Spinal cord injuries in Sweden: studies on clinical follow-ups

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Flank, Peter,1972-Umeå universitet,Rehabiliteringsmedicin (författare)

Spinal cord injuries in Sweden : studies on clinical follow-ups

BokEngelska2016

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Umeå :Umeå universitet,2016
73 s.
electronicrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:umu-125202
ISBN:9789176015261
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-125202URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:dok swepub-publicationtype

Serie

Umeå University medical dissertations,0346-6612 ;1824

Anmärkningar

A spinal cord injury is a serious medical condition, often caused by a physical trauma. An injury to the spinal cord affects the neurotransmission between the brain and spinal cord segments below the level of injury. The SCI causes a loss of motor function, sensory function and autonomic regulation of the body, temporary or permanent. Significantly improved acute care, primary comprehensive rehabilitation and life-long structured follow-up has led to persons with spinal cord injury (SCI) living longer than ever before. However, increased long-time survival has allowed secondary conditions to emerge, like diabetes mellitus and where cardiovascular disease (CVD) now is the most common cause of death among SCI patients. Other possible CVD-related comorbidities in this patient group have been reported to be pain and mood disturbances. There is still lack of, and need for more knowledge in the field of CVD-related screening and prevention after SCI.The overall aim of this thesis was to contribute to a scientific ground regarding the need for CVD-related screening and prevention after SCI.In Paper I and Paper II, patients with wheelchair-dependent post-traumatic SCI (paraplegia) were assessed. The results in paper I showed that 80% of the examined patients had at least one cardiovascular disease risk marker irrespective of body mass index (BMI). Dyslipidemia was common for both men and women at all BMI categories. The study also showed a high prevalence of hypertension, especially in men. Paper II showed a low frequency of self-reported physical activity, where only one out of 5 persons reported undertaking physical activity >30 min/day. The physically active had lower diastolic blood pressure but no significant difference in blood lipids.In paper III and IV, patients with SCI (tetraplegia and paraplegia) participated in the studies. Eighty-one percent of the patients had dyslipidemia, where also a majority of the patients with normal abdominal clinical measures had dyslipidemia. Self-reported physical activity >30min/day was reported by one third of the patients. No differences were found between physically active and not physically active patients when it came to blood glucose, serum lipid values and clinical measures (paper III). Pain was common in the patient group, however, most often on a mild to moderate level. Anxiety and depression was less common than reported in other studies (paper IV).

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
Tetraplegia
paraplegia
cardiovascular disease
prevention
anthropometry
physical activity
rehabiliteringsmedicin
Rehabilitation Medicine

Biuppslag (personer, institutioner, konferenser, titlar ...)

Martin, Fahlström,DocentUmeå universitet,Professionell utveckling(Swepub:umu)manfam96 (preses)
Ramnemark, Anna,Medicine doktorUmeå universitet,Geriatrik(Swepub:umu)anra0067 (preses)
Levi, Richard,ProfessorUmeå universitet,Rehabiliteringsmedicin(Swepub:umu)rile0004 (preses)
Wahman, Kerstin,Medicine doktorDepartment of Neurobiology, Care Sciences and Society (preses)
Denison, Eva,Adj ProfessorAkademin för hälsa, vård och välfärd. Avd för fysioterapi. Mälardalens högskola (opponent)
Umeå universitetRehabiliteringsmedicin (creator_code:org_t)

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Av författaren/redakt...: Flank, Peter, 19 ...; Martin, Fahlströ ...; Ramnemark, Anna, ...; Levi, Richard, P ...; Wahman, Kerstin, ...; Denison, Eva, Ad ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

Delar i serien: Umeå University ...

Av lärosätet: Umeå universitet

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