Prevalence of self-reported complications associated with intermittent catheterization in wheelchair athletes with spinal cord injury

Walter, Matthias; Ruiz, Ian A.; Squair, Jordan W.; Rios, Luis Augusto Seabra; Averbeck, Márcio Augusto; Krassioukov, Andrei V.

doi:10.1038/s41393-020-00565-6

Cited by 5 publications

(1 citation statement)

References 38 publications

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“…[ 9 ] In response to the problem of urinary retention, the patient kept a voiding diary and was taught how to perform intermittent self-catheterization. [ 10 ] As the patient’s urinary control returned, the interval of catheterization was gradually extended to reduce the risk of infection and trauma. By changing food intake and dietary structure (including a regimen of vegetables, fruits, protein, and water intake), constipation improved.…”

Section: Case Reportsmentioning

confidence: 99%

Rehabilitation report of 2 cases of spinal cord ischemic injury after intra-aortic repair

Cheng,

Li,

Zhang

et al. 2024

Medicine

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Rationale: Spinal cord ischemia injury is a serious complication after intra-aortic surgery, with a low incidence but high disability rate. However, patients often do not receive comprehensive treatment in the early stages of the disease. Therefore, active neurological intervention is needed to protect and prevent spinal cord ischemia during and after surgery. In this paper, rehabilitation program and imaging data of 2 cases with spinal cord ischemic injury are presented and discussed regarding causes, prevention and acute treatment with this disease, which could be referred by clinicians. Patient concerns: Case report 1: A 69-year-old male patient underwent aortic arch aneurysm and thoracic endovascular aortic repair (coated stent) was performed under general anesthesia. Complete paralysis of both lower limbs, constipation, and urinary retention occurred after surgery and was subsequently referred to our rehabilitation department. Case report 2: A man aged 41 years experienced sudden chest pain with no dizziness or headache. Weakness of both lower limbs gradually appeared over 30 minutes with subsequent loss of consciousness. He was diagnosed with aortic dissection and underwent aortic stent implantation. Inpatient rehabilitation began systematically 3 months after discharge. Diagnoses: The 2 patients were diagnosed with paraplegia and spinal cord ischemic injury. Interventions: The patients received strength and transfer training, sensory input, health mission, and activities of daily living. Outcomes: Patient 1 returned home without assistive devices and patient 2 returned home with wheelchair. Lessons: Perioperative spinal cord protection is directly related to postoperative quality of life. Once the symptoms of spinal cord ischemic injury occur, cerebrospinal fluid drainage should be performed as soon as possible to increase mean arterial pressure. At the same time, methylprednisolone, ganglioside, anticoagulation, vasodilator drugs, and symptomatic supportive treatments are required. Intercostal artery and subclavian artery are reconstructed if necessary. Symptom stability flags referral to commence rehabilitation. Repetitive functional training is necessary to help patients return to the family and society as soon as possible.

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Section: Case Reportsmentioning

confidence: 99%

Rehabilitation report of 2 cases of spinal cord ischemic injury after intra-aortic repair

Cheng,

Li,

Zhang

et al. 2024

Medicine

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Periodic health evaluation in Para athletes: a position statement based on expert consensus

Pinheiro,

Verhagen,

Ocarino

et al. 2024

BMJ Open Sport Exerc Med

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Para athletes present a broad range of sports-related injuries and illnesses, frequently encountering barriers when accessing healthcare services. The periodic health evaluation (PHE) is a valuable tool for continuously monitoring athletes’ health, screening for health conditions, assisting in the surveillance of health problems by establishing baseline information and identifying barriers to athlete’s performance. This position statement aims to guide sports healthcare providers in the PHE for Para athletes across key impairment categories: intellectual, musculoskeletal, neurological and vision. A panel of 15 international experts, including epidemiologists, physiotherapists, optometrists and physicians with expertise in Para athlete health, convened via videoconferences to discuss the position statement’s purpose, methods and themes. They formed working groups to address clinical, cardiorespiratory, neuromusculoskeletal, nutritional status, mental and sleep health, concussion and female Para athlete health assessment considerations. The PHE’s effectiveness lies in its comprehensive approach. Health history review can provide insights into factors impacting Para athlete health, inform physical assessments and help healthcare providers understand each athlete’s needs. During the PHE, considerations should encompass the specific requirements of the sport modality and the impairment itself. These evaluations can help mitigate the common tendency of Para athletes to under-report health issues. They also enable early interventions tailored to the athlete’s health history. Moreover, the PHE serves as an opportunity to educate Para athletes on preventive strategies that can be integrated into their training routines, enhancing their performance and overall health. This position statement can potentially enhance clinical translation into practice and improve the healthcare quality for Para athletes.

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Scoping review on managing the bladder and preventing urinary tract infections (UTIs) in athletes with spinal cord injuries

Ali,

Long,

Ali

et al. 2024

Bull Fac Phys Ther

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Background This research aimed to identify evidence-based protocols for the safe management of bladder infections and the prevention of UTIs in athletes who have spinal cord injuries (SCI), as they are constantly at high risk of developing UTIs again. Study design Scoping review Methodology Four databases were searched (PubMed, Scopus, Web of Science, and Science Direct) for pertinent literature. The non-randomized controlled studies (non-RCT) and randomized controlled trials (RCT) that described the application of any particular measure to properly manage bladder and avoid urinary tract infections (UTIs) in people with spinal cord injuries (SCIs) were chosen. Results Forty-nine articles were screened for the effectiveness of weekly oral cyclic antibiotics, bacterial interference, coated catheter types, and patient education in preventing UTIs in SCI were shown in 20 RCT and 29 non-RCT researches. Concerns were raised about cranberry supplements and low-dose antibiotic prophylaxis, which is unreliable and leads to the emergence of germs that are resistant to many drugs. Conclusion According to the scoping review, WOCA is the most effective antibiotic regimen. The proven methods for treating UTIs in SCI patients include coated catheters, bacterial interference, bladder irrigation, and patient education. Moreover, there is a great deal of variation in the research about the efficacy of cranberries. The best option for safe bladder management and preventing UTIs in SCIs is to use suprapubic and coated intermittent catheters (ICs). When a urine bag is full, it should be changed out for a fresh one, and patients should be told to employ spontaneous voiding if that's not an option.

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Prevalence of self-reported complications associated with intermittent catheterization in wheelchair athletes with spinal cord injury

Cited by 5 publications

References 38 publications

Rehabilitation report of 2 cases of spinal cord ischemic injury after intra-aortic repair

Rehabilitation report of 2 cases of spinal cord ischemic injury after intra-aortic repair

Periodic health evaluation in Para athletes: a position statement based on expert consensus

Scoping review on managing the bladder and preventing urinary tract infections (UTIs) in athletes with spinal cord injuries

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