scholarly journals Development and Effectiveness Testing of “Punsook”: A Smartphone Application for Intermittent Urinary Catheter Users with Spinal Cord Injury

2021 ◽  
Vol 72 (2) ◽  
pp. 99-107
Author(s):  
Kamontip Harnphadungkit
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
User Satisfaction ◽  
Urinary Catheter ◽  
Smartphone Application ◽  
Ease Of Use ◽  
Second Phase ◽  
Urinary Leakage ◽  
Study Results ◽  
Cord Injury

Objective: To develop and evaluate effectiveness of a smartphone application to assist the self-management of intermittent urinary catheter users Methods: This is experimental clinical research as part of a medical device trial. In phase 1, 10 intermittent urinary catheter users were recruited from spinal cord injury (SCI) patients who had been admitted to a rehabilitation ward at Siriraj Hospital. They used the preliminary version of “Punsook”, a web-based application (app) for a smartphone, alongside usual intermittent urinary catheterization (IC), and gave feedback on their experiences. Their qualitative opinions were used to further develop a second version of the “Punsook” app. In phase 2, the new version was used by 35 participants, who were asked to complete an effectiveness questionaire after using the app, including providing details on their history of urinary tract infection (UTI), urinary leakage, and catheterization-related pain. This information was gathered at the end of first and third months in the second phase of the study. Results: More than half the participants agreed at the end of the first month that every part of the app was acceptably pleasant. They liked the simplicity and ease of use of the app, accessibility, ease of return to use, and interest in the program. No statistically significant changes in urinary leakage, UTI, or pain were found. Conclusion: The app was considered effective in terms of the positive user satisfaction with all aspects of the app. However, despite this positive reception, the app may not have contributed to an improvement in participant bladder control.

scholarly journals The SCIRehab project: analyzing multidisciplinary inpatient spinal cord injury rehabilitation treatment — second phase

2011 ◽  
Vol 34 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Gale Whiteneck ◽  
Julie Gassaway ◽  
Marcel P. Dijkers ◽  
Flora M. Hammond ◽  
Daniel P. Lammertse
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Second Phase ◽  
Injury Rehabilitation ◽  
Rehabilitation Treatment ◽  
Cord Injury

scholarly journals Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury

2016 ◽  
Vol 43 (5) ◽  
pp. 529-538 ◽  
Author(s):  
Mary H. Wilde ◽  
James M. McMahon ◽  
Eileen Fairbanks ◽  
Judith Brasch ◽  
Robert Parshall ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Catheter ◽  
Self Management ◽  
Web Based ◽  
Management Intervention ◽  
Cord Injury

scholarly journals DEPENDENCE OF THE RESTORATIVE EFFECT OF MACROPOROUS POLY(N-[2-HYDROXYPROPYL]-METHACRYLAMIDE HYDROGEL ON THE SEVERITY OF EXPERIMENTAL LACERATIVE SPINAL CORD INJURY

2021 ◽  
Vol 127 (4) ◽  
pp. 8-21
Author(s):  
Ibrahim Abdallah ◽  
Volodymyr Мedvediev ◽  
Nataliya Draguntsova ◽  
Nana Voitenko ◽  
Vitaliy Tsymbaliuk
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Motor Function ◽  
Severe Trauma ◽  
Individual Characteristics ◽  
Male Rats ◽  
Study Results ◽  
Cord Injury ◽  
Hydroxypropyl Methacrylamide ◽  
Immediate Implantation

restoration of the spinal cord function presents a most severe biomedical issue nowadays. The aim of the study was to detect the macroporous poly(N-[2-hydroxypropyl]-methacrylamide hydrogel (PHPMA-hydrogel, HG) restorative effect dependence on the severity of the laceration spinal cord injury in young organisms. The male rats sample (~1-month-old, ~50 g, inbred Wistar line) was represented with 4 experimental groups: 1) spinal cord lateral hemisection at the level of ~Т12–Т13 segments (Sect; n=11); 2) spinal cord lateral hemiexcision ~1 mm long at the similar level (Exc; n=8); 3) spinal cord lateral hemisection at the similar level with immediate implantation of the hydrogel fragment into the trauma region (HGsect; n=11); 4) spinal cord lateral hemiexcision at the similar level with immediate implantation of the hydrogel fragment into the affected region (HGexс; n=6). The motor function and spasticity of the paretic hindlimb was estimated respectively by the technically modified Basso–Beattie–Bresnahan (ВВВ) and Ashworth, conditionally blinded to individual characteristics of all operated animals and previous study results. The observation lasted for ~5 months. The criteria of non-inclusion were as follows: the ipsilateral hindlimb function level in a week after the injury >9 points ВВВ, and the contralateral hindlimb function level during prolonged period ≤14 points ВВВ. The results were interpreted and presented according to the standardized time scale with interpolatory representation of the motor function and spasticity individual level in certain cases. Asymptotic stage differences between the studied groups and subgroups were stated during the first three weeks as well as in 8 weeks and 3 months after the injury. We found out that in a week after injury the motor function level in group Exc made up 0.9±0.5 points ВВВ, in group HGexc — 3.6±1.2 points, in group Sect — 5.9±1.1 points, in group HGsect — 6.0±1.0 points. In 5 months the motor function level in group Sect made up 9.5±1.0 points ВВВ, in group HGsect — 9.5±1.1 points, in group Exc — 0.8±0.3 points, in group HGexc — 4.5±1.8 points. At the same study stage the spasticity level in groups Sect and HGsect was, respectively, 0.8±0.2 and 0.8±0.3 points Ashworth, in group HGexc — 1.8±0.7 points, in group Exc — 3.6±0.3 points. Throughout the study no significant differences in groups Sect and HGsect have been detected, and in groups Exc і HGexc such differences were detected only in 5 weeks after the injury. The considerable difference of spasticity in groups Sect and HGsect was noted in 1 week after the injury, in groups HGexc and Exc — during first 2 months of the experiment. In groups Sect and Exc reliable difference of both motor function and spasticity level was found at all study stages. In groups HGsect and HGexc considerable difference of the motor function level was characteristic at all stages, except for the end of the 1st and 7th weeks, whereas spasticity level differences throughout the study remained insignificant. So, the tested hydrogel in young organisms shows positive effect only with severe trauma stages accompanied with extensive spinal cord defect.

scholarly journals Why Does COVID-19 Affect Patients with Spinal Cord Injury Milder? A Case-Control Study: Results from Two Observational Cohorts

2020 ◽  
Vol 10 (4) ◽  
pp. 182
Author(s):  
Enrique Calvo ◽  
Nerea Corbacho-Alonso ◽  
Tamara Sastre-Oliva ◽  
Estefania Nuñez ◽  
Patricia Baena-Galan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
General Population ◽  
Differential Analysis ◽  
Global Challenge ◽  
Number Of Patients ◽  
Study Results ◽  
Cord Injury ◽  
Viral Respiratory Infection ◽  
Isobaric Tags

The COVID-19 pandemic represents an unprecedented global challenge in this century. COVID-19 is a viral respiratory infection, yet the clinical characteristics of this infection differ in spinal cord injury patients from those observed in the general population. Cough and asthenia are the most frequent symptoms in this population. Moreover, infected spinal cord injury patients rarely present complications that require admission to an Intensive Care Unit, in contrast to the general population. Thus, there is a clear need to understand how COVID-19 affects spinal cord injury patients from a molecular perspective. Here, we employed an -omics strategy in order to identify variations in protein abundance in spinal cord injury patients with and without COVID-19. After a quantitative differential analysis using isobaric tags and mass spectrometry and a verification phase, we have found differences mainly related to coagulation and platelet activation. Our results suggest a key role of heparin in the response of spinal cord injury patients to COVID-19 infection, showing a significant correlation between these proteins and heparin dose. Although the number of patients is limited, these data may shed light on new therapeutic options to improve the management these patients and, possibly, those of the general population as well.

scholarly journals Promoting factors and barriers to participation in working life for people with spinal cord injury

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Christian Sturm ◽  
Andrea Bökel ◽  
Christoph Korallus ◽  
Veronika Geng ◽  
Yorck B. Kalke ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Labour Market ◽  
Occupational Activity ◽  
Cross Sectional ◽  
Self Disclosure ◽  
Gainful Employment ◽  
Self Confidence ◽  
Study Results ◽  
Cord Injury

Abstract Background It is still difficult for people with physical impairments to be and remain equally integrated into the labour market. For this reason, the question of occupational activity has explicitly been examined by the German Spinal Cord Injury Survey (GerSCI) in order to identify barriers and facilitators for labour market participation. Methods Cross-sectional explorative observational study. The GerSCI survey is the German part of the International Spinal Cord Injury Survey (InSCI). Using survey data from persons recruited at eight specialised SCI-centres in Germany. Participants: 1.479 persons with Spinal Cord Injury (SCI) aged 18 years and older. Results In a self-disclosure questionnaire, persons with SCI show themselves as a professionally well-educated and highly motivated group with most of them aiming at gainful employment and considering themselves fit for work. Many changeable and non-changeable factors have been found, which showed a high correlation with the return to work after acquired SCI. Conclusion Education and pain belong to the most critical factors and thereby possible approaches to increase the level of employment, which is essential and highly relevant not only for earning money but also for self-confidence and social integration. SCI has many dimensions in itself; support also should be multidimensional. Study results might help to improve participation.

scholarly journals Usability of the Participation and Quality of Life (PAR-QoL) Outcomes Toolkit Website for Spinal Cord Injury

2020 ◽  
Vol 26 (1) ◽  
pp. 64-77 ◽  
Author(s):  
Maude Beaudoin ◽  
Krista L. Best ◽  
François Routhier ◽  
Lynda Atack ◽  
Sander L. Hitzig ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Online Survey ◽  
Community Integration ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Cord Injury

Background: Quality of life (QoL) is an important parameter to monitor during rehabilitation; however, accurate assessment is challenging. Among individuals with spinal cord injury (SCI), assessing QoL is further challenged due to complex sequelae, such as secondary health conditions and factors related to community integration. A Participation and Quality of Life (PAR-QoL) toolkit was created to aid clinicians and researchers in the selection of QoL outcomes tools specific to SCI. Objectives: The aim of this study was to evaluate the use and usability of the PAR-QoL toolkit. Methods: A cross-sectional study was conducted using an online survey from December 2013 to November 2016. Google Analytics were collected from April 2012 to April 2018. Survey sections addressed “use” (behavioral practices and actual use) and “usability” (perceived ease of use and perceived usefulness). Any person who visited the PAR-QoL website was invited to complete the survey. Summary statistics and percent concordances were calculated to describe results from the survey and Google Analytics. Results: The PAR-QoL website had 188,577 users. The five most visited webpages were outcome tools, with bounce rates ranging from 77% to 90%. Of the 46 survey respondents, 67% were not current users of the PAR-QoL website, and 87% intended to use the resources in the future. Conclusion: Uptake of the PAR-QoL website is currently limited. Usability of the PAR-QoL website may be improved by modifying navigation, removing the “less useful” components, ensuring regular updates of content and resources, and promoting the website.

scholarly journals Time needed to perform intermittent catheterization in adults with spinal cord injury: A pilot randomized controlled cross-over study

2021 ◽  
Author(s):  
Karthik Gopalakrishnan ◽  
Nick F Nielsen ◽  
Andrea L Ramirez ◽  
Jeppe Soerensen ◽  
Matthias Walter ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
User Satisfaction ◽  
Intermittent Catheterization ◽  
Participant Satisfaction ◽  
Cord Injury ◽  
Measured Time ◽  
Bladder Management ◽  
Parametric Statistics ◽  
Strongly Agree

Background: Intermittent catheterization (IC), considered the gold standard for bladder management for individuals with spinal cord injury (SCI) with sufficient dexterity, is usually performed using hydrophilic (HPC) or non-hydrophilic (non-HPC) catheters. Currently, there is no evidence on the temporal burden associated with IC with either catheter. Objective: To compare both catheters regarding their time requirement for IC and participant satisfaction. Design, setting and participants: Twenty individuals with chronic (>1-year) SCI at any spinal segment were randomized to undergo two cross-over assessments within 10 days (i.e., either starting with HPC or non-HPC). We measured time taken to perform IC using a 13 step pre-determined IC protocol (e.g., enter bathroom, wash hands, transfer to toilet, etc.). Furthermore, we assessed user satisfaction of both catheters using a Likert scale (i.e., strongly agree=5, strongly disagree=1). Outcome measures and statistical analysis: Time (i.e., for each step and in total) to perform IC and participant satisfaction were compared between catheters using non-parametric statistics, i.e., Wilcoxon rank sign tests. Results are presented as median with interquartile range. Results and limitations: Participants using HPCs spent less time to prepare a catheter [15 s (10-20) vs. 41 (20-69), p=0.002] and overall to perform IC [283 s (242-352) vs. 373 (249-441), p=0.01] compared to non-HPCs. Moreover, participants rated the preparation of HPCs to be easier [5 (4-5) vs. 4 (2-4), p=0.047] compared to non-HPCs. The key limitation of this pilot study was the sample size. Conclusions: Preparation and usage of HPCs for IC is easier and faster compared to non-HPCs. IC can be a significant temporal burden for SCI individuals. Patient summary: We compared coated and uncoated catheters on time needed for intermittent catheterization and user satisfaction in individuals with spinal cord injury. Participants can manually empty their bladder quicker and easier with coated compared to uncoated catheters.

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