scholarly journals Advance in Nutritional Status and Intervention after Spinal Cord Injury

2021 ◽  
Vol 5 (6) ◽  
pp. 7-14
Author(s):  
Xueqin Zeng ◽  
Jie Xiang ◽  
Lu Dong ◽  
Bo Dong ◽  
Yindi Sun
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Nutritional Status ◽  
Dietary Supplement ◽  
Spinal Surgery ◽  
Medical Staff ◽  
Nutritional Intervention ◽  
Nutrition Status ◽  
Common Disease ◽  
Cord Injury

Spinal cord injury (SCI) is a common disease in spinal surgery. SCI affects the metabolism of patients and changes their lifestyle. Nutritional problems may occur, which may be manifested as insufficient or overnutrition. Nutrition status is related to many complications and final outcome after SCI. In this paper, the nutritional status of patients with SCI and the progress of nutritional intervention were reviewed by comprehensive domestic and foreign literature. Medical staff should routinely screen and evaluate the nutrition of patients after SCI operation, and provide comprehensive nutritional intervention such as diet, exercise and dietary supplement.

scholarly journals Analysis of the dietary habits and nutritional status of patients with spinal cord injury after nutritional intervention

2014 ◽  
Vol 21 (3) ◽  
Author(s):  
Elizabete Alexandre dos Santos ◽  
Vera Lúcia Rodrigues Alves ◽  
Silvia Ramos ◽  
Vera Silvia Frangella
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Nutritional Intervention ◽  
Cord Injury

scholarly journals THE PRINCIPLES OF COMPLEX NUTRITIONAL STATUS DISORDER CORRECTION IN PATIENTS WITH SPINAL CORD INJURY

2018 ◽  
Vol 11 (5) ◽  
pp. 30-34
Author(s):  
LAYSYAN SH . GUMAROVA ◽  
◽  
REZEDA A . BODROVA ◽  
ALFIYA YA. NAZIPOVA ◽  
ELENA A. BUSURGINA ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Nutritional Status ◽  
Cord Injury

scholarly journals Nutritional status in chronic spinal cord injury: a systematic review and meta-analysis

Spinal Cord ◽  
2018 ◽  
Vol 57 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Gary J. Farkas ◽  
Marika A. Pitot ◽  
Arthur S. Berg ◽  
David R. Gater
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Nutritional Status ◽  
Meta Analysis ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury

scholarly journals Protocol for rapid onset of mobilisation in patients with traumatic spinal cord injury (PROMPT-SCI) study: a single-arm proof-of-concept trial of early in-bed leg cycling following acute traumatic spinal cord injury

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049884
Author(s):  
Jean-Marc Mac-Thiong ◽  
Andreane Richard-Denis ◽  
Yvan Petit ◽  
Francis Bernard ◽  
Dorothy Barthélemy ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Patient Outcomes ◽  
Spinal Surgery ◽  
Rapid Onset ◽  
Traumatic Spinal Cord Injury ◽  
Proof Of Concept ◽  
Historical Cohort ◽  
Cord Injury ◽  
Leg Cycling

IntroductionActivity-based therapy (ABT) is an important aspect of rehabilitation following traumatic spinal cord injury (SCI). Unfortunately, it has never been adapted to acute care despite compelling preclinical evidence showing that it is safe and effective for promoting neurological recovery when started within days after SCI. This article provides the protocol for a study that will determine the feasibility and explore potential benefits of early ABT in the form of in-bed leg cycling initiated within 48 hours after the end of spinal surgery for SCI.Methods and analysisPROMPT-SCI (protocol for rapid onset of mobilisation in patients with traumatic SCI) is a single-site single-arm proof-of-concept trial. Forty-five patients aged 18 years or older with a severe traumatic SCI (American Spinal Injury Association Impairment Scale grade A, B or C) from C0 to L2 undergoing spinal surgery within 48 hours of the injury will be included. Participants will receive daily 30 min continuous sessions of in-bed leg cycling for 14 consecutive days, initiated within 48 hours of the end of spinal surgery. The feasibility outcomes are: (1) absence of serious adverse events associated with cycling, (2) completion of 1 full session within 48 hours of spinal surgery for 90% of participants and (3) completion of 11 sessions for 80% of participants. Patient outcomes 6 weeks and 6 months after the injury will be measured using neurofunctional assessments, quality of life questionnaires and inpatient length of stay. Feasibility and patient outcomes will be analysed with descriptive statistics. Patient outcomes will also be compared with a matched historical cohort that has not undergone in-bed cycling using McNemar and Student’s t-tests for binary and continuous outcomes, respectively.Ethics and disseminationPROMPT-SCI is approved by the Research Ethics Board of the CIUSSS NIM. Recruitment began in April 2021. Dissemination strategies include publications in scientific journals and presentations at conferences.Trial registration numberNCT04699474.

scholarly journals Complications of spinal surgery in acute spinal cord injury

Spinal Cord ◽  
1994 ◽  
Vol 32 (6) ◽  
pp. 389-395 ◽  
Author(s):  
J E Carvell ◽  
D J Grundy
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Surgery ◽  
Acute Spinal Cord Injury ◽  
Cord Injury

Energy Expenditure and Nutrient Intake after Spinal Cord Injury: A Comprehensive Review and Practical Recommendations

2021 ◽  
pp. 1-77
Author(s):  
Gary J. Farkas ◽  
Alicia Sneij ◽  
David W. McMillan ◽  
Eduard Tiozzo ◽  
Mark S. Nash ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Energy Expenditure ◽  
Nutrient Intake ◽  
Dietary Guidelines ◽  
Nutrition Status ◽  
Evidence Based ◽  
Dietary Reference Intake ◽  
Dietary Recommendations ◽  
Cord Injury

Abstract Many persons with spinal cord injury (SCI) have one or more preventable chronic diseases related to excessive caloric intake, and poor eating patterns. Appropriate nutrient consumption relative to need becomes a concern despite authoritative dietary recommendations from around the world. These recommendations were developed for the nondisabled population and do not account for the injury-induced changes in body composition, hypometabolic rate, hormonal dysregulation, and nutrition status after SCI. Because evidence-based dietary reference intake values for SCI do not exist, ensuring appropriate consumption of macronutrient and micronutrients for their energy requirements becomes a challenge. In this compressive review, we briefly evaluate aspects of energy balance and appetite control relative to SCI. We report on the evidence regarding energy expenditure, nutrient intake, and their relationship after SCI. We compare this data to several established nutritional guidelines from American Heart Association, Australian Dietary Guidelines, Dietary Guidelines for Americans, Institute of Medicine Dietary Reference Intake, Public Health England Guidelines Government Dietary Recommendations, World Health Organization Healthy Diet, and the Paralyzed Veterans of America (PVA) Clinical Practice Guidelines. We also provide practical assessment and nutritional recommendations to facilitate a healthy dietary pattern after SCI. Because of a lack of strong SCI research, there are currently limited dietary recommendations outside of the PVA guidelines that capture the unique nutrient needs after SCI. Future multicenter clinical trials are needed to develop comprehensive, evidence-based dietary reference values specific for persons with SCI across the care continuum that rely on accurate, individual assessment of energy need.

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