Abstract:
STUDY DESIGN:Cross-sectional study. OBJECTIVES:To investigate the kinematic, kinetic and electromyographic (EMG) aspects of postural control during falling with rapid reach-and-grasp balance reaction in thoracic cord-injured individuals wearing knee-ankle-foot orthoses (KAFOs). SETTING:Institutional Motion Analysis Laboratory. METHODS:Seven T7-T12 cord-injured subjects with complete motor loss (ASIA classes A and B) participated in this study. Subjects with KAFOs first stood steady with a modified walker and then released their hold on the walker to maintain self-supported standing until falling with grasping. The center of pressure (COP), center of mass (COM) and joint angles were measured together with EMG of the triceps (TRI), T4 paraspinal and abdominal muscles. RESULTS:After release of the walker, there was a rapid increase of COM-COP distance (that is, from 13.32+/-11.79 to 54.29+/-24.56 mm), with COM in front of COP during a forward fall, which was associated with the increases of T4 muscle activities. After the reach-and-grasp reaction, COM moved behind COP, which was associated with the increase of ankle dorsiflexion and the TRI and abdominal muscle activities. CONCLUSION:The increase of upper back extensor muscle activity might not be enough to correct postural instability during unsupported stance in thoracic spinal cord injury with complete motor loss. The rapid reach-and-grasp reaction is an alternative compensatory mechanism to prevent falling to the ground.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Lin KH,Lu TW,Hsu PP,Yu SM,Liao WSdoi
10.1038/sj.sc.3102100subject
Has Abstractpub_date
2008-03-01 00:00:00pages
204-9issue
3eissn
1362-4393issn
1476-5624pii
3102100journal_volume
46pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract::Restless legs syndrome (RLS) is a well-defined symptom complex, occurring either as idiopathic RLS or in association with many other disorders. Although no definite etiology is known for this condition, several pathophysiological mechanisms have been proposed. There is supportive evidence that RLS is a central nervous...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100929
更新日期:1999-12-01 00:00:00
abstract:STUDY DESIGN:The paper describes a technique for complete vertebrectomy and spinal cord decompression, followed by a formal anterior column reconstruction, using endoscopic instruments. This procedure is indicated for patients with radioresistant metastasis of the thoracic spine, particularly those involving the upper ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101194
更新日期:2001-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective study of 432 patients admitted to our institution with a spinal injury over a 5-year period. OBJECTIVES:To present epidemiological data relating to this spinal population, reporting specifically on delayed admission and length of hospitalisation. SETTING:Royal National Orthopaedic Hospital,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101734
更新日期:2005-07-01 00:00:00
abstract:STUDY DESIGN:Review. OBJECTIVES:To explore the concept of quality of life (QOL), critique the practice and problems of assessing QOL following spinal cord injury (SCI) and to review the findings of studies into QOL for people with SCI both below and above the level of C4. METHODS:Relevant articles were identified fro...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101636
更新日期:2004-09-01 00:00:00
abstract:STUDY DESIGN:An in vivo study using a spinal cord compression model in rats. OBJECTIVES:To evaluate the effect of adenosine on thermal hyperalgesia after spinal cord injury (SCI). SUMMARY OF BACKGROUND DATA:After SCI, some patients suffer dysesthesia that is unresponsive to conventional treatments. We previously esta...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.194
更新日期:2010-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control. OBJECTIVES:To characterize changes in American Spinal Injury Association Motor Score (AMS) in patients treated with relative hypertension (HTN) (mean arterial pressure (MAP) > 85 mm Hg for 5 days) with and without preexisting HTN. SETTING:A regional spinal cord injury (SCI) ce...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.76
更新日期:2015-10-01 00:00:00
abstract:STUDY DESIGN:Longitudinal, prospective within-subject design. OBJECTIVES:(1) To determine the effects of long-term body-weight-supported treadmill training (BWSTT) on functional walking ability and perceived quality of life in persons with chronic incomplete spinal cord injury (SCI), and (2) to investigate whether tra...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3101710
更新日期:2005-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVES:Each type of intramedullary spinal cord tumor (IMSCT) has specific anatomical and pathological features visible on magnetic resonance (MR) imaging. The purpose of this study was to investigate the accuracy of preoperative IMSCT diagnosis using our diagnostic chart of...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.127
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective study OBJECTIVES: To compare the accuracy of estimated serum creatinine (Cre)-based glomerular filtration rates (eGFRcre) and serum cystatin C (CysC)-based eGFR (eGFRcys) for determining renal function in patients with spinal cord injury (SCI). SETTING:Department of Urology, Tohoku Rosai Hos...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-017-0045-z
更新日期:2018-05-01 00:00:00
abstract:STUDY DESIGN:Prospective, single centre study. OBJECTIVES:Previous studies have suggested a relationship between stress reaction and elevated levels of prolactine. The aim of the present study was to investigate if there was a relationship between s-prolactine and menstrual cycle status following spinal cord injury (S...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3102095
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Laboratory investigation in rats submitted to experimental spinal cord injury (SCI). OBJECTIVE:To characterize changes in renal function during acute SCI. METHODS:Sprague Dawley rats were subjected to severe spinal cord contusion at T8 level or to laminectomy as control. Twenty-four hours after spine sur...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2013.35
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:Administration after spinal cord injury (SCI) of methylprednisolone (MP) for 24-48 h has been suggested to improve functional outcome. The safety of this approach has been questioned because of the known adverse effects of glucocorticoids on skeletal muscle and the immune system. The purpose of this study was...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.28
更新日期:2011-08-01 00:00:00
abstract:STUDY DESIGN:Literature review. OBJECTIVES:Upper extremity (UE) joint degeneration, particularly at the shoulder, detrimentally influences functional independence, quality of life, cardiovascular disease risk, and life expectancy of individuals following spinal cord injury (SCI). This review (1) describes UE use for t...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101070
更新日期:2000-11-01 00:00:00
abstract:STUDY DESIGN:A case report of intraradicular disc herniation. Intraradicular disc herniation is a special type of intradural disc herniations. In this report, we present the tenth case of intraradicular lumbar disc herniation and suggest a new classification for intradural disc herniations. CASE REPORT:A 32-year-old m...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101204
更新日期:2001-10-01 00:00:00
abstract:STUDY DESIGN:Register study enhanced and verified by medical records and personal interviews and examinations. SETTINGS:Sweden. OBJECTIVES:To define a method of identifying a study population of rare events. To point out the relative importance of every step, an example is given of identifying persons who sustained t...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101456
更新日期:2003-06-01 00:00:00
abstract:STUDY DESIGN:Spinal cord injured rat model, treated with soluble complement receptor type 1 (sCR1). SETTING:Experimental Animal Department of China Medical University, Shenyang, China. OBJECTIVES:Soluble CR1 is a powerful inhibitor of complement activation. In this study, we investigate the effectiveness of sCR1 on s...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.104
更新日期:2010-02-01 00:00:00
abstract:STUDY DESIGN:Multicentered follow-up with centralized data collection based on retrospective study. OBJECTIVES:To assess the outcome in a population of patients with spinal cord injury (SCI). The assessed outcomes are mortality, state of health, occupation, mobility, autonomy, social and partner relationships, quality...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.sc.3101457
更新日期:2003-05-01 00:00:00
abstract:STUDY DESIGN:Case report of two subjects. OBJECTIVE:Charcot joints of the spine as a cause of Autonomic Dysreflexia in spinal cord lesions. SETTING:Stoke Mandeville Hospital, UK. METHOD:Two patients with long standing spinal cord lesions developed symptoms of headaches and sweating associated with sitting up and tra...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101345
更新日期:2002-09-01 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:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To describe the characteristics of patients with work-related traumatic spinal cord injuries (TSCI) in Chile. SETTING:Hospital del Trabajador in Santiago, Santiago, Chile. METHODS:Patients suffering from TSCI incurred at the workplace from 1986 to 2005 were identifi...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.71
更新日期:2011-02-01 00:00:00
abstract:STUDY DESIGN:A biomechanical unitary classification of spinal injuries is proposed. OBJECTIVE:To present an evaluation of spinal injuries based on the essential traumatic spinal mechanisms: axial deformation, torsion, translation and combined mechanisms in connection with the concept of the stabilizing axial spinal pi...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101468
更新日期:2003-07-01 00:00:00
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...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101444
更新日期:2003-04-01 00:00:00
abstract:STUDY DESIGN:The functional outcome of the diaphragm after acute spinal cord injury was reviewed over a 16 year period for 107 patients who had required assisted ventilation in the acute phase. OBJECTIVES:To quantify the incidence of recovery of diaphragm function which occurred beyond the period of acute oedema; to p...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100775
更新日期:1999-02-01 00:00:00
abstract::Hyposmolar hyponatremia (serum sodium < 130 mmol/l) is a common phenomenon in the spinal cord injury (SCI) patient population and in most cases, it is of relatively little consequence. However, rapid correction or over correction of hyponatremia (a change in serum sodium > 25 mmol/l within 48 h) has been linked to Cen...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100371
更新日期:1997-05-01 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVES:To discuss how electrophysiology may contribute to future clinical trials in spinal cord injury (SCI) in terms of: (1) improvement of SCI diagnosis, patient stratification and determination of exclusion criteria; (2) the assessment of adverse events; and (3) detection of thera...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/s41393-019-0331-z
更新日期:2019-11-01 00:00:00
abstract:STUDY DESIGN:Repetitive transcranial magnetic stimulation study. OBJECTIVES:The analgesic effects of repetitive transcranial magnetic stimulation (rTMS) in chronic pain have been the focus of several studies. In particular, rTMS of the premotor cortex/dorsolateral prefrontal cortex (PMC/DLPFC) changes pain perception ...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2016.87
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To evaluate rehabilitation outcome in a representative sample of older and younger SCI patients. DESIGN:Case series, consecutive sample, survey. SETTING:Tertiary care, spinal cord injury unit (National Spinal Injuries Centre), Stoke Mandeville Hospital. PARTICIPANTS:One hundred and forty-seven male and 45 ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101386
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To determine the long-term mortality rate and the types of morbidity among all people with spinal cord injuries (SCI) that occurred during the 1948 Israel War of Independence. METHOD:Chart review and telephone interviews for collecting demographic data, injury characteristics, marital status, physical activi...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101043
更新日期:2000-09-01 00:00:00
abstract:STUDY DESIGN:Although abnormal cutaneous reflex (CR) activity has been identified during gait after incomplete spinal cord injury (SCI), this activity has not been directly compared in subjects with and without the spasticity syndrome. OBJECTIVES:Characterisation of CR activity during controlled rest and 'ramp and hol...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.9
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:To describe health-related quality of life (HRQoL) in persons with traumatic spinal cord injury (TSCI) and to assess factors that affect HRQoL. STUDY DESIGN:Cross-sectional. METHODS:Eighty Estonian-speaking TSCI patients from the Estonian TSCI database were included in the study. The RAND-36 questionnaire,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.47
更新日期:2014-07-01 00:00:00