| ABSTRACTS for 2004 meeting | ||
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P152 Reflex Voiding in Spinal cord injured patients,is it a safe option? Author(s): Mr B.Singhal, Mr F. Derry Name of ISCoS Member (Author): Mr F.Derry Main institution where the work was done: National Spinal Injuries Centre,StokeMandeville Hospital Introduction Reflex voiding as a method of micturiton in spinal cord injured patients has been used in long term neurogenic bladder management. There is an ongoing debate as to the safety of this method. This study attempts to answer this question. Material and Method More than 1000 case notes of patient undergoing regular follow-up were scrutinised. All reflex voiders were identified for the last 20 years. Video-Urodynamics, Ultrasound and MAG3 renogram results were used for assessment of voiding. Their neurological levels were identified including the ASIA scale. Results 120 patients were confirmed to have balanced reflex voiding. Reflex voiders that later changed their management method were noted including the reasons for change. Reflex voiders with unsafe renal and bladder parameters were also documented. Conclusion The findings suggest that there is still a role for reflex voiding in certain selected patients. These need close monitoring of their renal system with Video-Urodynamics, Ultrasound and MAG3 renogram on regular basis. This will identify those patients whose parameters are worsening and therefore facilitating alternative methods of bladder management. P153 COMPRESSION BURST THORACOLUMBAR FRACTURES TREATED BY SHORT POSTERIOR INSTRUMENTATION Author: Zouboulis PE, Chanos M, Karageorgos A, Kaisidis A, Lambiris E Main institution where the work was done: Orthopaedic Department, University Hospital of Patras Rio – Patras 26504, GREECE, Tel: 00302610 999556, Fax: 00302610 994579, e-mail: zoumbou@pat.forthnet.gr Aim of
the Study: P154 PREDICTION OF TRACHEOSTOMY TUBE SIZE FOR LONG-TERM VENTILATION OF CHILDREN WITH SPINAL CORD INJURY Author(s): P Watt, JWH, Behl S, Soni MB Name of ISCoS Member (Author): Mr. BM Soni Main institution where the work was done: Southport Regional spinal injuries unit, England Purpose: This study was undertaken to identify a predictor for uncuffed tracheostomy tube size as growth occurs. Methods: A retrospective study was made of 7 boys and 2 girls, age 1.5 - 15 years, ventilated on air after high spinal cord damage. The size of tracheostomy tube, the age and weight were noted on each occasion of step-up in size. These data were aggregated for each 0.5 mm increment in tube size and Pearson's correlation coefficient and linear regression were used for statistical analysis. Results: Average follow up was 7 years, with an average of 3.5 changes per patient. The inside (ID) and outside tracheal tube diameters, as well as lateral tracheal diameter on X ray, correlated significantly with age and weight ( p < 0.01). A formula linking tube ID and age is obtained from the regressionline: Tube ID (mm) = 0.3 age (years) + 3.5 Weight, height and lateral tracheal diameter should be measured annually and a step-up in tube size should be anticipated every second year on a planned basis to avoid increasing hypoventilation. The disturbance of growth after spinal cord injury indicate that an age-based formula is both reliable and convenient. P155 Clinical analysis of intraspinal tumors of 107 cases Author(s): Li Qin-de Name of ISCoS Member (Author): Li Qin-de Main institution where the work was done: Pu-Nan Hospital Pudong Shanghai China Clinical analysis of the intraspinal tumors of 107 cases. LI Qing-de. Dept of Neurosurery Shanghai Pu Nan Hospotil, Shanghai 200125, China.[Abstract] Objective To summarize the surgical outcome of intraspinal turmors. Methods The surgical results of 107 intraspinal tumor cases in the department of neurosurgery of Shanghai Pu Nan Hospital for last three years were analysed. Results In this group, neurimoma was the most common tumor. There were 37 neuninoma patients (34.6%) and meningiomas 12 cases(11.2%). There were 7 cases of intramedullary ependymoma patients. There were 22 cases of intramedullary spinal cord tumors(20.56%). Extramedullary spinal word tumors were 75 cases(70%). 110 operations were performed in 107 cases, and 116 tumors had been removed. The total removal rate was 89.2% and subtotal removal rate was 9.8%. Conclusion Most of intraspinal tumors is benign, the surgical outcome is good. In order to improve the effect of surgical treatment, MRI imaging for early diagnosis and microsurgical technique is necessary. [Key words] intraspinal tumor; clinical manifestation; treating effects
Conclusions P157 Negative air ions reduce pain and sympathetic nerve stress Author(s): Ichiro Watanabe, Lizhong Sun, Yukio Mano Name of ISCoS Member (Author): Main institution where the work was done: Rehabilitation and Physical Medicine, Hokkaido University, Sapporo N15,W7, JAPAN Introduction Negative air ions are detected high concentrations (ca 2000~5000/cc) in the forests and near waterfalls, and they were reported to reduce mental stress and to improve the efficiency of occupation. This may be one of the reasons why the care and rehabilitation therapy were effective in health resorts. In this study, we investigate the effect of negative ions rich air for the pain sensation and the amount of local perspiration in healthy volunteer. Methods We used the air conditioner with electric ionizer(Pure air 285YDR, Toshiba co.) in artificial climate room(25 degree, humidity 50%) . 17 healthy male students were double-blindly exposed both negative ion rich air and control air. They were analyzed visual analogue scale (VAS) and local perspiration of palm (SKD2000, Skinos Co. ) with mental stress (calculation etc.) test and 10 minutes pinprick stimulation by Chinese medical doctor. Results Negative air ions (ca. 10,000/cc) significantly reduced VAS; 22.2%(SE 3.3%) in negative air ions and 31.8%(SE5.6%) in control. And negative air ions significantly reduced local perspiration. Conclusion It was suggested that negative air ions might reduce pain sensation and the stress of sympathetic nerve function due to pain, and they might assist effectiveness of rehabilitation. P158 Exploring the relationship between alcohol/drug abuse and spinal cord injuries Author(s): Ria van der Walt Name of ISCoS Member (Author): Ria van der Walt Main institution where the work was done: Groote Schuur Hospital, Cape Town, South Africa The aim of this exploratory study is to determine the incidence of alcohol and/or drug abuse in the etiology of spinal cord injuries (SCI). The sample consists of all the patients admitted over a four months period to the Acute Spinal Cord Injury unit, Groote Schuur Hospital, South Africa. Qualitative and quantitative research methods are being used to gain insight into the subjective experiences of the respondents in the absence of factual proof such as blood tests. Interviews and a questionnaire are being utilised for data collection and to obtain collateral from relatives, friends or witnesses. The findings reveal the prevalence of alcohol/drug abuse in SCI as a result of motor vehicle accidents, gunshot and stab wounds, assault, work/sport injuries, suicide attempts, etc. It indicates how many SCI injuries could be deemed as ‘self-inflicted’ opposed to being ‘victims’ of another person’s alcohol/drug abuse. This study has relevance for SCI prevention strategies and counsellors helping patients to cope with guilt, anger and helplessness, as well as to avert further alcohol/drug abuse after discharge. Further studies are recommended as findings of a relationship between alcohol/drug abuse and SCI cannot be extrapolated or generalized due to the small sample. P159 Ventilatory function in tetraparetic patients with and without systemic Baclofen administration Section: Posters Authors: Mss. Laura Isabela Sadâca(1) , Ms. D. Poenaru(2), Ms. M. Lapadat(3) (1) Resident , National Institute of Physical Medicine and Rehabilitation , Bucharest, Romania (2) Physician, National Institute of Physical Medicine and Rehabilitation , Bucharest, Romania (3) Resident , National Institute of Physical Medicine and Rehabilitation , Bucharest, Romania
Study design : P160 Current practice patterns in the urologic surveillance and management of spinal cord injured patients in Japan Author(s): K.Yasuda, E.Iwatsubo, S.Kitahara, H.Nakai, T.Suzuki, S.Ryu, T.Yamashita, R.Satoh, T.Kihara,Y.Nohara, T.Ushiyama Name of ISCoS Member(Author): K.Yasuda E.Iwatsubo T.Ushiyama Main institution where the work was done: Koshigaya Hospital Dokkyo University School of Medicine An inquiry by questionnaire was performed on the current practice patterns in urological management of patients with spinal cord injury (SCI) in Japan. A Japanese version of the surveillance done in US consisting of 14 questions was sent to the member of Japan Neurogenic Bladder Society?. Of 770, 333 physicians responded. In upper urinary tract (UUT) condition, 72% of the respondents checked UUT by ultrasound every year and 27.2% performed CT scan and/or excretory urogram as routine examination. In lower urinary tract condition, 52.3% of the respondents carried out standard urodynamic study to examine bladder and external urethral sphincter conditions. In case of hematuria, 88.5% of physician felt that cystoscopy is necessary. Cystoscopy was performed routinely in SCI patients by 6.6%. For treatment, anti-cholinergic agents was most commonly used alone as a first-choice method by 73.6% of physicians in detrusor hyperreflexia. In areflexia of detrusor, 70.0% of the respondents felt that CIC is a first-choice treatment, but 16.5% felt that Credé maneuver is a first-choice one. We found some differences between US and Japanese physicians in urological management of SCI patients. The differences might partially result from those of age and institute of the responders. P161 / 254 P162 Co responsibility and self attendance of the patient in the treatment of chronic pain Author(s): J. Sioutis, N. Roussos, D. Patatoukas, I. Kontopoulou, A. Agelopoulou, G. Karantonis, N. Lagogiannis. Name of ISCoS Member (Author): G. Karantonis Main institution where the work was done: PMR Department Asklipeion General Hospital Voula. AIM: From the medical point of view the co responsibility of a patient with chronic musculoskeletal problem is very important for his recovery. The aim of this study is to determinate the patient’s influence on the chronic character of his / her pain. MATERIAL AND METHOD: We studied 20 patients with low back pain (13 male, 7 female,). Ten patients have been treated with physiotherapy and ten with briefing, informing the patients about the mechanisms and body posture leading in muscular spasm, as well as techniques of confrontation. In the follow-up the optical analogue scale has been used to express the pain. Return back to work has been reported as well. RESULTS: Four out of ten patients of the first group were free of pain and six were ready to return to work. From the second group 10 patients were ready to come back to work, while 4 only were free of pain. The improvement of pain in this group was of about three point better than in the first group. CONCLUSION: Despite that the sample was small the study shows that co responsibility and self attendance of the patient give better results from other passive method of treatment. P163 The memory phenomenon and recurrent musculoskeletal pain Author(s): J. Sioutis, N. Roussos, J. Manoleas, N. Patergianakis, Ch. Charalabidis, G. Karantonis, N. Lagogiannis. Name of ISCoS Member (Author):G. Karantonis, Main institution where the work was done: PMR Department Asklipeion General Hospital Voula. AIM: To investigate the role of Nerve Growth Factor (NGF), in the recurrent musculoskeletal pain. Repetitive movements in ordinary work, lead to uncritical lesions of the participating tissues. Nutrition habits and change of the way of life combined with the above mentioned conditions leads to dysfunction of the affected area. NGF among other has been incriminated for the recurrent pain and the so called phenomenon of memory. MATERIAL AND METHOD: We studied 20 patients with epicondilitis in a period of seven months. Patients have been treated with: 1) U/S and Adelmidrol for 10 sessions and 2) use of Adelmidrol cream in each new relapse. Patients were directed to have a monthly follow-up, or in each new relapse. A control group of 20 patients have been treated with U/S, without the use of Adelmidrol. RESULTS: From the first group 2 patients had recurrent problem and seven from the control group. CONCLUSION: Despite the small sample and the problems in the regular long-lasting follow-up, the use of Adelmidrol seems to control NGF and his relation with the phenomenon of memory appears to be verified. The study will be continued.
In 2004 Andrew Hartley, was the first ventilated quadriplegic to compete in a World championship event in any sport. Andrew competed in IFDS Single Person Dinghy World Championships in Melbourne Australia. |
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