Search results for "Spinal"
showing 10 items of 906 documents
Neurophysiological Changes After Paired Brain and Spinal Cord Stimulation Coupled With Locomotor Training in Human Spinal Cord Injury
2021
Neurophysiological changes that involve activity-dependent neuroplasticity mechanisms via repeated stimulation and locomotor training are not commonly employed in research even though combination of interventions is a common clinical practice. In this randomized clinical trial, we established neurophysiological changes when transcranial magnetic stimulation (TMS) of the motor cortex was paired with transcutaneous thoracolumbar spinal (transspinal) stimulation in human spinal cord injury (SCI) delivered during locomotor training. We hypothesized that TMS delivered before transspinal (TMS-transspinal) stimulation promotes functional reorganization of spinal networks during stepping. In this p…
The Palliative Care in the Metastatic Spinal Tumors. A Systematic Review on the Radiotherapy and Surgical Perspective
2022
Spine represents the most common site for metastatic disease involvement. Due to the close relationship between the spinal cord and critical structures, therapeutic management of spinal metastases remains challenging. Spinal localization can lead to neurological sequelae, which can significantly affect the quality of life in patients with a limited life expectancy. The authors conducted a systematic literature review according to PRISMA guidelines in order to determine the impact of the most updated palliative care on spinal metastases. The initial literature search retrieved 2526 articles, manually screened based on detailed exclusion criteria. Finally, 65 studies met the inclusion criteri…
Disability, illness and physical activity: a (post)qualitative research
2019
This PhD thesis is an assemblage of papers addressing 1) disability, illness and physical activity; and 2) (post)qualitative inquiry. The thesis tackles the case of Patrick, a man living with poor prognostic cancer and paraplegia. Overall, it examines in-depth how narrative and material forces acted by shaping Patrick’s struggle of becoming, and which role physical activity played in his life post-diagnosis. Data was obtained from life-story interviews, participant-produced images in different formats and object interviews, as well as three years of informal interactions with Patrick. The selection of data collection techniques was subjected to ethical considerations meant to preserve Patri…
Preoperativ oppvarming av pasienter med hoftebrudd : Kan preoperativ oppvarming med varmluftsteppe redusere intraoperativt temperaturfall hos pasient…
2018
Masteroppgave spesialsykepleie ME519 – Universitetet i Agder 2018 Background: Hip fractures are a common cause of hospitalization and are linked with high morbidity and mortality rates. It is therefore important to optimize every aspect of their treatment to minimize complications. The Nurse Anesthetist plays an important role in preventing complications related to both surgery and anesthesia. Purpose: The aim of this project is to evaluate the quality of the current procedure for preoperative prevention of hypothermia in our hospital. We wanted to investigate if this procedure for preventing hypothermia is as effective as preoperative warming with a forcedair system in hip fracture patient…
Estudio de la vía visual mediante tomografía de coherencia óptica y resonancia magnética cerebral y medular para la formulación y validación de model…
2020
Estudiar la correlación entre valores de tomografía de coherencia óptica (OCT, Optical Coherence Tomography) peripapilar y macular con volumetrías cerebrales y espinales determinadas a partir de imágenes de resonancia magnética (RM), teniendo en cuenta el tipo de esclerosis múltiple (EM) y el antecedente de neuritis óptica (NO). Formular y validar modelos matemáticos para la predicción de la discromatopsia y de la discapacidad a partir de marcadores clínicos y paraclínicos. MATERIAL Y MÉTODO: Estudio observacional, analítico y transversal de 92 pacientes de la Unidad Mixta de EM y Neurorregeneración del Hospital Universitario y Politécnico La Fe de Valencia. De cada paciente se recogieron l…
Retinal abnormalities in multiple sclerosis patients with associated chronic cerebrospinal venous insufficiency
2012
Optical coherence tomography (OCT) is a non-invasive method for the assessment of optic nerve fibers and retinal ganglion cells. This study was aimed at the assessment of retinal abnormalities in multiple sclerosis patients in the context of chronic cerebrospinal venous insufficiency using OCT of the retina and the optic nerve. We examined 239 multiple sclerosis (MS) patients, including 220 patients with associated chronic cerebrospinal venous insufficiency and 19 MS patients without venous pathology. The following OCT parameters were assessed: average ganglion cell complex thickness, global loss volume, focal loss volume and average retinal nerve fibre layer thickness. Abnormalities in the…
Psychometric Properties of the Scoliosis Research Society Questionnaire (Version 22r) Domains Among Adults With Spinal Deformity : A Rasch Measuremen…
2022
Objective: Adults with degenerative spinal deformity (ASD) have lower health-related quality of life (HRQL) compared to the general population. Applying Rasch Measurement Theory (RMT), this study tested the revised Scoliosis Research Society-22 (SRS-22r) HRQL instrument among symptomatic adult patients with degenerative spinal disorders and varying degrees of ASD. Methods: SRS-22r data from 637 outpatient spine clinic patients with degenerative spine conditions were investigated for unidimensionality, item/scale fit, differential item functioning (DIF), scale coverage/targeting, and person separation index (PSI) using RMT. Results: Unidimensionality of the SRS-22r was not supported for eith…
Recurrent lumbar disc herniation: Is there a correlation with the surgical technique? A multivariate analysis
2019
Purpose: The recurrence of a lumbar disc herniation (LDH) is a common cause of poor outcome following lumbar discectomy. The aim of this study was to assess a potential relationship between the incidence of recurrent LDH and the surgical technique used. Furthermore, we tried to define the best surgical technique for the treatment of recurrent LDH to limit subsequent recurrences. Materials and Methods: A retrospective study was conducted on 979 consecutive patients treated for LDH. A multivariate analysis tried to identify a possible correlation between (1) the surgical technique used to treat the primary LDH and its recurrence; (2) technique used to treat the recurrence of LDH and the secon…
Influence of a flexibility training program on psychophysical health of elderly women
2014
Aim: The aim of this study was to assess the influence of a specific flexibility training program on the spinal health status and the health-related quality of life (HRQoL) in female older subjects. Methods: Thirty older women were recruited in a senior centre of Palermo and randomly assigned in two groups: trained group [TG] (n: 17; age: 68.35±6.04 years; BMI: 27.28±3.08) and control group [CG] (n: 13; age: 69.69±7.94 years; BMI: 27.88±2.81). TG was trained for 8 weeks by two sessions/week. In particular, every training session included three phases: warm up (~10 min), central period (~50 min) including specific exercises to train spinal flexibility, and cool down (~10 min)1. CG did not pe…
Muscle activity patterns and spinal shrinkage in office workers using a sit–stand workstation versus a sit workstation
2016
Reducing sitting time by means of sit–stand workstations is an emerging trend, but further evidence is needed regarding their health benefits. This cross-sectional study compared work time muscle activity patterns and spinal shrinkage between office workers (aged 24–62, 58.3% female) who used either a sit–stand workstation (Sit–Stand group, n = 10) or a traditional sit workstation (Sit group, n = 14) for at least the past three months. During one typical workday, muscle inactivity and activity from quadriceps and hamstrings were monitored using electromyography shorts, and spinal shrinkage was measured using stadiometry before and after the workday. Compared with the Sit group, the Sit–Stan…