Effects of restoration of cough via spinal cord stimulation on subject quality of life
To determine participant quality of life before and after use of the cough stimulation system (Cough System). Prospective assessment of life quality at 4 timepoints via questionnaire responses. Out-patient hospital, United States. 28 subjects with spinal cord injury (SCI) completed life quality asse...
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| Veröffentlicht in: | Journal of clinical orthopaedics and trauma 2022-11, Vol.34, p.102027-102027, Article 102027 |
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| container_title | Journal of clinical orthopaedics and trauma |
| container_volume | 34 |
| creator | DiMarco, Anthony F. Geertman, Robert T. Nemunaitis, Gregory A. Kowalski, Krzysztof E. |
| description | To determine participant quality of life before and after use of the cough stimulation system (Cough System).
Prospective assessment of life quality at 4 timepoints via questionnaire responses.
Out-patient hospital, United States.
28 subjects with spinal cord injury (SCI) completed life quality assessment questionnaires before and at the 28- 40- and 52-week timepoints following use of the Cough System.
Each subject demonstrated significant clinical improvements in terms of restoration of an effective cough and ability to manage airway secretions with use of the Cough System. Positive airway pressures and peak expiratory airflows approached values associated with a normal cough. Related to cough/secretion management, use of this system also resulted less interference with family life and daily activities, less financial difficulties, less requirement for caregiver assistance, less stress, less embarrassment and greater control of their breathing problems (p |
| doi_str_mv | 10.1016/j.jcot.2022.102027 |
| format | Article |
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Prospective assessment of life quality at 4 timepoints via questionnaire responses.
Out-patient hospital, United States.
28 subjects with spinal cord injury (SCI) completed life quality assessment questionnaires before and at the 28- 40- and 52-week timepoints following use of the Cough System.
Each subject demonstrated significant clinical improvements in terms of restoration of an effective cough and ability to manage airway secretions with use of the Cough System. Positive airway pressures and peak expiratory airflows approached values associated with a normal cough. Related to cough/secretion management, use of this system also resulted less interference with family life and daily activities, less financial difficulties, less requirement for caregiver assistance, less stress, less embarrassment and greater control of their breathing problems (p < 0.01), for each comparison). There also significant improvements in that their overall health and quality of life (p < 0.01, for each comparison). Subjects also reported greater ease in breathing, restored ability to sneeze and enhanced mobility. The incidence of acute respiratory tract infections fell from 1.3 ± 0.3 to 0.2 ± 0.1 events/subject year (p < 0.01). Ten subjects developed mild hemodynamic effects consistent with autonomic dysreflexia that abated completely with continued use of the Cough System. Some subjects experienced mild leg jerks during SCS, which were well tolerated and abated completely with reduction in stimulus amplitude, No subjects reported bowel or bladder leakage.
Use of the Cough System by SCI subjects is a safe and efficacious method which significantly improves life quality and has the potential to reduce the mortality and morbidity associated with SCI.</description><identifier>ISSN: 0976-5662</identifier><identifier>EISSN: 2213-3445</identifier><identifier>DOI: 10.1016/j.jcot.2022.102027</identifier><identifier>PMID: 36212771</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Cough ; Quality of life ; Rehabilitation ; Spinal cord injury ; Spinal cord stimulation ; Spine</subject><ispartof>Journal of clinical orthopaedics and trauma, 2022-11, Vol.34, p.102027-102027, Article 102027</ispartof><rights>2022</rights><rights>2022. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3477-cb142fb573acea098cd3d7f4a5b8266c6e7f8a18caf6457c868f50072ac811cf3</citedby><cites>FETCH-LOGICAL-c3477-cb142fb573acea098cd3d7f4a5b8266c6e7f8a18caf6457c868f50072ac811cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535310/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcot.2022.102027$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,3550,27924,27925,45995,53791,53793</link.rule.ids></links><search><creatorcontrib>DiMarco, Anthony F.</creatorcontrib><creatorcontrib>Geertman, Robert T.</creatorcontrib><creatorcontrib>Nemunaitis, Gregory A.</creatorcontrib><creatorcontrib>Kowalski, Krzysztof E.</creatorcontrib><title>Effects of restoration of cough via spinal cord stimulation on subject quality of life</title><title>Journal of clinical orthopaedics and trauma</title><description>To determine participant quality of life before and after use of the cough stimulation system (Cough System).
Prospective assessment of life quality at 4 timepoints via questionnaire responses.
Out-patient hospital, United States.
28 subjects with spinal cord injury (SCI) completed life quality assessment questionnaires before and at the 28- 40- and 52-week timepoints following use of the Cough System.
Each subject demonstrated significant clinical improvements in terms of restoration of an effective cough and ability to manage airway secretions with use of the Cough System. Positive airway pressures and peak expiratory airflows approached values associated with a normal cough. Related to cough/secretion management, use of this system also resulted less interference with family life and daily activities, less financial difficulties, less requirement for caregiver assistance, less stress, less embarrassment and greater control of their breathing problems (p < 0.01), for each comparison). There also significant improvements in that their overall health and quality of life (p < 0.01, for each comparison). Subjects also reported greater ease in breathing, restored ability to sneeze and enhanced mobility. The incidence of acute respiratory tract infections fell from 1.3 ± 0.3 to 0.2 ± 0.1 events/subject year (p < 0.01). Ten subjects developed mild hemodynamic effects consistent with autonomic dysreflexia that abated completely with continued use of the Cough System. Some subjects experienced mild leg jerks during SCS, which were well tolerated and abated completely with reduction in stimulus amplitude, No subjects reported bowel or bladder leakage.
Use of the Cough System by SCI subjects is a safe and efficacious method which significantly improves life quality and has the potential to reduce the mortality and morbidity associated with SCI.</description><subject>Cough</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Spinal cord injury</subject><subject>Spinal cord stimulation</subject><subject>Spine</subject><issn>0976-5662</issn><issn>2213-3445</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLxDAUhYMoOuj8AVdduumYR_MYEEHEFwy4UbchvU3GlE4zJu2A_96UGQQ3ZnPJzflO4ByELgleEEzEdbtoIQwLiinNizzkEZpRSljJqoofoxleSlFyIegZmqfU4ny4IEuiTtEZE5RQKckMfTw4Z2FIRXBFtGkI0Qw-9NMVwrj-LHbeFGnre9PlRWyKNPjN2B1EfZHGus188TWazg_fE9d5Zy_QiTNdsvPDPEfvjw9v98_l6vXp5f5uVQKrpCyhJhV1NZfMgDV4qaBhjXSV4bWiQoCw0ilDFBgnKi5BCeU4xpIaUISAY-fodu-7HeuNbcD2QzSd3ka_MfFbB-P135fef-p12OklZ5wRnA2uDgYxfI05AL3xCWzXmd6GMWkqKasUp4JmKd1LIYaUonW_3xCsp050q6dO9NSJ3neSoZs9ZHMKO2-jTuBtD7bxMeemm-D_w38Au4eVJQ</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>DiMarco, Anthony F.</creator><creator>Geertman, Robert T.</creator><creator>Nemunaitis, Gregory A.</creator><creator>Kowalski, Krzysztof E.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20221101</creationdate><title>Effects of restoration of cough via spinal cord stimulation on subject quality of life</title><author>DiMarco, Anthony F. ; Geertman, Robert T. ; Nemunaitis, Gregory A. ; Kowalski, Krzysztof E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3477-cb142fb573acea098cd3d7f4a5b8266c6e7f8a18caf6457c868f50072ac811cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cough</topic><topic>Quality of life</topic><topic>Rehabilitation</topic><topic>Spinal cord injury</topic><topic>Spinal cord stimulation</topic><topic>Spine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DiMarco, Anthony F.</creatorcontrib><creatorcontrib>Geertman, Robert T.</creatorcontrib><creatorcontrib>Nemunaitis, Gregory A.</creatorcontrib><creatorcontrib>Kowalski, Krzysztof E.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical orthopaedics and trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DiMarco, Anthony F.</au><au>Geertman, Robert T.</au><au>Nemunaitis, Gregory A.</au><au>Kowalski, Krzysztof E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of restoration of cough via spinal cord stimulation on subject quality of life</atitle><jtitle>Journal of clinical orthopaedics and trauma</jtitle><date>2022-11-01</date><risdate>2022</risdate><volume>34</volume><spage>102027</spage><epage>102027</epage><pages>102027-102027</pages><artnum>102027</artnum><issn>0976-5662</issn><eissn>2213-3445</eissn><abstract>To determine participant quality of life before and after use of the cough stimulation system (Cough System).
Prospective assessment of life quality at 4 timepoints via questionnaire responses.
Out-patient hospital, United States.
28 subjects with spinal cord injury (SCI) completed life quality assessment questionnaires before and at the 28- 40- and 52-week timepoints following use of the Cough System.
Each subject demonstrated significant clinical improvements in terms of restoration of an effective cough and ability to manage airway secretions with use of the Cough System. Positive airway pressures and peak expiratory airflows approached values associated with a normal cough. Related to cough/secretion management, use of this system also resulted less interference with family life and daily activities, less financial difficulties, less requirement for caregiver assistance, less stress, less embarrassment and greater control of their breathing problems (p < 0.01), for each comparison). There also significant improvements in that their overall health and quality of life (p < 0.01, for each comparison). Subjects also reported greater ease in breathing, restored ability to sneeze and enhanced mobility. The incidence of acute respiratory tract infections fell from 1.3 ± 0.3 to 0.2 ± 0.1 events/subject year (p < 0.01). Ten subjects developed mild hemodynamic effects consistent with autonomic dysreflexia that abated completely with continued use of the Cough System. Some subjects experienced mild leg jerks during SCS, which were well tolerated and abated completely with reduction in stimulus amplitude, No subjects reported bowel or bladder leakage.
Use of the Cough System by SCI subjects is a safe and efficacious method which significantly improves life quality and has the potential to reduce the mortality and morbidity associated with SCI.</abstract><pub>Elsevier B.V</pub><pmid>36212771</pmid><doi>10.1016/j.jcot.2022.102027</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0976-5662 |
| ispartof | Journal of clinical orthopaedics and trauma, 2022-11, Vol.34, p.102027-102027, Article 102027 |
| issn | 0976-5662 2213-3445 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9535310 |
| source | Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Cough Quality of life Rehabilitation Spinal cord injury Spinal cord stimulation Spine |
| title | Effects of restoration of cough via spinal cord stimulation on subject quality of life |
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