Spinal Cord Injury (SCI) Rehabilitator

2011 ◽  
Vol 1 (1) ◽  
pp. 32-38
Author(s):  
Jisha Jijo ◽  
Divya R. ◽  
Helena Nerin Anthony ◽  
Pooja Venugopalan ◽  
Sruthi Satheeskumar ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Blood Circulation ◽  
Low Cost ◽  
Plantar Flexion ◽  
Muscular Activity ◽  
Continuous Passive Motion ◽  
Cord Injury ◽  
Safety Parameters ◽  
Patient Circuit

The proposed device is a rehabilitation aid for the prevention of secondary diseases usually associated with Spinal Cord Injury. In such patients the calf muscles are degenerated and there is abnormality in systemic blood circulation. Thus there is a high risk of the patient being subjected to death. For faster recovery in such a patient, it is medically recommended that he or she is given continuous passive motion for a longer duration. This is done by a physiotherapist using his manual power. The movements usually given are: adduction and abduction, flexion and extension, plantar-flexion and dorsi-flexion. The outcome of such a process will be very limited as it is a laborious task. Thus the main objective behind this project is to provide continuous movement so as to improve the patient’s joint mobility and muscle flexibility thereby enhancing the blood circulation and neuro muscular activity in a low-cost technique. The device automatizes all the movements provided by a physiotherapist. Three different motors are used to control each of the movements listed. Basically, it is a mechanical model in which speed, torque, angle and time of each of the movements can be adjusted. The device is battery-powered and provides complete patient-circuit isolation and is inclusive of all patient safety parameters.

Relationship of Exercise and Hospital Readmission After Spinal Cord Injury: A Secondary Analysis

2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Stephanie Kubiak ◽  
Elliot Sklar
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Readmission ◽  
Low Cost ◽  
Hospital Readmissions ◽  
Secondary Analysis ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Exercise Participation ◽  
Cord Injury

Importance: After spinal cord injury (SCI), as many as 45% of people experience at least one hospital readmission within 1 yr. Identification of feasible low-cost interventions to reduce hospital readmissions after SCI is needed. Objective: To explore whether a relationship exists between routine exercise and hospital readmission rates 1 yr after SCI. Design: We conducted a secondary analysis of data from the SCIRehab Project, a prospective cohort study. Setting: Five SCI inpatient rehabilitation facilities across the United States. Participants: Participants were people age 12 yr and older who had sustained an SCI, were admitted to a participating inpatient rehabilitation facility, completed the 12-mo postinjury interview, and reported exercising either monthly or not at all since discharge (N = 520). Outcomes and Measures: The SCIRehab Project conducted 12-mo post–inpatient rehabilitation discharge interviews. As part of the interviews, self-reported hospital readmissions and exercise frequencies since discharge (self-reported number of months, average days per week, and average minutes per day of exercise participation) were collected and analyzed. Results: A χ2 analysis determined that a significant correlation (φ = −.091, p = .038) exists between monthly exercise and hospital readmissions 1 yr postinjury. Compared with those who did not exercise, participants who exercised monthly had 8.4% fewer hospital readmissions. Conclusions and Relevance: A relationship exists between exercise and hospital readmission, but follow-up research is needed to determine whether regular exercise reduces hospital readmissions among this population. What This Article Adds: After discharge, 44% of the participants did not exercise during the first year after injury. Identifying or implementing accessible community exercise programs is an area of opportunity for occupational therapy practitioners and future researchers to explore.

scholarly journals A Modeled Analysis of Telehealth Methods for Treating Pressure Ulcers after Spinal Cord Injury

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Mark W. Smith ◽  
Michelle L. Hill ◽  
Karen L. Hopkins ◽  
B. Jenny Kiratli ◽  
Ruth C. Cronkite
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Ulcers ◽  
Low Cost ◽  
Stage Iv ◽  
Treatment Method ◽  
Veterans Health ◽  
Entire Treatment Period ◽  
Clinical Scenarios ◽  
Cord Injury

Home telehealth can improve clinical outcomes for conditions that are common among patients with spinal cord injury (SCI). However, little is known about the costs and potential savings associated with its use. We developed clinical scenarios that describe common situations in treatment or prevention of pressure ulcers. We calculated the cost implications of using telehealth for each scenario and under a range of reasonable assumptions. Data were gathered primarily from US Department of Veterans Affairs (VA) administrative records. For each scenario and treatment method, we multiplied probabilities, frequencies, and costs to determine the expected cost over the entire treatment period. We generated low-, medium-, and high-cost estimates based on reasonable ranges of costs and probabilities. Telehealth care was less expensive than standard care when low-cost technology was used but often more expensive when high-cost, interactive devices were installed in the patient’s home. Increased utilization of telehealth technology (particularly among rural veterans with SCI) could reduce the incidence of stage III and stage IV ulcers, thereby improving veterans' health and quality of care without increasing costs. Future prospective studies of our present scenarios using patients with various healthcare challenges are recommended.

Objective clinical assessment of motor function after experimental spinal cord injury in the rat

1977 ◽  
Vol 47 (4) ◽  
pp. 577-581 ◽  
Author(s):  
Alex S. Rivlin ◽  
Charles H. Tator
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Motor Function ◽  
Clinical Assessment ◽  
Low Cost ◽  
Content Type ◽  
Non Invasive ◽  
Experimental Spinal Cord Injury ◽  
Maximum Angle ◽  
Cord Injury

✓ A new method was developed for the clinical assessment of motor function in rats after experimental spinal cord injury. The method consists of placing the animal on an inclined plane which can be adjusted to provide a slope of varying grade, and then assessing the maximum angle of the plane at which the animal can maintain its position without falling. The method was used to quantitate motor function in normal rats and in rats subjected to myelectomy, and consistently showed major differences between the two groups. The method has many positive features: the plane is easy to construct and of low cost; and the test is rapid, non-invasive, repeatable, and consistent.

Shoulder muscular activity in individuals with low back pain and spinal cord injury during seated manual load transfer tasks

Ergonomics ◽  
2018 ◽  
Vol 61 (8) ◽  
pp. 1094-1101
Author(s):  
Clark R. Dickerson ◽  
Talia Alenabi ◽  
Bernard J. Martin ◽  
Don B. Chaffin
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Low Back Pain ◽  
Back Pain ◽  
Load Transfer ◽  
Muscular Activity ◽  
Low Back ◽  
Cord Injury ◽  
Transfer Tasks

scholarly journals Immediate Effects of Transcutaneous Spinal Cord Stimulation on Motor Function in Chronic, Sensorimotor Incomplete Spinal Cord Injury

2020 ◽  
Vol 9 (11) ◽  
pp. 3541
Author(s):  
Christian Meyer ◽  
Ursula S. Hofstoetter ◽  
Michèle Hubli ◽  
Roushanak H. Hassani ◽  
Carmen Rinaldo ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Stimulation ◽  
Spinal Injury ◽  
Plantar Flexion ◽  
Spinal Reflex ◽  
Incomplete Spinal Cord Injury ◽  
Spinal Circuitry ◽  
Cord Injury ◽  
Spinal Excitability

Deficient ankle control after incomplete spinal cord injury (iSCI) often accentuates walking impairments. Transcutaneous electrical spinal cord stimulation (tSCS) has been shown to augment locomotor activity after iSCI, presumably due to modulation of spinal excitability. However, the effects of possible excitability modulations induced by tSCS on ankle control have not yet been assessed. This study investigated the immediate (i.e., without training) effects during single-sessions of tonic tSCS on ankle control, spinal excitability, and locomotion in ten individuals with chronic, sensorimotor iSCI (American Spinal Injury Association Impairment Scale D). Participants performed rhythmic ankle movements (dorsi- and plantar flexion) at a given rate, and irregular ankle movements following a predetermined trajectory with and without tonic tSCS at 15 Hz, 30 Hz, and 50 Hz. In a subgroup of eight participants, the effects of tSCS on assisted over-ground walking were studied. Furthermore, the activity of a polysynaptic spinal reflex, associated with spinal locomotor networks, was investigated to study the effect of the stimulation on the dedicated spinal circuitry associated with locomotor function. Tonic tSCS at 30 Hz immediately improved maximum dorsiflexion by +4.6° ± 0.9° in the more affected lower limb during the rhythmic ankle movement task, resulting in an increase of +2.9° ± 0.9° in active range of motion. Coordination of ankle movements, assessed by the ability to perform rhythmic ankle movements at a given target rate and to perform irregular movements according to a trajectory, was unchanged during stimulation. tSCS at 30 Hz modulated spinal reflex activity, reflected by a significant suppression of pathological activity specific to SCI in the assessed polysynaptic spinal reflex. During walking, there was no statistical group effect of tSCS. In the subgroup of eight assessed participants, the three with the lowest as well as the one with the highest walking function scores showed positive stimulation effects, including increased maximum walking speed, or more continuous and faster stepping at a self-selected speed. Future studies need to investigate if multiple applications and individual optimization of the stimulation parameters can increase the effects of tSCS, and if the technique can improve the outcome of locomotor rehabilitation after iSCI.

Decrease of hypertonia after continuous passive motion treatment in individuals with spinal cord injury

2007 ◽  
Vol 21 (8) ◽  
pp. 712-718 ◽  
Author(s):  
Ya-Ju Chang ◽  
Chia-Ying Fang ◽  
Miao-Ju Hsu ◽  
Hen-Yu Lien ◽  
Mei-Kwan Wong
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Cord Injury
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