Permanent Mechanical Deformation of an Intrathecal Baclofen Pump Secondary to Scuba Diving: A Case Report.

Permanent mechanical deformation of an intrathecal baclofen pump secondary to scuba diving: a case report.

Spinal Cord. 2013 May 21;
Draulans N, Roels E, Kiekens C, Nuttin B, Peers K

Study design:Case report.Objectives:To describe the case of a spinal cord injury patient that went scuba diving resulting in a mechanical deformation of his intrathecal baclofen pump.Setting:University Hospitals Leuven, Belgium.Methods:Case report.Results:Diving below 10 meters of depth can result in irreversible mechanical damage of the drug reservoir of an intrathecal baclofen pump.Conclusion:Patients with an intrathecal baclofen pump should be warned for the risks associated with scuba diving and should not dive more than 10 meters below sea level.Spinal Cord advance online publication, 21 May 2013; doi:10.1038/sc.2013.43. HubMed – rehab


Neglected traumatic spinal cord injuries: experience sharing from Pakistan.

Spinal Cord. 2013 May 21;
Rathore FA

HubMed – rehab


Examining factors that contribute to the process of resilience following spinal cord injury.

Spinal Cord. 2013 May 21;
Kilic SA, Dorstyn DS, Guiver NG

Study design:Cross-sectional survey.Objective:To examine factors that contribute to the process of positive adjustment, or resilience, in an adult community sample with spinal cord injury (SCI).Setting:South Australian Spinal Cord Injury Service, Hampstead Rehabilitation Centre, South Australia, AustraliaMethods:A postal survey comprising standardised measures of resilience (Connor-Davidson Resilience Scale-10 item), self-efficacy (Moorong Self-Efficacy Scale), locus of control (Locus of Control of Behaviour Scale) and psychological distress (Depression Anxiety Stress Scale-21 item).Results:Of 60 respondents, 58% reported moderate to high levels of resilience. Resilience correlated significantly with high self-efficacy (r=0.68, P<0.01), internal locus of control (r=-0.52, P%%T::35%%0.05), or SCI diagnosis (t(58)=-1.21, P>0.05). A multiple regression indicated that psychological distress and self-efficacy were the only two variables that uniquely contributed to resilient behaviour.Conclusion:Resilience is an important psychological process in the longer-term management of SCI which can be promoted by targeting rehabilitation interventions towards mood management in addition to self efficacy beliefs. Larger-scale research will help to validate these results.Spinal Cord advance online publication, 21 May 2013; doi:10.1038/sc.2013.25. HubMed – rehab


Physical activity classification utilizing SenseWear activity monitor in manual wheelchair users with spinal cord injury.

Spinal Cord. 2013 May 21;
Hiremath SV, Ding D, Farringdon J, Vyas N, Cooper RA

Study design:Validation.Objectives:The primary aim of this study was to develop and evaluate activity classification algorithms for a multisensor-based SenseWear (SW) activity monitor that can recognize wheelchair-related activities performed by manual wheelchair users (MWUs) with spinal cord injury (SCI). The secondary aim was to evaluate how the accuracy in activity classification affects the estimation of energy expenditure (EE) in MWUs with SCI.Setting:University-based laboratory.Methods:Forty-five MWUs with SCI wore a SW on their upper arm and participated in resting, wheelchair propulsion, arm-ergometery and deskwork activities. The investigators annotated the start and end of each activity trial while the SW collected multisensor data and a portable metabolic cart collected criterion EE. Three methods including linear discriminant analysis, quadratic discriminant analysis (QDA), and Naïve Bayes (NB) were used to develop classification algorithms for four activities based on the training data set from 36 subjects.Results:The classification accuracy was 96.3% for QDA and 94.8% for NB when the classification algorithms were tested on the validation data set from nine subjects. The average EE estimation errors using the activity-specific EE prediction model were 5.3±21.5% and 4.6±22.8% when the QDA and NB classification algorithms were applied, respectively, as opposed to 4.9±20.7% when 100% classification accuracy was assumed.Conclusion:The high classification accuracy and low EE estimation errors suggest that the SW can be used by researchers and clinicians to classify and estimate the EE for the four activities tested in this study among MWUs with SCI.Spinal Cord advance online publication, 21 May 2013; doi:10.1038/sc.2013.39. HubMed – rehab