Background/Objective: The high demand on the upper limbs during manual wheelchair (WC) use contributes to a high prevalence of shoulder pathology in people with spinal cord injury (SCI). Leveractivated (LEVER) WCs have been presented as a less demanding alternative mode of manual WC propulsion. The objective of this study was to evaluate the shoulder muscle electromyographic activity and propul...

Background and Purpose Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. Detrimental cortical reorganization, however, may create further loss of function. The purpose of this case report is to describe the cortical changes associated with a combination intervention using bimanual massed practice training with somatosensory sti...

Sjögren-Larsson syndrome is an inherited neurocutaneous disorder characterized by ichthyosis, intellectual disability, and spastic diplegia or tetraplegia. Patients have deficient activity of fatty aldehyde dehydrogenase due to mutations in the ALDH3A2 gene, which results in altered lipid composition of their tissues. In this article, the author discusses new information about the biochemical p...

We report three cases of a collective tetrodotoxin poisoning, after ingestion of puffer fish eggs. This neurotoxin is the most potent membrane stabilizer, blocking the nervous conduction and resulting in death from respiratory paralysis in case of massive ingestion. The father died at admission, the mother and her daughter presented an acute respiratory failure and a flaccid tetraplegia, with f...

High cervical spinal cord injuries induce extreme handicap and tactile isolation. Tracheotomised tetraplegic patients are also bound to be olfaction deprived. By restoring negative pressure inspiration, diaphragm pacing (DP) should improve olfaction. We tested olfaction in 10 consecutive tetraplegics during positive pressure mechanical ventilation and DP, using the University of Pennsylvania Sm...

Bilateral medial medullary infarction is rare. We report a 54-year-old man who presented with a 3-day history of dysarthria and progressive weakness in all four limbs. He suffered from respiratory failure 10 days later. Brain magnetic resonance imaging showed acute infarction of the bilateral medial medulla, characterized by a typical heart-shaped sign. Intravenous heparin was given for his cer...

Abstract Date Presented 04/02/2022 The aim is to examine whether electronic communication devices (ECDs), assistive technology (AT), and Internet use increases the odds of high social integration (HSI) after tetraplegia injury. A binary logistic regression determined ECD, AT, increased HSI by 300% Prioritizing ECD independence in this population evaluating addressing AT needs could significantl...