Trevor A. Dyson‐Hudson
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View article: Benefits and barriers to return to education and relationship to quality of life for people living with spinal cord injury: Results of a mixed methods study
Benefits and barriers to return to education and relationship to quality of life for people living with spinal cord injury: Results of a mixed methods study Open
This study highlighted common barriers and facilitators to RTE, and potential areas of intervention. VRF is a potentially efficacious early intervention vocational rehabilitation approach that improves participation in education and employ…
View article: Health impacts reported in the Spinal Cord Injury COVID-19 Pandemic Experience Survey (SCI-CPES)
Health impacts reported in the Spinal Cord Injury COVID-19 Pandemic Experience Survey (SCI-CPES) Open
Self-reported COVID-19 symptoms were relatively uncommon and not severe in this sample of people with SCI. Potential confounders and limitations include responder, recruitment and self-reporting biases and changing pandemic conditions. Fut…
View article: Development of the Spinal Cord Injury COVID-19 Pandemic Experience Survey (SCI-CPES)
Development of the Spinal Cord Injury COVID-19 Pandemic Experience Survey (SCI-CPES) Open
Early during the COVID-19 pandemic, rehabilitation providers received reports from people with spinal cord injury (SCI) of considerable disruptions in caregiver services, medical and nursing care, and access to equipment and supplies; conc…
View article: Clinical trial of home blood pressure monitoring following midodrine administration in hypotensive individuals with spinal cord injury
Clinical trial of home blood pressure monitoring following midodrine administration in hypotensive individuals with spinal cord injury Open
Midodrine (10 mg) administered in the home environment effectively increases BP and reduces the incidence of hypotension; however these beneficial effects come at the expense of worsened BP instability and AD symptom intensity.
View article: Pilot clinical trial of a clinical meditation and imagery intervention for chronic pain after spinal cord injury
Pilot clinical trial of a clinical meditation and imagery intervention for chronic pain after spinal cord injury Open
CMI is feasible and acceptable to implement with people with SCI and chronic pain. Further study is warranted to assess potential benefits for pain-related outcomes.
View article: A pilot study to evaluate micro-fragmented adipose tissue injection under ultrasound guidance for the treatment of refractory rotator cuff disease in wheelchair users with spinal cord injury
A pilot study to evaluate micro-fragmented adipose tissue injection under ultrasound guidance for the treatment of refractory rotator cuff disease in wheelchair users with spinal cord injury Open
There were no significant adverse events throughout the study period. WUSPI, NRS, and BPI-I7 scores were significantly lower 6 and 12 months post-procedure (P < .05). Of those who remained in the trial, clinically meaningful changes (≥30% …
View article: Initial assessment and management of respiratory infections in persons with spinal cord injuries and disorders in the COVID‐19 era
Initial assessment and management of respiratory infections in persons with spinal cord injuries and disorders in the COVID‐19 era Open
As the COVID-19 pandemic unfolds, emergency department (ED) personnel will face a higher caseload, including those with special medical needs such as persons living with spinal cord injuries and disorders (SCI/D). Individuals with SCI/D wh…
View article: A Primary Care Provider’s Guide to Shoulder Pain After Spinal Cord Injury
A Primary Care Provider’s Guide to Shoulder Pain After Spinal Cord Injury Open
Shoulder pain is a common occurrence after spinal cord injury (SCI) and can have significant negative effects on health and function as many individuals with SCI are reliant on their upper extremities for mobility and self-care activities.…
View article: Using remote learning to teach clinicians manual wheelchair skills: a cohort study with pre- vs post-training comparisons
Using remote learning to teach clinicians manual wheelchair skills: a cohort study with pre- vs post-training comparisons Open
NCT01807728.Implications for rehabilitationWheelchair skills training is one of the 8 steps of wheelchair provision as outlined by the World Health Organization.Wheelchair skills are not a core part of most clinical curriculums and many cl…
View article: Ultrasound-guided platelet-rich plasma injection for the treatment of recalcitrant rotator cuff disease in wheelchair users with spinal cord injury: A pilot study
Ultrasound-guided platelet-rich plasma injection for the treatment of recalcitrant rotator cuff disease in wheelchair users with spinal cord injury: A pilot study Open
Context/Objective: Wheelchair users with spinal cord injury (SCI) have a high risk of developing shoulder pain, caused by rotator cuff disease. Platelet-rich plasma (PRP) is a potential treatment after conservative treatments fail and prio…
View article: The impact of level of injury on patterns of cognitive dysfunction in individuals with spinal cord injury
The impact of level of injury on patterns of cognitive dysfunction in individuals with spinal cord injury Open
Context: While it is well recognized that physical and physiological changes are more prominent in individuals with higher neurologic levels of spinal cord injury (SCI), the impact of level of lesion on cognition is less clear. Design: Cro…
View article: Relationships between <i>T</i>-scores at the hip and bone mineral density at the distal femur and proximal tibia in persons with spinal cord injury
Relationships between <i>T</i>-scores at the hip and bone mineral density at the distal femur and proximal tibia in persons with spinal cord injury Open
Objective: To identify T-score values at the total hip (TH) and femoral neck (FN) that correspond to the cutoff value of <0.60 g/cm2 for heightened risk of fracture at the distal femur (DF) and proximal tibia (PT).Design: Retrospective ana…
View article: Reliability of S3 pressure sensation and voluntary hip adduction/toe flexion and agreement with deep anal pressure and voluntary anal contraction in classifying persons with traumatic spinal cord injury
Reliability of S3 pressure sensation and voluntary hip adduction/toe flexion and agreement with deep anal pressure and voluntary anal contraction in classifying persons with traumatic spinal cord injury Open
Context/Objective: The sacral examination components of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), namely deep anal pressure (DAP) and voluntary anal sphincter contraction (VAC), are often …
View article: Identification and Management of Cardiometabolic Risk after Spinal Cord Injury
Identification and Management of Cardiometabolic Risk after Spinal Cord Injury Open
Administrative and financial support provided by Paralyzed Veterans of AmericaReprinted with permission from the Paralyzed Veterans of America (PVA) Consortium for Spinal Cord Medicine Clinical Pra...
View article: Blood Pressure Instability in Persons With SCI: Evidence From a 30-Day Home Monitoring Observation
Blood Pressure Instability in Persons With SCI: Evidence From a 30-Day Home Monitoring Observation Open
Background To determine the degree of blood pressure instability over a 30-day home observation in participants with spinal cord injury grouped by level of injury pertaining to cardiovascular autonomic regulation. Methods This is an observ…
View article: Fenofibrate therapy to lower serum triglyceride concentrations in persons with spinal cord injury: A preliminary analysis of its safety profile
Fenofibrate therapy to lower serum triglyceride concentrations in persons with spinal cord injury: A preliminary analysis of its safety profile Open
Context: Fenofibrate is used to treat elevated serum triglyceride (TG) concentrations (e.g. ≥150 mg/dl). The lipoprotein profile of most individuals with spinal cord injury (SCI) would not satisfy conventional criteria to initiate lipid-lo…
View article: Patterns of cognitive deficits in persons with spinal cord injury as compared with both age-matched and older individuals without spinal cord injury
Patterns of cognitive deficits in persons with spinal cord injury as compared with both age-matched and older individuals without spinal cord injury Open
Context/Objective: Cognitive deficits can impact as many as 60% of individuals with spinal cord injury (SCI). In an effort to identify the nature of cognitive deficits in SCI, we examined neuropsychological test performance in individuals …
Identification and Management of Cardiometabolic Risk after Spinal Cord Injury: Clinical Practice Guideline for Health Care Providers Open
This text is excerpted from the complete document, which includes the Consortium Member Organizations and Steering Committee Representatives, Acknowledgments, Reviewers, Glossary, and Appendix (Search Strategies).Administrative and financi…
View article: Cutaneous microvascular perfusion responses to insulin iontophoresis are differentially affected by insulin resistance after spinal cord injury
Cutaneous microvascular perfusion responses to insulin iontophoresis are differentially affected by insulin resistance after spinal cord injury Open
New Findings What is the central question of this study? What impact does insulin resistance have on cutaneous perfusion responses to insulin iontophoresis in vascular beds with markedly reduced or functionally ablated sympathetic nervous …
View article: Research progress from the SCI Model Systems (SCIMS): An interactive discussion on future directions
Research progress from the SCI Model Systems (SCIMS): An interactive discussion on future directions Open
Significant areas in need of research in SCI remain, the goal of which is continued improvement in the quality of life of individuals with SCI.
View article: Measuring pain phenomena after spinal cord injury: Development and psychometric properties of the SCI-QOL Pain Interference and Pain Behavior assessment tools
Measuring pain phenomena after spinal cord injury: Development and psychometric properties of the SCI-QOL Pain Interference and Pain Behavior assessment tools Open
The SCI-QOL Pain Interference item bank and the SCI-QOL Pain Behavior scale demonstrated robust psychometric properties. The Pain Interference item bank is available as a computer adaptive test or short form for research and clinical appli…
View article: Reliability and Validity of S3 Pressure Sensation as an Alternative to Deep Anal Pressure in Neurologic Classification of Persons With Spinal Cord Injury
Reliability and Validity of S3 Pressure Sensation as an Alternative to Deep Anal Pressure in Neurologic Classification of Persons With Spinal Cord Injury Open
S3 pressure sensation is reliable and has substantial agreement with DAP in persons with SCI at least 1 month postinjury. We suggest S3 pressure as an alternative test of sensory sacral sparing for supraconus SCI, at least in cases where D…