Combined SCI and TBI: Recovery of forelimb function after unilateral cervical spinal cord injury (SCI) is retarded by contralateral traumatic brain injury (TBI), and ipsilateral TBI balances the effects of SCI on paw placement

This chapter discusses traumatic spinal cord and brain injuries. The first three studies review the background and key findings of the third National Acute Spinal Cord Injury Study (NASCIS) trial, examine the efficacy of the Canadian C-Spine Rule in the evaluation of cervical spine injuries in alert and stable trauma patients; and describe the development of the Thoracolumbar Injury Classification and Severity Score (TLICS) classification system. The next two studies assess the effect of early surgical decompression in patients with traumatic cervical spinal cord injury and delineate the role of secondary brain injury in determining patient outcome in severe traumatic brain injury. The following set of four studies evaluates the efficacy of phenytoin in preventing posttraumatic seizures, as well as the efficacy of intracranial pressure monitoring, induction of hypothermia, and decompressive craniectomy for severe traumatic brain injury. The last study, which is of historical value, identifies predictors of outcome in comatose patients with traumatic acute subdural hematoma.

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Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?

Yearbook of Neurology and Neurosurgery ◽

10.1016/j.yneu.2011.12.006 ◽

2012 ◽

Vol 2012 ◽

pp. 282-283

Author(s):

R. Riesenburger

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Cervical Cord ◽

Minor Trauma ◽

Increased Risk ◽

Cord Injury

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Effects of neurocognitive rehabilitation on task performance and upper limb function in patients with incomplete cervical spinal cord injury

The Korean Society of Cognitive Therapeutic Exercise ◽

10.29144/kscte.2017.9.1.51 ◽

2017 ◽

Vol 9 ◽

pp. 51-58

Author(s):

Bo Ra Kang ◽

Jun Young Kim ◽

Su Ji Lee ◽

Si Nae Ahn

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Task Performance ◽

Upper Limb ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Limb Function ◽

Upper Limb Function ◽

Cord Injury ◽

Neurocognitive Rehabilitation

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An Inertial Measurement Unit-Based Wireless System for Shoulder Motion Assessment in Patients with Cervical Spinal Cord Injury: A Validation Pilot Study in a Clinical Setting

Sensors ◽

10.3390/s21041057 ◽

2021 ◽

Vol 21 (4) ◽

pp. 1057

Author(s):

Riccardo Bravi ◽

Stefano Caputo ◽

Sara Jayousi ◽

Alessio Martinelli ◽

Lorenzo Biotti ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Clinical Setting ◽

Cervical Spinal Cord ◽

Wearable Sensors ◽

Cervical Spinal Cord Injury ◽

Measurement Unit ◽

Innovative Technology ◽

Inertial Measurement ◽

Cord Injury

Residual motion of upper limbs in individuals who experienced cervical spinal cord injury (CSCI) is vital to achieve functional independence. Several interventions were developed to restore shoulder range of motion (ROM) in CSCI patients. However, shoulder ROM assessment in clinical practice is commonly limited to use of a simple goniometer. Conventional goniometric measurements are operator-dependent and require significant time and effort. Therefore, innovative technology for supporting medical personnel in objectively and reliably measuring the efficacy of treatments for shoulder ROM in CSCI patients would be extremely desirable. This study evaluated the validity of a customized wireless wearable sensors (Inertial Measurement Units—IMUs) system for shoulder ROM assessment in CSCI patients in clinical setting. Eight CSCI patients and eight healthy controls performed four shoulder movements (forward flexion, abduction, and internal and external rotation) with dominant arm. Every movement was evaluated with a goniometer by different testers and with the IMU system at the same time. Validity was evaluated by comparing IMUs and goniometer measurements using Intraclass Correlation Coefficient (ICC) and Limits of Agreement (LOA). inter-tester reliability of IMUs and goniometer measurements was also investigated. Preliminary results provide essential information on the accuracy of the proposed wireless wearable sensors system in acquiring objective measurements of the shoulder movements in CSCI patients.

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