Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale

Roberts, Timothy T.; Leonard, Garrett R.; Cepela, Daniel J.

doi:10.1007/s11999-016-5133-4

Cited by 474 publications

(374 citation statements)

References 20 publications

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“…Twenty-six international-level male wheelchair athletes volunteered to participate and were grouped according to their disability, TETRA, ( N = 8), paraplegia (PARA, N = 10) and disabilities unrelated to SCI (non-spinal injured (NON-SCI), N = 8). All participants with SCI had a motor and sensory complete lesion in accordance with the American Spinal Injury Association (ASIA) impairment scale [25]. A summary of the participants’ characteristics and their main peak responses to exercise are presented in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Salivary alpha amylase not chromogranin A reflects sympathetic activity: exercise responses in elite male wheelchair athletes with or without cervical spinal cord injury

et al. 2017

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BackgroundSalivary alpha amylase (sAA) and chromogranin A (sCgA) have both been suggested as non-invasive markers for sympathetic nervous system (SNS) activity. A complete cervical spinal cord injury leading to tetraplegia is accompanied with sympathetic dysfunction; the aim of this study was to establish the exercise response of these markers in this in vivo model.MethodsTwenty-six elite male wheelchair athletes (C6–C7 tetraplegia: N = 8, T6–L1 paraplegia: N = 10 and non-spinal cord injured controls: N = 8) performed treadmill exercise to exhaustion. Saliva and blood samples were taken pre, post and 30 min post exercise and analysed for sAA, sCgA and plasma adrenaline concentration, respectively.ResultsIn all three subgroups, sAA and sCgA were elevated post exercise (P < 0.05). Whilst sCgA was not different between subgroups, a group × time interaction for sAA explained the reduced post-exercise sAA activity in tetraplegia (162 ± 127 vs 313 ± 99 (paraplegia) and 328 ± 131 U mL−1 (controls), P = 0.005). The post-exercise increase in adrenaline was not apparent in tetraplegia (P = 0.74). A significant correlation was found between adrenaline and sAA (r = 0.60, P = 0.01), but not between adrenaline and sCgA (r = 0.06, P = 0.79).ConclusionsThe blunted post-exercise rise in sAA and adrenaline in tetraplegia implies that both reflect SNS activity to some degree. It is questionable whether sCgA should be used as a marker for SNS activity, both due to the exercise response which is not different between the subgroups and its non-significant relationship with adrenaline.

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Section: Methodsmentioning

confidence: 99%

Salivary alpha amylase not chromogranin A reflects sympathetic activity: exercise responses in elite male wheelchair athletes with or without cervical spinal cord injury

et al. 2017

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“…Spinal cord injuries (SCIs) are neurologic disorders that temporarily or permanently disrupt the propagation of action potentials along the spinal cord, resulting in motor dysfunction, paralysis, autonomic disorders, and other symptoms that impact daily activities and quality of life [1]. Incomplete spinal cord injuries (iSCIs), which account for approximately 67.6% of all SCIs reported since 2010 [2], are characterized by residual sensory or motor function at or above the most caudal regions of the spinal cord [3]. Lower limb function varies widely between different iSCIs, as some individuals are limited to weak nonfunctional muscle contractions whereas others retain ambulation.…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of Blood Flow Restriction Exercise in Patients With Incomplete Spinal Cord Injury

Stavres

Singer

Brochetti

et al. 2018

PM&R

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“…The initial assessment of the neurological level of injury postoperatively remained T10 AIS A [10]. The manual muscle test (MMT) was grade zero in all the muscles of both the lower limbs.…”

Section: Case Presentationmentioning

confidence: 99%

Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report

Jagadevan

Mohanakrishnan

Murugesan

et al. 2019

Spinal Cord Ser Cases

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Introduction Patients with spinal cord injury (SCI) and concomitant lower limb fractures are a challenge to rehabilitate. Conventionally, postural orientation is an important milestone in the rehabilitative process. We propose an alternative strategy in achieving goals in individuals with an SCI with concomitant injuries that preclude weight bearing below the knee. Case presentation A 16-year-old girl sustained a burst fracture of L1 in conjunction with bilateral ankle fractures. During rehabilitation, the calcaneal fracture on the left and tibial plafond fracture on the right prevented her progression in conventional rehabilitation. An alternative strategy "K-ing" (Kneel Standing/Kneel Walking) was adopted to facilitate truncal activation without loading the ankle joints. This was found to be helpful in obtaining upright posture stability without hampering her recovery of associated ankle injuries. Discussion "K-ing" strategy can be useful and presents a simple alternative in the presence of associated ankle injuries. It also avoids complications associated with bedrest when there is delay in initiation of ambulation.

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Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale

Cited by 474 publications

References 20 publications

Salivary alpha amylase not chromogranin A reflects sympathetic activity: exercise responses in elite male wheelchair athletes with or without cervical spinal cord injury

Salivary alpha amylase not chromogranin A reflects sympathetic activity: exercise responses in elite male wheelchair athletes with or without cervical spinal cord injury

The Feasibility of Blood Flow Restriction Exercise in Patients With Incomplete Spinal Cord Injury

Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report

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