Abstract：
STUDY DESIGN:Inception cohort. OBJECTIVES:The clinical impression that earwax is uncommonly frequent among spinal cord injury patients with high levels of paralysis was tested. SETTING:Veterans Administration Hospital, USA. METHODS:A cohort of 15 chronically paralyzed patients, motor complete, living as residents in a long-term care facility was offered monthly irrigations of the ears for removal of wax over a 6-month period. The number of requests was tabulated. All ears were examined once on a single day to determine point prevalence. The accumulated wax graded as absent or small, moderate or large. RESULTS:Two patients with C2 lesions, aged 37 and 52 years and paralyzed 15 and 16 years, were compared with 13 patients at C4-T6 aged 44-78 years, median 62 years, and paralyzed 2-33 years, median 24 years. Over a 6-month observation period, 10 irrigations were requested by the C2 patients and three by the C4-T6 patients. The reasons were hearing loss. Wax was found and removed, and symptoms were relieved in all instances, P&<0.001. The spot survey revealed earwax of moderate or large amounts in four of four C2 patient ears and in two of 24 C4-T6 patient ears, P=0.001. CONCLUSION:Patients with C2 tetraplegia accumulate more earwax and request its removal more often than patients with lower levels of paralysis.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Frisbie JH,Zahn EHdoi
10.1038/sj.sc.3101444subject
Has Abstractpub_date
2003-04-01 00:00:00pages
247-8issue
4eissn
1362-4393issn
1476-5624pii
3101444journal_volume
41pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract：STUDY DESIGN:Case-control study. OBJECTIVES:The objective of this study was to provide some useful information concerning the incidence, clinical features, and risk factors for symptomatic postoperative spinal epidural hematoma (SPSEH) in an isolated cohort of patients undergoing spine tumor surgery. SETTING:Hospital...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-019-0281-5
更新日期：2019-08-01 00:00:00
abstract：STUDY DESIGN:Observational cross-sectional study. OBJECTIVES:Due to weakened pelvic floor muscles, the risk of pelvic organ prolapse (POP) may increase after a spinal cord injury (SCI); hence, the aim of this study was to investigate the occurrence of POP after SCI and to evaluate the need for urogynecological consult...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-018-0181-0
更新日期：2019-01-01 00:00:00
abstract：STUDY DESIGN:A retrospective study. OBJECTIVES:To assess improvement in volitional motor function after SCI, using The Spinal Cord Ability Ruler (SCAR) as a metric and investigate participant characteristics and recovery of motor functioning. SETTING:A highly-specialized SCI rehabilitation unit (Spinal Cord Injury Ce...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-019-0307-z
更新日期：2019-11-01 00:00:00
abstract：STUDY DESIGN:Cross-sectional study by mail survey of participation in productive activities of individuals who sustained a spinal cord injury (SCI) in Quebec from 1970 to 1993. OBJECTIVES:To determine the level of productivity outcomes of a representative sample and to determine the relationship between the productivi...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100918
更新日期：1999-10-01 00:00:00
abstract：STUDY DESIGN:Quasi-experimental translational study with pre- and post-measures. OBJECTIVES:To determine the effects of the Spinal Cord Injury and Physical Activity in the Community (SCIPA Com) intervention on leisure-time physical activity (LTPA) and associated outcomes among participants with spinal cord injury (SCI...
journal_title：Spinal cord
pub_type： 杂志文章,多中心研究
doi：10.1038/sc.2015.235
更新日期：2016-10-01 00:00:00
abstract：STUDY DESIGN:Retrospective. OBJECTIVES:To improve the use of bacteriological results for treating spinal cord-injured patients with infected pressure ulcers. SETTING:Microbiology and Orthopaedics Department, Ambroise Paré University Hospital, Boulogne-Billancourt, France. METHODS:Tissue specimens, sampled at the end...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101568
更新日期：2004-04-01 00:00:00
abstract：STUDY DESIGN:Our aim was to locate research and communicate the evidence found from scientific studies pertaining to the treatment of neurogenic detrusor overactivity (NDO) in the chronic stage of spinal cord injury (SCI). OBJECTIVE:To address the controversy over the traditional (antimuscarinics) and the 'new' treatm...
journal_title：Spinal cord
pub_type： 杂志文章,评审
doi：10.1038/sc.2011.110
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:This study aims to understand the demographics, mode of trauma, hospital stay, complications, neurological improvement, mortality and expenditure incurred by Indian patients with spinal trauma and ankylosing spondylitis (AS). METHODS:Retrospective analysis of the patient data admitted to a tertiary referral ...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2014.150
更新日期：2015-05-01 00:00:00
abstract：DESIGN:Single cases. OBJECTIVE:To compare the effects of manually assisted locomotor training in paraplegic patients with the automated training by a driven gait orthosis. SETTING:ParaCare, University Hospital Balgrist in Zurich, Switzerland. METHODS:Treadmill training with manual assistance and by a driven gait ort...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101154
更新日期：2001-05-01 00:00:00
abstract：:Management of the neuropathic bowel is one of the major issues in the treatment of patients with severe spinal cord injury (SCI). Pulsed irrigation evacuation (PIE) has been evaluated in several small studies for the clearing of fecal impactions in patients with a neuropathic bowel. We evaluated our experience with 39...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3100491
更新日期：1997-10-01 00:00:00
abstract：STUDY DESIGN:Register study. OBJECTIVES:To design and implement a validation process to check the completeness of the Hospital Discharge Register (HDR) held by the Swedish National Board of Health and Welfare. SETTING:Sweden. METHODS:An accurate traumatic spinal cord injury prevalence group (n=495) was acquired from...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2008.42
更新日期：2008-11-01 00:00:00
abstract：STUDY DESIGN:Descriptive study. OBJECTIVES:To describe the epidemiological features of spinal cord injury (SCI) following the 2015 earthquakes in Nepal. SETTING:Spinal Injury Rehabilitation Centre, Kavre, Nepal. METHODS:Data were collected from the medical records of all earthquake-related patients seen from 25 Apri...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2017.25
更新日期：2017-07-01 00:00:00
abstract：STUDY DESIGN:A case report. OBJECTIVES:This study discusses a case of spinal segmental myoclonus caused by thoracic myelopathy, mimicking hiccup spasms. Spinal myoclonus caused by thoracic myelopathy is extremely rare. It can be misdiagnosed as chronic intractable hiccups due to similar clinical manifestations. SETTI...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2014.140
更新日期：2014-11-01 00:00:00
abstract：STUDY DESIGN:Retrospective multicenter study. OBJECTIVES:To analyze the predictive factors for postoperative ambulatory recovery in paretic non-ambulatory patients with metastatic spinal cord compression (MSCC). SETTING:Japan. METHODS:Eighty-two consecutive patients (74.4% men; mean age, 66.2 years) who could not wa...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2016.145
更新日期：2017-05-01 00:00:00
abstract：STUDY DESIGN:The analysis of oxygen uptake (VO(2)) and energy consumption in quadriplegics after 6 months of treadmill gait with neuromuscular electrical stimulation (NMES). OBJECTIVES:To compare metabolic responses in quadriplegics after 6 months of treadmill training, with NMES (30-50% body weight relief), with quad...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3101776
更新日期：2005-11-01 00:00:00
abstract：STUDY DESIGN:There is a lack of information about the physiological and psychological parameters in competition that shows a comprehensive profile of the demands of the game situation. OBJECTIVE:The aim of the present study was to examine the activity patterns and physiological-perceptual responses (heart rate (HR), b...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2015.107
更新日期：2016-03-01 00:00:00
abstract：STUDY DESIGN:A case-control evaluating seminal citrate in patients with spinal cord injury (SCI). OBJECTIVE:Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gland activity. However,...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2009.62
更新日期：2009-12-01 00:00:00
abstract：STUDY DESIGN:Retrospective review of consecutive cases of recurrent spinal cord and cauda equina tumours. OBJECTIVES:We sought to identify factors and conditions resulting in re-operation to treat recurrences of spinal cord and cauda equina tumours. SETTING:Keio University Hospital, Tokyo, Japan. METHODS:Re-operatio...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101394
更新日期：2003-02-01 00:00:00
abstract：STUDY DESIGN:Mono-centric, retrospective study. OBJECTIVE:Analysis of correlation between bladder management and age in respirator-dependant high-tetraplegic patients. Additionally suprapubic catheter (SPC) and intermittent catheterisation (IC) were reviewed concerning urological complications and quality of life (QoL...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2011.94
更新日期：2012-03-01 00:00:00
abstract：:A solitary osteochondroma of the vertebral column is rare, and also it will rarely cause neurological deficits. Myelopathy from a tumour usually presents insidiously with neurological deficits. We report a case of a huge solitary osteochondroma at T11 level with an acute onset of myelopathy induced by a minor trauma. ...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100541
更新日期：1997-11-01 00:00:00
abstract：STUDY DESIGN:Prospective multicenter cohort study. OBJECTIVES:To compare the neurological recovery and functional outcomes between traumatic central cord syndrome (TCCS) patients and motor incomplete tetraplegic patients. SETTING:European Multicenter Study of human spinal cord injury. METHODS:In 248 traumatic motor ...
journal_title：Spinal cord
pub_type： 杂志文章,多中心研究
doi：10.1038/sc.2010.171
更新日期：2011-05-01 00:00:00
abstract：:The importance of urinary tract infection (UTI) in patients with spinal cord injury cannot be understated. Many patients with significant bacteriuria are considered to be colonised rather than infected, and treatment should be reserved for those with clinical symptoms or other signs of infection. Published research on...
journal_title：Spinal cord
pub_type： 杂志文章,评审
doi：10.1038/sj.sc.3100382
更新日期：1997-04-01 00:00:00
abstract：STUDY DESIGN:This study was a randomized, parallel-group, controlled clinical trial. OBJECTIVES:The purpose of this study was to examine the efficacy of targeting inflammation as a means of improving cognitive function in individuals with spinal cord injury. SETTING:Participants were recruited from the Niagara region...
journal_title：Spinal cord
pub_type： 杂志文章,随机对照试验
doi：10.1038/sc.2016.96
更新日期：2017-01-01 00:00:00
abstract：STUDY DESIGN:Intra- and inter-rater reliability study. OBJECTIVES:To assess intra- and inter-rater reliability of the Modified Ashworth Scale (MAS) and Spasm Frequency Score (SFS) in lower extremities in a population of spinal cord-injured persons, as well as correlations between the two scales. SETTING:Clinic for Sp...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2015.230
更新日期：2016-09-01 00:00:00
abstract：:The purpose of the study was to use dual energy X-ray absorptiometry to measure bone mineral density (BMD) in the lumbar spine, the femoral neck, Ward's triangle, and the greater trochanter in 204 men (69 able-bodies controls and 135 spinal cord injured patients) stratified according to age (20-39, 40-59, and 60+ year...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100394
更新日期：1997-06-01 00:00:00
abstract：INTRODUCTION:Some studies have made use of the antioxidative capabilities of high doses of vitamins C and E with the aim of neutralizing the noxious effects of free radicals following spinal cord lesion. OBJECTIVES:To evaluate the effects of vitamins C and E, separately and together, on the functional performance of r...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2008.155
更新日期：2009-06-01 00:00:00
abstract：STUDY DESIGN:Retrospective observational study. OBJECTIVES:The objective of this study was to determine the rehabilitation potential and the extent to which it is realized in a cohort of spinal cord injury patients using the Spinal Cord Injury-Ability Realization Measurement Index (SCI-ARMI) and to study the clinical ...
journal_title：Spinal cord
pub_type： 杂志文章,多中心研究
doi：10.1038/sc.2015.153
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Management of MRSA infection includes immediate isolation of the patient. Long periods of isolation are considered to be psychologically detrimental, though little information is available about the impact of isolation as an infection control procedure. The purpose of this study is to examine the psychologic...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3100469
更新日期：1997-09-01 00:00:00
abstract：STUDY DESIGN:Retrospective study. OBJECTIVES:To examine the value of operative fracture stabilization by means of the ring fixator in fractures of the lower extremity in the presence of chronic paralysis caused by transverse lesions of the spinal cord. SETTING:A specialist center for the treatment of spinal cord inju...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101397
更新日期：2003-03-01 00:00:00
abstract：:This review describes the state of art in the field of Functional Electrical Stimulation (FES) and its impact on improving grasping and walking functions in acute and chronic Spinal Cord Injured (SCI) patients. It is argued that during the early rehabilitation period the FES systems with surface stimulation electrodes...
journal_title：Spinal cord
pub_type： 杂志文章,评审
doi：10.1038/sj.sc.3101191
更新日期：2001-08-01 00:00:00
