Pub Date : 2025-02-01Epub Date: 2024-09-07DOI: 10.1016/j.pmr.2024.07.007
Travis Edmiston, Philipines Cabahug, Albert Recio, Cristina Lavinia Sadowsky
A marked decrease in bone mineral density is a well recognized, if not always fully addressed, spinal cord injury-related comorbidity. The bone loss starts shortly after paralysis onset, and the loss rate is steep. The diverse etiology includes mechanical, neurologic, endocrine, vascular, and pharmacologic factors. Dual x-ray absorptiometry is available and affordable to quantify the degree of bone loss and follow changes related to treatment. Fragility/low impact fractures occur frequently and can induce significant morbidity. Physical modalities and pharmacologic interventions can be employed to stave off and/or reverse bone loss with variable success rates.
骨矿物质密度明显降低是一种公认的脊髓损伤相关并发症，但并非总能得到充分解决。骨质流失开始于瘫痪后不久，流失率很高。病因多种多样，包括机械、神经、内分泌、血管和药物因素。双 X 射线吸收测量法可用于量化骨质流失程度并跟踪与治疗相关的变化，而且价格低廉。脆性/低冲击骨折经常发生，可导致严重的发病率。可采用物理方法和药物干预来避免和/或逆转骨质流失，但成功率不一。
{"title":"Bone Health following Spinal Cord Injury: A Clinical Guide to Assessment and Management.","authors":"Travis Edmiston, Philipines Cabahug, Albert Recio, Cristina Lavinia Sadowsky","doi":"10.1016/j.pmr.2024.07.007","DOIUrl":"https://doi.org/10.1016/j.pmr.2024.07.007","url":null,"abstract":"<p><p>A marked decrease in bone mineral density is a well recognized, if not always fully addressed, spinal cord injury-related comorbidity. The bone loss starts shortly after paralysis onset, and the loss rate is steep. The diverse etiology includes mechanical, neurologic, endocrine, vascular, and pharmacologic factors. Dual x-ray absorptiometry is available and affordable to quantify the degree of bone loss and follow changes related to treatment. Fragility/low impact fractures occur frequently and can induce significant morbidity. Physical modalities and pharmacologic interventions can be employed to stave off and/or reverse bone loss with variable success rates.</p>","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"36 1","pages":"99-110"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01Epub Date: 2024-10-21DOI: 10.1016/j.pmr.2024.07.002
Lucas Rempel, Rahul Sachdeva, Andrei V Krassioukov
Autonomic dysfunctions are a major challenge to individuals following spinal cord injury. Despite this, these consequences receive far less attention compared with motor recovery. This review will highlight the major autonomic dysfunctions following SCI predominantly based on our present understanding of the anatomy and physiology of autonomic control and available clinical data.
{"title":"Making the Invisible Visible: Understanding Autonomic Dysfunctions Following Spinal Cord Injury.","authors":"Lucas Rempel, Rahul Sachdeva, Andrei V Krassioukov","doi":"10.1016/j.pmr.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.pmr.2024.07.002","url":null,"abstract":"<p><p>Autonomic dysfunctions are a major challenge to individuals following spinal cord injury. Despite this, these consequences receive far less attention compared with motor recovery. This review will highlight the major autonomic dysfunctions following SCI predominantly based on our present understanding of the anatomy and physiology of autonomic control and available clinical data.</p>","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"36 1","pages":"17-32"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01Epub Date: 2024-10-18DOI: 10.1016/j.pmr.2024.09.002
Blessen C Eapen
{"title":"Advancements in Spinal Cord Injury Rehabilitation.","authors":"Blessen C Eapen","doi":"10.1016/j.pmr.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.pmr.2024.09.002","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"36 1","pages":"xiii-xiv"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01Epub Date: 2024-10-22DOI: 10.1016/j.pmr.2024.07.006
Ana Valeria Aguirre-Guemez, Suzanne L Groah
The majority of individuals with neurogenic lower urinary tract dysfunction will have complicated urinary tract infections (UTIs) that will qualify as recurrent. Existing inconsistencies and challenges contribute to its subjective diagnosis. Thus, there is a pressing need for a reconceptualization of our understanding of UTI, accompanied by a paradigm shift in diagnosis and treatment approaches.
{"title":"Managing Recurrent Urinary Tract Infections After Spinal Cord Injury: Practical Approaches and Emerging Concepts.","authors":"Ana Valeria Aguirre-Guemez, Suzanne L Groah","doi":"10.1016/j.pmr.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.pmr.2024.07.006","url":null,"abstract":"<p><p>The majority of individuals with neurogenic lower urinary tract dysfunction will have complicated urinary tract infections (UTIs) that will qualify as recurrent. Existing inconsistencies and challenges contribute to its subjective diagnosis. Thus, there is a pressing need for a reconceptualization of our understanding of UTI, accompanied by a paradigm shift in diagnosis and treatment approaches.</p>","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"36 1","pages":"73-98"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01Epub Date: 2024-10-22DOI: 10.1016/j.pmr.2024.07.004
Zakari R Dymock, Sara Shahid Salles
Spinal cord injuries (SCI) affect the anatomy and physiology of the spinal cord and result in characteristic changes. Identifying the impairments resulting from SCI is vital for the health care provider. Specifically, this article focuses on neurologic decline after SCI in the subacute to chronic stages. This includes changes in spasticity and its management over time, management of neuropathic pain after SCI, the development of spine complications (posttraumatic syrinx, spinal cord tethering, and so forth), management of dual-diagnosis traumatic brain injury and SCI, and other neurologic complications in chronic SCI management, such as upper-extremity entrapment mononeuropathies.
{"title":"Neurologic Decline After Spinal Cord Injury.","authors":"Zakari R Dymock, Sara Shahid Salles","doi":"10.1016/j.pmr.2024.07.004","DOIUrl":"https://doi.org/10.1016/j.pmr.2024.07.004","url":null,"abstract":"<p><p>Spinal cord injuries (SCI) affect the anatomy and physiology of the spinal cord and result in characteristic changes. Identifying the impairments resulting from SCI is vital for the health care provider. Specifically, this article focuses on neurologic decline after SCI in the subacute to chronic stages. This includes changes in spasticity and its management over time, management of neuropathic pain after SCI, the development of spine complications (posttraumatic syrinx, spinal cord tethering, and so forth), management of dual-diagnosis traumatic brain injury and SCI, and other neurologic complications in chronic SCI management, such as upper-extremity entrapment mononeuropathies.</p>","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"36 1","pages":"47-60"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-08DOI: 10.1016/S1047-9651(24)00078-0
{"title":"Copyright","authors":"","doi":"10.1016/S1047-9651(24)00078-0","DOIUrl":"10.1016/S1047-9651(24)00078-0","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"35 4","pages":"Page ii"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-08DOI: 10.1016/j.pmr.2024.08.006
Alex Donaghy MD, Alberto Miranda MD
{"title":"Insights and Innovations in Amputation Rehabilitation","authors":"Alex Donaghy MD, Alberto Miranda MD","doi":"10.1016/j.pmr.2024.08.006","DOIUrl":"10.1016/j.pmr.2024.08.006","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"35 4","pages":"Pages xvii-xviii"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-08DOI: 10.1016/S1047-9651(24)00077-9
Alex Donaghy (Editor), Alberto Miranda (Editor)
{"title":"Amputation Rehabilitation","authors":"Alex Donaghy (Editor), Alberto Miranda (Editor)","doi":"10.1016/S1047-9651(24)00077-9","DOIUrl":"10.1016/S1047-9651(24)00077-9","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"35 4","pages":"Page i"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-08DOI: 10.1016/S1047-9651(24)00079-2
{"title":"Contributors","authors":"","doi":"10.1016/S1047-9651(24)00079-2","DOIUrl":"10.1016/S1047-9651(24)00079-2","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"35 4","pages":"Pages iii-vii"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-08DOI: 10.1016/S1047-9651(24)00081-0
{"title":"Forthcoming Issues","authors":"","doi":"10.1016/S1047-9651(24)00081-0","DOIUrl":"10.1016/S1047-9651(24)00081-0","url":null,"abstract":"","PeriodicalId":54617,"journal":{"name":"Physical Medicine and Rehabilitation Clinics of North America","volume":"35 4","pages":"Page xiii"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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