessibility regarding equipment, and perceived negative attitudes held by fitness center employees and customers.ConclusionRecommendations regarding how rehabilitation counselors can best work with clients on these issues including advocacy, counseling strategies, and future research directions are discussed.

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Popp, Werner L., Michael Brogioli, Kaspar Leuenberger, Urs Albisser, Angela Frotzler, Armin Curt, Roger Gassert e Michelle L. Starkey. "A novel algorithm for detecting active propulsion in wheelchair users following spinal cord injury". Medical Engineering & Physics 38, n. 3 (marzo 2016): 267–74. http://dx.doi.org/10.1016/j.medengphy.2015.12.011.

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Warms, Catherine A., e Basia L. Belza. "Actigraphy as a Measure of Physical Activity for Wheelchair Users With Spinal Cord Injury". Nursing Research 53, n. 2 (marzo 2004): 136–43. http://dx.doi.org/10.1097/00006199-200403000-00010.

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Nagy, Jennifer, Amy Winslow, Jessica Brown, Lisa Adams, Kathleen O’Brien, Michael Boninger e Gregory Nemunaitis. "Pushrim Kinetics During Advanced Wheelchair Skills in Manual Wheelchair Users With Spinal Cord Injury". Topics in Spinal Cord Injury Rehabilitation 18, n. 2 (aprile 2012): 140–42. http://dx.doi.org/10.1310/sci1802-140.

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Amsters, Delena, Sarita Schuurs, Melissa Kendall, Kiley Pershouse, Ruth Barker e Pim Kuipers. "General practice visits by people with traumatic spinal cord injury: a Queensland longitudinal study". Australian Journal of Primary Health 20, n. 2 (2014): 167. http://dx.doi.org/10.1071/py12105.

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People with traumatic spinal cord injury (SCI), although proportionally fewer in number, are known to be high users of primary health care services; however, details of their visits to GPs are unclear. This study presents information about GP utilisation patterns of 193 people with SCI over a 5-year period. Results demonstrate substantially greater GP service utilisation, particularly for young men with SCI, compared with their counterparts in the general population. Interestingly, people with paraplegia were proportionally higher users of GP services than those with tetraplegia. Results indicate the need for specialist support for GPs to meet the SCI-specific needs of this patient group. Specialist SCI outreach teams may be a useful resource to primary health care practitioners.

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Scherer, Marcia J. "Assistive Device Utilization And Quality-of-Life in Adults With Spinal Cord Injuries or Cerebral Palsy". Journal of Applied Rehabilitation Counseling 19, n. 2 (1 giugno 1988): 21–30. http://dx.doi.org/10.1891/0047-2220.19.2.21.

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A preliminary assessment of assistive device (AD) utilization by adults with cerebral palsy (CP) and spinal cord injuries (SCI) was conducted during the winter, 1986. A qualitative research approach was selected over a quantitative one so that pre-selected themes would not be imposed upon the data but, rather, would emerge from the data obtained. Five males with SCI and five females with CP, all subjects having a four-quadrant involvement, were interviewed about their AD use and quality-of-life. The findings indicate that female AD users with CP emphasize the capability to do things for the first time in their lives because of their ADs. They speak in terms of gains. In contrast, male AD non-users with SCI interpret ADs as poor replacements for their own functioning and see them as reminders of loss. AD users of both disabilities see their quality-of-life as being within their control whereas non-users believe otherwise. It was concluded that increased functional capabilities gained through AD utilization and the attainment of a “normalized” quality-of-life may present users with generalized “high functioning” expectations and frustrations for which their prior socialization did not prepare them. This, coupled with little peer contact, was discussed as contributing to participants' feelings of nervousness, depression, emotional inhibition and a sense of identity confusion.

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Krutli, Renata dos Santos, Géssica Soares Calixto, Mariana Midori Sime, Paulo Vinicius Braga Mendes, Alexandre Fonseca Brandão, Débora Couto De Melo Carrijo e Daniel Marinho Cezar da Cruz. "Applicability and evaluation of the GestureChair virtual game: comparison between people with and without spinal cord injury". Journal on Interactive Systems 9, n. 1 (8 giugno 2018): 1. http://dx.doi.org/10.5753/jis.2018.694.

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Introduction: Spinal cord injury rehabilitation requires updating from professionals regarding the possible interventions that can enhance recovery. Virtual reality (VR) games have become evident as a resource used in the rehabilitation process. Their effectiveness is based on the theory of neuronal reorganization, mediated by mirror neurons, responsible for motor imagery. Objectives: To test the applicability and evaluation of the virtual game Gesture Chair by people with and without spinal cord injury, to identify users' perceptions about the characteristics and demands of the VR game after its use and compare the immediate effects of the game on motor performance components in both groups. Method: We analyzed upper limb range of motion (ROM) after performing a practice using the exergame in a sample of five subjects with spinal cord injury and a comparative group with five other participants. The game was applied for 15 minutes, counting periods of activity and rest, while the subject remained seated. Results: The number of subjects in the sample does not allow statistically significant results on changes in shoulder ROM; however, factors that interfered with performance, perceptions about initial contact with the activity, presence of muscular fatigue and pain that may be present related to the increase of energy expenditure during the action were identified. Regarding the interest, there were reports of demotivation and disinterest, but there were also reports considering the activity motivating. Conclusion: The study implies the importance of the process of choosing individualized resources during the rehabilitation process and the need for adaptation among users of novel technologies. Future studies will be able to analyze the enhancement of the game with different users.

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Curtin, Michael. "Powered Wheelchairs and Tetraplegic Patients: Improving the Service". British Journal of Occupational Therapy 56, n. 6 (giugno 1993): 204–6. http://dx.doi.org/10.1177/030802269305600603.

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To improve the powered wheelchair service offered to patients with a spinal cord injury, the occupational therapy staff at the National Spinal Injuries Centre conducted a literature review, carried out a survey of current powered wheelchair users and arranged demonstrations of the majority of powered wheelchairs available in the United Kingdom. The information gathered from this enabled the therapists to update their knowledge, and provided them with material to run a powered wheelchair assessment clinic where each patient can receive objective and informed guidance on which wheelchairs are most suitable for his/her needs. To assist patients further with their decision, they were able to try a variety of powered wheelchairs and options for an extended period of time.

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Hansen, Rasmus Kopp, Afshin Samani, Uffe Laessoe, Aase Handberg e Ryan Godsk Larsen. "Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial". BMJ Open 10, n. 10 (ottobre 2020): e040727. http://dx.doi.org/10.1136/bmjopen-2020-040727.

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IntroductionCardiovascular and metabolic diseases are a growing concern for individuals with spinal cord injury (SCI). Physical inactivity contributes to cardiometabolic morbidity and mortality in the SCI population. However, previous studies have shown mixed results regarding the effects of exercise on cardiometabolic risk factors in individuals with SCI. This discrepancy could be influenced by insufficient exercise stimuli. Recent guidelines recommend 30 min of moderate-to-vigorous intensity aerobic exercise, three times per week, for improvement in cardiometabolic health in individuals with SCI. However, to date, no studies have implemented an exercise intervention matching the new recommendations to examine the effects on cardiometabolic risk factors. Therefore, the primary objective of this study is to determine the effects of 12 weeks of wheelchair user-modified upper-body rowing exercise on both traditional (constituents of the metabolic syndrome) and novel (eg, vascular structure and function) cardiometabolic risk factors in manual wheelchair users with SCI.Methods and analysisA randomised controlled trial will compare 12 weeks of upper-body rowing exercise, 30 min three times per week, with a control group continuing their normal lifestyle. Outcome measurements will be performed immediately before (baseline), after 6 weeks (halfway), 12 weeks of training (post) and 6 months after the termination of the intervention period (follow-up). Outcomes will include inflammatory (eg, C reactive protein) and metabolic biomarkers determined from venous blood (with serum fasting insulin as primary outcome), body composition, arterial blood pressure, cardiorespiratory fitness level, brachial artery vascular structure and function and autonomic nervous system function.Ethics and disseminationThis trial is reported to the Danish Data Protection Agency (J.nr. 2019-899/10-0406) and approved by the Committees on Health Research Ethics in The North Denmark Region on 12 December 2019 (J.nr. N-20190053). The principal investigator will collect written informed consent from all participants prior to inclusion. Irrespective of study outcomes, the results will be submitted to peer-reviewed scientific journals for publication.Trial registration numberNCT04390087.

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Price, Robert, Zachary R. Ashwell, Michael W. Chang, Michael L. Boninger, Alicia M. Koontz e Sue Ann Sisto. "Upper-Limb Joint Power and Its Distribution in Spinal Cord Injured Wheelchair Users: Steady-State Self-Selected Speed Versus Maximal Acceleration Trials". Archives of Physical Medicine and Rehabilitation 88, n. 4 (aprile 2007): 456–63. http://dx.doi.org/10.1016/j.apmr.2007.01.016.

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Chan, Sam C., e Alice P. Chan. "User satisfaction, community participation and quality of life among Chinese wheelchair users with spinal cord injury: a preliminary study". Occupational Therapy International 14, n. 3 (2007): 123–43. http://dx.doi.org/10.1002/oti.228.

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Hubert, Geoffroy, Michel Tousignant, Fran�ois Routhier, H�l�ne Corriveau e No�l Champagne. "Effect of service dogs on manual wheelchair users with spinal cord injury: A pilot study". Journal of Rehabilitation Research and Development 50, n. 3 (2013): 341. http://dx.doi.org/10.1682/jrrd.2011.07.0124.

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Callahan, Morgan, e Rachel E. Cowan. "Poster 59: Environmental Barrier Perception and Behavior Among Manual Wheelchair Users with Spinal Cord Injury". PM&R 10 (settembre 2018): S7. http://dx.doi.org/10.1016/j.pmrj.2018.08.361.

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Morgan, Kerri A., Kelly L. Taylor, Susan M. Tucker, W. Todd Cade e Joseph W. Klaesner. "Exercise testing protocol using a roller system for manual wheelchair users with spinal cord injury". Journal of Spinal Cord Medicine 42, n. 3 (8 marzo 2018): 288–97. http://dx.doi.org/10.1080/10790268.2018.1443542.

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Requejo, Philip, Sara Mulroy, Lisa Lighthall Haubert, Craig Newsam, JoAnne Gronley e Jacquelin Perry. "Evidence-Based Strategies to Preserve Shoulder Function in Manual Wheelchair Users with Spinal Cord Injury". Topics in Spinal Cord Injury Rehabilitation 13, n. 4 (aprile 2008): 86–119. http://dx.doi.org/10.1310/sci1304-86.

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Yang, Y.-S., G.-L. Chang, M.-J. Hsu e J.-J. Chang. "Remote monitoring of sitting behaviors for community-dwelling manual wheelchair users with spinal cord injury". Spinal Cord 47, n. 1 (17 giugno 2008): 67–71. http://dx.doi.org/10.1038/sc.2008.72.

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Hiremath, S. V., D. Ding, J. Farringdon, N. Vyas e R. A. Cooper. "Physical activity classification utilizing SenseWear activity monitor in manual wheelchair users with spinal cord injury". Spinal Cord 51, n. 9 (21 maggio 2013): 705–9. http://dx.doi.org/10.1038/sc.2013.39.

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Wilbanks, Susan R., Sean Pool, Rebecca Rogers e C. Scott Bickel. "Functional Electrical Stimulation Rowing in Manual Wheelchair Users with Spinal Cord Injury and Shoulder Pain". Archives of Physical Medicine and Rehabilitation 96, n. 10 (ottobre 2015): e59-e60. http://dx.doi.org/10.1016/j.apmr.2015.08.200.

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Maurer, Christine L., e Stephen Sprigle. "Effect of Seat Inclination on Seated Pressures of Individuals With Spinal Cord Injury". Physical Therapy 84, n. 3 (1 marzo 2004): 255–61. http://dx.doi.org/10.1093/ptj/84.3.255.

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Abstract (sommario):

Abstract Background and Purpose. Manual wheelchair configurations commonly include “squeezing” the wheelchair frame to improve balance for users with spinal cord injuries. This squeezing is achieved by lowering the rear portion of the seat relative to the front of the seat while maintaining the same back angle. The study's purpose was to examine the effect of increasing posterior seat inclination on buttock interface pressures. Subjects. Nine male and 5 female subjects (mean age=37 years, SD=11.2, range=19–55) with complete thoracic or lumbar spinal cord injury were tested. Methods. Subjects sat on a pressure mat placed over a foam cushion. Pressure readings were taken at seat angles reflecting seat height decreases of 0, 5.1, 7.6, and 10.2 cm (0, 2, 3, and 4 in) of the rear of the seat relative to the front of the seat. An analysis of variance and a Duncan multiple range test were used for data analysis. Results. No meaningful differences were found in measurements of interface pressure (dispersion index, contact area, and seat pressure index), total force on seat, or peak pressure index with posterior seat inclination. Discussion and Conclusion. The data indicate no meaningful evidence that squeezing a wheelchair frame increases seat interface pressures.

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Rice, Laura A., Jong Hun Sung, Kathleen Keane, Elizabeth Peterson e Jacob J. Sosnoff. "A brief fall prevention intervention for manual wheelchair users with spinal cord injuries: A pilot study". Journal of Spinal Cord Medicine 43, n. 5 (25 luglio 2019): 607–15. http://dx.doi.org/10.1080/10790268.2019.1643070.

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Mashola, Mokgadi Kholofelo, Elzette Korkie e Diphale Joyce Mothabeng. "Pain and its impact on functioning and disability in manual wheelchair users with spinal cord injury: a protocol for a mixed-methods study". BMJ Open 11, n. 1 (gennaio 2021): e044152. http://dx.doi.org/10.1136/bmjopen-2020-044152.

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Abstract (sommario):

IntroductionApproximately 80% of people with spinal cord injury experience clinically significant chronic pain. Pain (whether musculoskeletal or neuropathic) is consistently rated as one of the most difficult problems to manage and negatively affects the individual’s physical, psychological and social functioning and increases the risk of pain medication misuse and poor mental health. The aim of this study is to therefore determine the presence of pain and its impact on functioning and disability as well as to develop a framework for self-management of pain for South African manual wheelchair users with spinal cord injury.Methods and analysisCommunity-dwelling participants with spinal cord injury will be invited to participate in this three-phase study. Phase 1 will use a quantitative, correlational design to determine factors related to pain such as pectoralis minor length, scapular dyskinesis, wheelchair functioning, physical quality of life, community reintegration and pain medication misuse. Demographic determinants of pain such as age, gender, type of occupation, completeness of injury and neurological level of injury will also be investigated. Participants with pain identified in phase 1 will be invited to partake in a qualitative descriptive and contextually designed phase 2 to explore their lived experience of pain through in-depth interviews. The results of phases 1 and 2 will then be used with the assistance from experts to develop a framework for self-management of pain using a modified Delphi study. Data analysis will include descriptive and inferential statistics (quantitative data) and thematic content analysis (qualitative data).Ethics and disseminationApproval for this study is granted by the Faculty of Health Sciences Research Ethics Committee of the University of the Pretoria (approval number 125/2018). This study is registered with the South African National Health Research Database (reference GP201806005). This study’s findings will be shared in academic conferences and published in scientific peer-reviewed journals.

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Čichoň, Rostislav, Adam Maszczyk, Petr Stastny, Petr Uhlíř, Miroslav Petr, Ondřej Doubrava, Aleksandra Mostowik, Artur Gołaś, Paweł Cieszczyk e Piotr Żmijewski. "Effects of Krankcycle Training on Performance and Body Composition in Wheelchair Users". Journal of Human Kinetics 48, n. 1 (1 dicembre 2015): 71–78. http://dx.doi.org/10.1515/hukin-2015-0093.

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Abstract (sommario):

AbstractInnovation in training equipment is important for increasing training effectiveness, performance and changes in body composition, especially in wheelchair users with paraplegia. The main objective of a workout session is to induce an adaptation stimulus, which requires overload of involved muscles by voluntary effort, yet this overload may be highly influenced by the size of the spinal cord lesion. Krancykl construction is designed to allow exercise on any wheelchair and with adjustable height or width of crank handles, where even the grip handle may be altered. The aim of this study was to determine the differences in body composition, performance and the rate of perceived exertion (RPE) in paraplegics with a different level of paralyses after a 12 week training programme of a unilateral regime on Krankcycle equipment (a crank machine). The study sample included four men and one women at a different spine lesion level. The 12 weeks programme was successfully completed by four participants, while one subject got injured during the intervention process. Three participants were paraplegics and one was quadriplegic with innervation of the biceps humeri, triceps humeri and deltoideus. The Krankcycle 30 min programme was followed by four other exercises, which were performed after themselves rather than in a circuit training manner as the latter would result in much longer rest periods between exercises, because paraplegics have to be fixed by straps during exercise on hydraulic machines. The RPE after the workout decreased following the twelve week adaptation period.

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Allin, Sonya, John Shepherd, Jennifer Tomasone, Sarah Munce, Gary Linassi, Saima Noreen Hossain e Susan Jaglal. "Participatory Design of an Online Self-Management Tool for Users With Spinal Cord Injury: Qualitative Study". JMIR Rehabilitation and Assistive Technologies 5, n. 1 (21 marzo 2018): e6. http://dx.doi.org/10.2196/rehab.8158.

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Akyuz, Mufit, Elif Yalcin, Barin Selcuk e İbrahim Degirmenci. "The Barriers Limiting the Social Integration of Wheelchair Users With Spinal Cord Injury in Turkish Society". Neurosurgery Quarterly 24, n. 3 (agosto 2014): 225–28. http://dx.doi.org/10.1097/wnq.0000000000000116.

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