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Professionals' knowledge, skills and confidence on using the best practices for spinal cord injury physical activity counseling in Canada and the Netherlands. 加拿大和荷兰专业人员在使用脊髓损伤体育活动咨询最佳实践方面的知识、技能和信心。
Pub Date : 2024-09-11 DOI: 10.1080/10790268.2024.2391595
Laura Kuipers,Trynke Hoekstra,,Femke Hoekstra
CONTEXTTo improve physical activity (PA) participation in people with spinal cord injury (SCI), an international panel co-created theory- and evidence-based best practices for SCI PA counseling. This study aimed to identify and compare Canadian and Dutch counselors' knowledge, skills, and confidence in using these best practices.METHODSAn online survey was conducted in Canada and the Netherlands. Respondents were included if they worked or volunteered as exercise/lifestyle counselor, recreation therapist, physiotherapist, occupational therapist, or peer mentor and were planning to provide counseling in the next 12 months. Chi-square tests, t-tests and linear regression analyses were used to compare groups.RESULTSCanadian (n = 45) and Dutch respondents (n = 41) had different expertise, with the majority of Canadians working as therapeutic recreation therapist and the majority of Dutch respondents working as PA/lifestyle counselor. In both countries, respondents scored relatively high on their knowledge, skills, and confidence in using the best practices on how to have a conversation and what to discuss during a conversation. Dutch respondents scored slightly higher in their confidence for using best practices about building rapport, motivational interviewing, and tailoring the support (p = 0.05).CONCLUSIONSThe generally high counseling skills reported by Canadian and Dutch respondents may be due to the history of SCI-specific PA promotion projects conducted in both countries. These survey findings were used to inform the development of evidence-based training modules on SCI PA counseling. This study may inspire cross-country collaboration and exchange to optimize the organization and delivery of PA counseling services for adults with SCI.
摘要为了提高脊髓损伤(SCI)患者的体育锻炼(PA)参与率,一个国际小组共同制定了脊髓损伤体育锻炼咨询的理论和循证最佳实践。本研究旨在确定并比较加拿大和荷兰咨询师在使用这些最佳实践方面的知识、技能和信心。如果受访者曾担任或志愿担任运动/生活方式顾问、娱乐治疗师、物理治疗师、职业治疗师或同伴指导员,并计划在未来 12 个月内提供咨询服务,则将其纳入调查范围。结果加拿大受访者(n = 45)和荷兰受访者(n = 41)具有不同的专业技能,其中大多数加拿大人从事治疗性娱乐治疗师的工作,而大多数荷兰受访者从事运动疗法/生活方式顾问的工作。这两个国家的受访者在如何进行对话以及对话过程中讨论哪些内容方面的知识、技能和信心得分都相对较高。结论加拿大和荷兰的受访者报告的咨询技能普遍较高,这可能是因为这两个国家都曾开展过针对 SCI 的运动促进项目。这些调查结果可用于开发以证据为基础的 SCI PA 咨询培训模块。这项研究可能会激励跨国合作与交流,以优化针对患有 SCI 的成人的 PA 咨询服务的组织和提供。
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引用次数: 0
Differential relationships between physical activity and pain phenotypes in individuals with spinal cord injury. 脊髓损伤患者体力活动与疼痛表型之间的差异关系。
Pub Date : 2024-04-25 DOI: 10.1080/10790268.2024.2344315
Alexandra Canori, Donna L Coffman, W. G. Wright, Margaret A. Finley, Shivayogi V. Hiremath
BACKGROUNDChronic pain affects 70% of individuals with spinal cord injury (SCI) and leads to declines in health and quality of life. Neuropathic and nociceptive pain are phenotypes derived from different mechanisms that contribute to pain perception. The objective of this research was to investigate differential pain responses to moderate-to-vigorous physical activity (MVPA) in two chronic pain phenotypes: neuropathic and nociceptive pain.METHODSCommunity-based physical activity levels were collected for one week in 17 individuals with SCI using a wrist-worn accelerometer, and daily pain ratings were assessed and categorized by phenotype. Physical activity levels were summarized to calculate minutes of MVPA. Correlational analyses were conducted to compare relationships between pain intensity and MVPA across individual participants and between pain phenotype groups.RESULTSThe neuropathic pain group revealed significant negative correlation between MVPA and pain intensity. In the nociceptive pain group, there was no significant correlation between MVPA and pain intensity. Further analysis revealed two subgroups of positive (N = 4) and negative (N = 3) correlations between MVPA and pain intensity. Pain location differed between the subgroups of nociceptive pain. Individuals with negative correlation experienced neck and upper back pain, whereas individuals with positive correlation experienced unilateral upper extremity pain.CONCLUSIONDifferential relationships exist between pain phenotypes and MVPA in individuals with SCI. Pain location differed between the subgroups of nociceptive pain, which we presume may indicate the presence of nociplastic pain in some individuals. These results may contribute to the advancement of personalized pain management by targeting non-pharmacological interventions for specific pain phenotypes.Trial registration: ClinicalTrials.gov identifier: NCT05236933..
背景 慢性疼痛影响着 70% 的脊髓损伤(SCI)患者,并导致其健康状况和生活质量下降。神经性疼痛和痛觉疼痛是由不同的疼痛感知机制产生的表型。本研究的目的是调查神经性疼痛和痛觉疼痛这两种慢性疼痛表型对中强度体力活动(MVPA)的不同疼痛反应。方法使用腕戴式加速度计收集 17 名 SCI 患者一周的社区体力活动水平,评估每日疼痛评分并按表型分类。对体力活动水平进行总结,计算出 MVPA 的分钟数。结果神经性疼痛组显示,MVPA 与疼痛强度之间存在显著的负相关。在神经痛组,MVPA 与疼痛强度之间没有明显的相关性。进一步分析发现,MVPA 和疼痛强度之间存在正相关(4 人)和负相关(3 人)两个亚组。痛觉疼痛亚组的疼痛部位有所不同。负相关的患者有颈部和上背部疼痛,而正相关的患者有单侧上肢疼痛。痛觉疼痛亚组之间的疼痛位置不同,我们推测这可能表明某些人存在非痉挛性疼痛。通过针对特定疼痛表型进行非药物干预,这些结果可能有助于推进个性化疼痛管理:试验注册:ClinicalTrials.gov identifier:NCT05236933.
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引用次数: 0
Development and validation of a risk nomogram to estimate risk of hyponatremia after spinal cord injury: A retrospective single-center study. 脊髓损伤后低钠血症风险估计提名图的开发与验证:一项回顾性单中心研究。
Pub Date : 2024-04-24 DOI: 10.1080/10790268.2024.2329437
Qian Wei, Xuefeng Lu, Zihong Yang, Jichong Zhu, Jie Jiang, Yaobin Xu, Fengxin Li, Haifeng Bu, Yikai Chen, Sijing Tuo, Ruyu Chen, Xiaoxia Ye, Laoyi Geer, Xiuwei Tan, Jiling Wang, Yanlan Wu, Fangming Song, Yiji Su
OBJECTIVEThis study aimed to establish a nomogram-based assessment for predicting the risk of hyponatremia after spinal cord injury (SCI).DESIGNThe study is a retrospective single-center study.PARTICIPANTSSCI patients hospitalized in the First Affiliated Hospital of Guangxi Medical University.SETTINGThe First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.METHODSWe performed a retrospective clinical study to collect SCI patients hospitalized in the First Affiliated Hospital of Guangxi Medical University from 2016 to 2020. Based on their clinical scores, the SCI patients were grouped as either hyponatremic or non-hyponatremic, SCI patients in 2016-2019 were identified as the training set, and patients in 2020 were identified as the test set. A nomogram was generated, the calibration curve, receiver operating characteristic (ROC) curve, and decision curve analysis (DCA) were used to validate the model.RESULTSA total of 895 SCI patients were retrieved. After excluding patients with incomplete data, 883 patients were finally included in this study and used to construct the nomograms. The indicators used in the nomogram included sex, completeness of SCI, pneumonia, urinary tract infection, fever, constipation, white blood cell (WBC), albumin and serum Ca2+. These indices were determined by the least absolute shrinkage and selection operator (LASSO) regression analysis. The C-index of the model was 0.81, the area under the curve (AUC) of the training set was 0.82(Cl:0.79-0.85), and the validation set was 0.79(Cl:0.73-0.85).CONCLUSIONSNomogram has good predictive ability, sex, completeness of SCI, pneumonia, urinary tract infection, fever, constipation, WBC, albumin and serum Ca2+ were predictors of hyponatremia after SCI.
目的本研究旨在建立一种基于提名图的评估方法,用于预测脊髓损伤(SCI)后发生低钠血症的风险。方法我们进行了一项回顾性临床研究,收集了2016年至2020年在广西医科大学第一附属医院住院治疗的SCI患者。根据临床评分将SCI患者分为低钠血症和非低钠血症两组,将2016-2019年的SCI患者确定为训练集,将2020年的患者确定为测试集。结果共检索到 895 例 SCI 患者。在排除数据不完整的患者后,最终有 883 名患者被纳入本研究,并用于构建提名图。提名图中使用的指标包括性别、SCI 的完整性、肺炎、尿路感染、发热、便秘、白细胞(WBC)、白蛋白和血清 Ca2+。这些指数是通过最小绝对收缩和选择算子(LASSO)回归分析确定的。该模型的 C 指数为 0.81,训练集的曲线下面积(AUC)为 0.82(Cl:0.79-0.85),验证集为 0.79(Cl:0.73-0.85)。
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引用次数: 0
Harnessing citizen science to improve community accessibility: Project Sidewalk. 利用公民科学改善社区无障碍环境:人行道项目。
Pub Date : 2024-04-24 DOI: 10.1080/10790268.2024.2341553
Carolann Murphy, Florian P Thomas
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引用次数: 0
A systematic review of validity and reliability assessment of measuring balance and walking at the level of International Classification of Functioning, Disability and Health (ICF) in people with spinal cord injury. 根据《国际功能、残疾和健康分类》(ICF)对脊髓损伤患者的平衡和行走能力进行有效性和可靠性评估的系统性综述。
Pub Date : 2024-04-23 DOI: 10.1080/10790268.2024.2335413
Zahra Hosseinzadeh, M. K. Ardakani, H. Minoonejad
CONTEXTA spinal cord injury (SCI) is associated with a wide range of impairments in functioning, many limitations in activity, and restrictions for patients.OBJECTIVESThe present study aimed to systematically review the psychometric properties (reliability and validity) of outcome measures used to assess walking and balance in people with spinal cord injury.METHODSDatabases such as PubMed, Embase, Scopus, and Web of Sciences were searched for relevant articles using various terms (title and abstract). Articles including the outcome measures of spinal cord injury patients and published in English from 2010 until 2021 were selected, and the quality of the selected studies was determined by applying the COSMIN checklist. Reliability and validity values were extracted, and conclusions were drawn about the psychometric quality of each measure.RESULTSA total of 1253 records were retrieved, and among them 22 potentially eligible articles were identified, 15 of which were included in the present study. The COSMIN tool (Consensus-based Standards for the selection of health status Measurement Instruments) was used to evaluate the quality level of imported articles based on the inclusion criteria.CONCLUSIONSOne consideration for testing people with disabilities is to observe the reliability and validity of the instrument, which was addressed in this study in various fields. In our study, seven tools for assessing SCI were evaluated, and it was found that the 10-meter walk (10MWT) tool performs better and more easily than other tools. The Mini-BESTest tool was suggested as a reliable tool for assessing standing balance in SCI subjects.
本研究旨在系统回顾用于评估脊髓损伤患者行走和平衡能力的结果测量的心理测量学特性(可靠性和有效性)。选取了 2010 年至 2021 年期间发表的包含脊髓损伤患者结果测量指标的英文文章,并采用 COSMIN 检查表确定了所选研究的质量。结果共检索到 1253 条记录,其中确定了 22 篇可能符合条件的文章,本研究纳入了其中的 15 篇。根据纳入标准,使用 COSMIN 工具(基于共识的健康状况测量工具选择标准)来评估导入文章的质量水平。结论对残疾人进行测试的一个考虑因素是观察工具的可靠性和有效性,本研究在各个领域都涉及到了这一点。在我们的研究中,对七种评估 SCI 的工具进行了评估,结果发现 10 米步行(10MWT)工具比其他工具表现得更好、更简便。迷你BESTest工具被认为是评估SCI受试者站立平衡的可靠工具。
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引用次数: 0
Where are we with exercise for autonomic dysreflexia and orthostatic hypotension? 自律神经反射障碍和正性低血压的运动治疗进展如何?
Pub Date : 2024-04-22 DOI: 10.1080/10790268.2024.2340818
Fei Zhao, Alexandra E. Soltesz, Jacob A. Goldsmith, Jill M. Wecht, Gino S. Panza
Published in The Journal of Spinal Cord Medicine (Ahead of Print, 2024)
发表于《脊髓医学杂志》(2024 年提前出版)
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引用次数: 0
The beneficial effect of α-lipoic acid on spinal cord injury repair in rats is mediated through inhibition of oxidative stress: A transcriptomic analysis α-硫辛酸对大鼠脊髓损伤修复的有益作用是通过抑制氧化应激介导的:转录组分析
Pub Date : 2024-04-22 DOI: 10.1080/10790268.2024.2342058
Ming-Ming Bian, Yao-Mei Xu, Lin Zhang, Hua-Zheng Yan, Jian-Xiong Gao, Gui-Qiang Fu, Yang-Yang Wang, He-Zuo Lü
Oxidative stress is a crucial factor contributing to the occurrence and development of secondary damage in spinal cord injuries (SCI), ultimately impacting the recovery process. α-lipoic acid (ALA)...
氧化应激是导致脊髓损伤(SCI)继发性损伤发生和发展的关键因素,最终会影响康复过程。α-硫辛酸(ALA)...
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引用次数: 0
Low-frequency electrically induced exercise after spinal cord injury: Physiologic challenge to skeletal muscle and feasibility for long-term use 脊髓损伤后的低频电诱导运动:对骨骼肌的生理挑战和长期使用的可行性
Pub Date : 2024-04-15 DOI: 10.1080/10790268.2024.2338295
Michael A. Petrie, Shauna Dudley-Javoroski, Kristin A. Johnson, Jinhyun Lee, Olga Dubey, Richard K. Shields
Skeletal muscle has traditionally been considered a “force generator”: necessary for purposes of locomotion, but expendable for non-ambulators who use wheelchairs, such as people with a spinal cord...
骨骼肌历来被认为是 "力的发生器":对于运动来说是必要的,但对于使用轮椅的非步行者(如脊髓损伤患者)来说则是消耗性的......
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引用次数: 0
Trends in the characteristics and outcomes of older patients with non-traumatic spinal cord injury treated in inpatient rehabilitation facilities: 2013–2018 在住院康复机构接受治疗的非创伤性脊髓损伤老年患者的特征和治疗结果趋势:2013-2018 年
Pub Date : 2024-04-08 DOI: 10.1080/10790268.2024.2335414
Anne Deutsch, Jennifer Burns, John Potelle, Allison Kessler
To describe the characteristics and outcomes of older (≥ 65 years of age) patients with a non-traumatic spinal cord injury (NTSCI) treated in inpatient rehabilitation facilities (IRFs) between 2013...
目的描述2013年期间在住院康复设施(IRF)接受治疗的老年(≥65岁)非创伤性脊髓损伤(NTSCI)患者的特征和治疗结果。
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引用次数: 0
The Perfect Step is the first one: Improving the quality of life for patients with spinal cord injuries through structured exercise 完美舞步是第一个:通过结构化锻炼提高脊髓损伤患者的生活质量
Pub Date : 2024-04-08 DOI: 10.1080/10790268.2024.2336276
Ellie M. Fratt, Alex McDonald, Hal Hargrave, Robert Sallis
More than 1 million people live with spinal cord injuries (SCI) in the United States alone. Despite research suggesting improvement in functional activities in patients who participate in regular p...
仅在美国,就有 100 多万脊髓损伤 (SCI) 患者。尽管有研究表明,定期参加体育锻炼可以改善脊髓损伤患者的功能活动。
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引用次数: 0
期刊
The Journal of Spinal Cord Medicine
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