International Retrospective Comparison of Inpatient Rehabilitation for Patients With Spinal Cord Dysfunction Epidemiology and Clinical Outcomes

New, Peter W; Reeves, Ronald K.; Smith, Éimear; Townson, Andrea; Eriks‐Hoogland, Inge; Gupta, Anupam; Belci, Maurizio; Scivoletto, Giorgio; Post, Marcel W M

doi:10.1016/j.apmr.2015.02.016

Cited by 43 publications

(43 citation statements)

References 22 publications

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“…Understanding pre-existing medical conditions associated with ageing and how they can affect sexual functioning is important because SCDys is more common in older age and was reported by participants in this study. Given the trend for people with non-traumatic SCDys to be older, 10,11 they are more likely to have comorbidities that could potentially impact sexual health outcomes. Older men would be less likely to use or tolerate certain erectile dysfunction treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Although some studies of sexuality have included people with non-traumatic SCDys, 9 no studies have been located that report separately on the sexual changes in this group. This is important to address because the demographic characteristics and functional outcomes for people with non-traumatic SCDys are different from traumatic SCI, 10,11 and these differences could potentially impact sexual health outcomes. Furthermore, evidence suggests that in many developed countries the incidence of non-traumatic SCDys is higher than traumatic SCI, 12,13 and this difference is expected to increase markedly in the coming decades with population ageing.…”

Section: Introductionmentioning

confidence: 99%

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Development of a comprehensive survey of sexuality issues including a self-report version of the International Spinal Cord Injury sexual function basic data sets

New

Currie

2015

Spinal Cord

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Study design: Questionnaire development, validation and completion. Objectives: Develop comprehensive survey of sexuality issues including validated self-report versions of the International Spinal Cord Injury male sexual function and female sexual and reproductive function basic data sets (SR-iSCI-sexual function). Setting: People with spinal cord damage (SCD) living in the community, Australia from August 2013 to June 2014. Methods: An iterative process involving rehabilitation medicine clinicians, a nurse specialising in sexuality issues in SCD and people with SCD who developed a comprehensive survey that included the SR-iSCI-sexual function. Participants recruitment through spinal rehabilitation review clinic and community organisations that support people with SCD. Results: Surveys completed by 154 people. Most were male (n = 101, 65.6%). Respondents' median age was 50 years (interquartile range (IQR) 38-58), and they were a median of 10 years (IQR 4-20) after the onset of SCD. Sexual problems unrelated to SCD were reported by 12 (8%) respondents, and 114 (n = 75.5%) reported sexual problems because of SCD. Orgasms were much less likely (χ 2 = 13.1, P = 0.006) to be normal in males (n = 5, 5%) compared with females (n = 11, 22%). Males had significantly worse (χ 2 = 26.0, P = 0.001) psychogenic genital functioning (normal n = 9, 9%) than females (normal n = 13, 26%) and worse (χ 2 = 10.8, P = 0.013) reflex genital functioning. Normal ejaculation was reported in only three (3%) men. Most (n = 26, 52%) women reported reduced or absent menstruation pattern since SCD. Conclusion: The SR-iSCI-sexual function provides a useful tool for researchers and clinicians to collect information regarding patient-reported sexual functioning after SCD and to facilitate comparative studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of a comprehensive survey of sexuality issues including a self-report version of the International Spinal Cord Injury sexual function basic data sets

New

Currie

2015

Spinal Cord

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“…Although the exact incidence is unknown, studies have found that infection-related myelopathy (IRM) represents between 3% of patients in developed countries, such as the United States, and 49% of patients in developing countries with NTM who are admitted to inpatient rehabilitation units worldwide. [1][2][3][4][5] This variation is largely because of geographic and environmental factors, different health systems and access to health care. 4,6,7 IRM involving spinal epidural abscesses or tuberculosis is thought to cause injury through several mechanisms, including direct compression of the spinal cord, vascular occlusion causing ischemic injury and vertebral collapse with associated myelitis, whereas viral infections involve a more diffuse neural injury process.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] This variation is largely because of geographic and environmental factors, different health systems and access to health care. 4,6,7 IRM involving spinal epidural abscesses or tuberculosis is thought to cause injury through several mechanisms, including direct compression of the spinal cord, vascular occlusion causing ischemic injury and vertebral collapse with associated myelitis, whereas viral infections involve a more diffuse neural injury process. [8][9][10] IRM appears to affect more men than women and typically occurs during the fourth through seventh decades of life.…”

Section: Introductionmentioning

confidence: 99%

Clinical features and inpatient rehabilitation outcomes of infection-related myelopathy

2016

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“…[1013] Although uncommon, multiple sclerosis,[12] meningioma,[12] and epidural hematoma at the vertex[68] can be among the causes of paraplegia. However, paraplegia is rarely caused by cerebral contusions.…”

Section: Introductionmentioning

confidence: 99%

Paraplegia caused by cerebral contusions in the bilateral precentral gyri

et al. 2016

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Background:Paraplegia is mainly caused by spinal cord disease and rarely occurs due to head trauma. In this report, we describe a case of paraplegia caused by cerebral contusions in the bilateral precentral gyri.Case Description:A 72-year-old man was admitted to our hospital with mildly impaired consciousness and severe pure motor paralysis in both legs. He was healthy until the morning of the day, but his wife found him injured in front of his house upon returning home. He had a subcutaneous hematoma in his occipital region, and seemed to have slipped by accident. Computed tomography of the brain and magnetic resonance imaging (MRI) of his spinal cord revealed no apparent cause of the paraplegia, although an MRI of his brain clearly revealed cerebral contusions in the bilateral precentral gyri. The cerebral contusion was diagnosed as the cause of pure motor paralysis of lower extremities. He received rehabilitation, and manual muscle testing of his legs revealed improvements. In the subacute phase, the precentral gyrus lesion disappeared on MRI.Conclusion:We must emphasize that cerebral contusion can be a differential diagnosis for paraplegia. In the acute phase, fluid-attenuated inversion recovery (FLAIR) MRI coronal and sagittal images are useful for identifying precentral gyri contusions. Paraplegia caused by a cerebral contusion may be misdiagnosed as a spinal concussion due to the disappearance of the precentral gyrus lesion on FLAIR MRI in the subacute phase.

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International Retrospective Comparison of Inpatient Rehabilitation for Patients With Spinal Cord Dysfunction Epidemiology and Clinical Outcomes

Cited by 43 publications

References 22 publications

Development of a comprehensive survey of sexuality issues including a self-report version of the International Spinal Cord Injury sexual function basic data sets

Development of a comprehensive survey of sexuality issues including a self-report version of the International Spinal Cord Injury sexual function basic data sets

Clinical features and inpatient rehabilitation outcomes of infection-related myelopathy

Paraplegia caused by cerebral contusions in the bilateral precentral gyri

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