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11 résultat(s) recherche sur le mot-clé 'Spinal cord injury'
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Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors / Y. Ronzi in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)
[article]
Titre : Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors Type de document : texte imprimé Auteurs : Y. Ronzi ; Brigitte Perrouin-Verbe ; O. Hamel ; R. Gross Année de publication : 2018 Article en page(s) : p. 27-32 Note générale : Doi : 10.1016/j.rehab.2017.09.003 Langues : Anglais (eng) Mots-clés : Spinal cord injury Cervical spinal canal stenosis Cord syndromes Tetraplegia Functional outcome Résumé : Objectives
To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability.
Methods
A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed. A statistical analysis provided insights into the prognostic factors associated with the outcomes.
Results
Sixty-three patients (mean age 60.1 years) were hospitalized for traumatic SCI with SCS and without instability between January 2000 and December 2012. Falls were the most frequent cause of trauma (77.8%). At admission, most patients had an American Spinal Injury Association Impairment Scale (AIS) grade of C (43.3%) or D (41.7%) and the most frequent neurological levels of injury were C4 (35.7%) and C5 (28.6%). Clinical syndromes were frequently identified (78.6%), with the most frequent being the Brown-Sequard plus syndrome (BSPS) (30.9%), followed by central cord syndrome (CCS, 23.8%). Almost 80% of survivors returned to the community, 60% were able to walk and 75% recovered complete voluntary control of bladder function. Identified prognostic factors of favourable functional outcomes were higher AIS at admission, age under 60 years and presence of BSPS or CCS.
Conclusion
Traumatic SCI, associated with SCS results mostly in incomplete injuries, can cause various syndromes and is associated with favourable functional outcomes.Permalink : ./index.php?lvl=notice_display&id=80436
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 27-32[article] Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors [texte imprimé] / Y. Ronzi ; Brigitte Perrouin-Verbe ; O. Hamel ; R. Gross . - 2018 . - p. 27-32.
Doi : 10.1016/j.rehab.2017.09.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 27-32
Mots-clés : Spinal cord injury Cervical spinal canal stenosis Cord syndromes Tetraplegia Functional outcome Résumé : Objectives
To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability.
Methods
A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed. A statistical analysis provided insights into the prognostic factors associated with the outcomes.
Results
Sixty-three patients (mean age 60.1 years) were hospitalized for traumatic SCI with SCS and without instability between January 2000 and December 2012. Falls were the most frequent cause of trauma (77.8%). At admission, most patients had an American Spinal Injury Association Impairment Scale (AIS) grade of C (43.3%) or D (41.7%) and the most frequent neurological levels of injury were C4 (35.7%) and C5 (28.6%). Clinical syndromes were frequently identified (78.6%), with the most frequent being the Brown-Sequard plus syndrome (BSPS) (30.9%), followed by central cord syndrome (CCS, 23.8%). Almost 80% of survivors returned to the community, 60% were able to walk and 75% recovered complete voluntary control of bladder function. Identified prognostic factors of favourable functional outcomes were higher AIS at admission, age under 60 years and presence of BSPS or CCS.
Conclusion
Traumatic SCI, associated with SCS results mostly in incomplete injuries, can cause various syndromes and is associated with favourable functional outcomes.Permalink : ./index.php?lvl=notice_display&id=80436 Exemplaires (1)
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Exclu du prêtBlocking neuromuscular junctions with botulinum toxin A injection enhances neurological heterotopic ossification development after spinal cord injury in mice / Marjorie Salga in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Blocking neuromuscular junctions with botulinum toxin A injection enhances neurological heterotopic ossification development after spinal cord injury in mice Type de document : texte imprimé Auteurs : Marjorie Salga ; Hsu-Wen Tseng ; Kylie A. Alexander ; Beulah Jose ; Cedryck Vaquette ; Charlotte Debaud ; Laure Gatin Année de publication : 2019 Article en page(s) : p. 189-192 Note générale : https://doi.org/10.1016/j.rehab.2019.01.005 Langues : Anglais (eng) Mots-clés : Neurogenic heterotopic ossification Spinal cord injury Botulinum toxin type a Osteogenesis Permalink : ./index.php?lvl=notice_display&id=84118
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 189-192[article] Blocking neuromuscular junctions with botulinum toxin A injection enhances neurological heterotopic ossification development after spinal cord injury in mice [texte imprimé] / Marjorie Salga ; Hsu-Wen Tseng ; Kylie A. Alexander ; Beulah Jose ; Cedryck Vaquette ; Charlotte Debaud ; Laure Gatin . - 2019 . - p. 189-192.
https://doi.org/10.1016/j.rehab.2019.01.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 189-192
Mots-clés : Neurogenic heterotopic ossification Spinal cord injury Botulinum toxin type a Osteogenesis Permalink : ./index.php?lvl=notice_display&id=84118 Exemplaires (1)
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Exclu du prêtRisk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury / J. Morel in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)
[article]
Titre : Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury Type de document : texte imprimé Auteurs : J. Morel ; C. Herlin ; B. Amara ; et al. Année de publication : 2019 Article en page(s) : p. 77-83 Note générale : Doi : 10.1016/j.rehab.2018.08.005 Langues : Anglais (eng) Mots-clés : Pressure ulcer Flap surgery Spinal cord injury Recurrence Risk factor Résumé : Background
Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified.
Objective
We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI).
Patients and methods
This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs).
Results
We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3).
Conclusion
Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83[article] Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury [texte imprimé] / J. Morel ; C. Herlin ; B. Amara ; et al. . - 2019 . - p. 77-83.
Doi : 10.1016/j.rehab.2018.08.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83
Mots-clés : Pressure ulcer Flap surgery Spinal cord injury Recurrence Risk factor Résumé : Background
Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified.
Objective
We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI).
Patients and methods
This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs).
Results
We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3).
Conclusion
Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644 Exemplaires (1)
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Exclu du prêtUse of psychoactive substances in persons with spinal cord injury: A literature review / M. TETRAULT in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
[article]
Titre : Use of psychoactive substances in persons with spinal cord injury: A literature review Titre original : L’usage de substances psychoactives chez les personnes ayant une lésion médullaire : état des connaissances Type de document : texte imprimé Auteurs : M. TETRAULT, Auteur ; F. COURTOIS, Auteur Année de publication : 2014 Article en page(s) : p.684-695 Langues : Français (fre) Mots-clés : Spinal cord injury Active rehabilitation Home return period Substance use disorders Prevalence Risk factors Lésion médullaire Réadaptation fonctionnelle Retour à domicile Troubles liés à l’utilisation d’une substance Prévalences Facteurs de risque Résumé : Objective
To undertake a critical review of literature on use of legal and illegal psychoactive substances (PAS) in persons with spinal cord injury (SCI) before and after trauma.
Material and methods
Hundred and five articles published between 1980 and 2014 on alcohol and drug use in persons with SCI before and after trauma were retrieved from the PubMed and PsycInfo search engines.
Results
Before injury, 25% to 96% of people with SCI reported using alcohol, while 32% to 35% had used illegal drugs. At the time of injury, 31% to 50% of individuals with SCI were intoxicated with alcohol, 16% to 33% with drugs and 26% with a combination of drugs and alcohol. Among those reporting PAS use before injury, up to 50% stated that they had reduced their use during active rehabilitation, during which time only 6% consumed psychoactive substances for the first time. A variety of risk factors are associated with consumption subsequent to spinal cord injury: personality alteration (impulsiveness, aggressiveness), posttraumatic depression, poor coping skills, lack of social support and pain. PAS use can affect the process of rehabilitation, diminish the effectiveness of medication and result in various medical complications.
Discussion/conclusions
Few studies have explored the use of alcohol, drugs and psychoactive medications before SCI and during active rehabilitation. To our knowledge, no study has analyzed the evolution of PAS use after hospital discharge, even though return home is associated with new stressors that may trigger risky behaviors. It should be a priority, as early as possible during rehabilitation, to detect persons at risk of developing PAS abuse.
Objectif
Revue de la littérature quant à l’usage de substances psychoactives (SPA) illicites avant et suite au traumatisme chez les personnes ayant une lésion à la moelle épinière (LM).
Matériel et méthode
Cent-cinq articles entre 1980 et 2014, en lien avec l’usage de SPA avant et suite au traumatisme chez les personnes LM. Les articles ont été obtenus par les moteurs de recherche PubMed et PsycInfo.
Résultats
Avant la lésion médullaire, entre 25 et 96 % des personnes LM affichaient une consommation d’alcool et 32 à 35 % de substances illicites. Au moment de l’accident, entre 31 et 50 % des individus LM auraient été intoxiqués par l’alcool, 16 à 33 % aux substances illicites et 26 % à la fois par l’alcool et les substances illicites. Parmi les individus qui consommaient des SPA avant le traumatisme, jusqu’à 50 % des personnes ont diminué leur consommation durant la phase de réadaptation alors que 6 % se sont initiées à la consommation. Divers facteurs de risque sont associés à la consommation chez les personnes LM comme la personnalité (impulsivité, agressivité), un état dépressif post-traumatique, les difficultés d’adaptation à la lésion, le réseau social de même que la douleur. Cette consommation peut affecter le processus de réadaptation, l’efficacité de la médication et engendrer diverses complications médicales.
Discussion/conclusion
Peu d’études semblent avoir exploré à la fois l’usage d’alcool, de substances illicites et de médicaments psychotropes avant le traumatisme et lors de la réadaptation fonctionnelle, et aucune n’a tenté d’explorer l’évolution de la consommation lors du retour à domicile, période qui présente pourtant de nouvelles contraintes et de nouveaux agents stresseurs susceptibles d’engendrer des comportements à risque. La détection des personnes à risque de développer un trouble lié à une substance est à prioriser dès la période de réadaptation.Permalink : ./index.php?lvl=notice_display&id=34550
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.684-695[article] Use of psychoactive substances in persons with spinal cord injury: A literature review = L’usage de substances psychoactives chez les personnes ayant une lésion médullaire : état des connaissances [texte imprimé] / M. TETRAULT, Auteur ; F. COURTOIS, Auteur . - 2014 . - p.684-695.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.684-695
Mots-clés : Spinal cord injury Active rehabilitation Home return period Substance use disorders Prevalence Risk factors Lésion médullaire Réadaptation fonctionnelle Retour à domicile Troubles liés à l’utilisation d’une substance Prévalences Facteurs de risque Résumé : Objective
To undertake a critical review of literature on use of legal and illegal psychoactive substances (PAS) in persons with spinal cord injury (SCI) before and after trauma.
Material and methods
Hundred and five articles published between 1980 and 2014 on alcohol and drug use in persons with SCI before and after trauma were retrieved from the PubMed and PsycInfo search engines.
Results
Before injury, 25% to 96% of people with SCI reported using alcohol, while 32% to 35% had used illegal drugs. At the time of injury, 31% to 50% of individuals with SCI were intoxicated with alcohol, 16% to 33% with drugs and 26% with a combination of drugs and alcohol. Among those reporting PAS use before injury, up to 50% stated that they had reduced their use during active rehabilitation, during which time only 6% consumed psychoactive substances for the first time. A variety of risk factors are associated with consumption subsequent to spinal cord injury: personality alteration (impulsiveness, aggressiveness), posttraumatic depression, poor coping skills, lack of social support and pain. PAS use can affect the process of rehabilitation, diminish the effectiveness of medication and result in various medical complications.
Discussion/conclusions
Few studies have explored the use of alcohol, drugs and psychoactive medications before SCI and during active rehabilitation. To our knowledge, no study has analyzed the evolution of PAS use after hospital discharge, even though return home is associated with new stressors that may trigger risky behaviors. It should be a priority, as early as possible during rehabilitation, to detect persons at risk of developing PAS abuse.
Objectif
Revue de la littérature quant à l’usage de substances psychoactives (SPA) illicites avant et suite au traumatisme chez les personnes ayant une lésion à la moelle épinière (LM).
Matériel et méthode
Cent-cinq articles entre 1980 et 2014, en lien avec l’usage de SPA avant et suite au traumatisme chez les personnes LM. Les articles ont été obtenus par les moteurs de recherche PubMed et PsycInfo.
Résultats
Avant la lésion médullaire, entre 25 et 96 % des personnes LM affichaient une consommation d’alcool et 32 à 35 % de substances illicites. Au moment de l’accident, entre 31 et 50 % des individus LM auraient été intoxiqués par l’alcool, 16 à 33 % aux substances illicites et 26 % à la fois par l’alcool et les substances illicites. Parmi les individus qui consommaient des SPA avant le traumatisme, jusqu’à 50 % des personnes ont diminué leur consommation durant la phase de réadaptation alors que 6 % se sont initiées à la consommation. Divers facteurs de risque sont associés à la consommation chez les personnes LM comme la personnalité (impulsivité, agressivité), un état dépressif post-traumatique, les difficultés d’adaptation à la lésion, le réseau social de même que la douleur. Cette consommation peut affecter le processus de réadaptation, l’efficacité de la médication et engendrer diverses complications médicales.
Discussion/conclusion
Peu d’études semblent avoir exploré à la fois l’usage d’alcool, de substances illicites et de médicaments psychotropes avant le traumatisme et lors de la réadaptation fonctionnelle, et aucune n’a tenté d’explorer l’évolution de la consommation lors du retour à domicile, période qui présente pourtant de nouvelles contraintes et de nouveaux agents stresseurs susceptibles d’engendrer des comportements à risque. La détection des personnes à risque de développer un trouble lié à une substance est à prioriser dès la période de réadaptation.Permalink : ./index.php?lvl=notice_display&id=34550 Exemplaires (1)
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Exclu du prêtVirtual reality for spinal cord injury-associated neuropathic pain: Systematic review / B. Chi in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review Type de document : texte imprimé Auteurs : B. Chi ; B. Chau ; E. Yeo ; P. Ta Année de publication : 2019 Article en page(s) : p. 49-57 Note générale : Doi : 10.1016/j.rehab.2018.09.006 Langues : Anglais (eng) Mots-clés : Virtual reality Spinal cord injury Neuropathic pain Résumé : Background
Treatment of spinal cord injury (SCI)-associated neuropathic pain is challenging, with limited efficacy and no definitive options, and SCI patients often show resistance to pharmacologic treatment. Virtual reality (VR) therapy is a non-invasive, non-pharmacologic alternative with minimal adverse effects.
Objective
To investigate the effect of VR therapy on SCI-associated neuropathic pain in a systematic review.
Methods
Articles needed to 1) be written in English; 2) include adult subjects, with at least half the study population with a SCI diagnosis; 3) involve any form of VR therapy; and 4) assess neuropathic pain by quantitative outcome measures. Articles were searched in MEDLINE/PubMed, CINAHL®, EMBASE, and PsycINFO up to April 2018. Reference lists of retrieved articles were hand-searched. Methodologic quality was assessed by the Physiotherapy Evidence Database Score (PEDro) for randomized controlled trials and Modified Downs and Black Tool (D&B) for all other studies. Level of evidence was determined by using a modified Sackett scale.
Results
Among 333 studies identified, 9 included in this review (n=150 participants) evaluated 4 methods of VR therapy (virtual walking, VR-augmented training, virtual illusion, and VR hypnosis) for treating neuropathic pain in SCI patients. Each VR method reduced neuropathic pain: 4 studies supported virtual walking, and the other 3 VR methods were each supported by a different study. Combined treatment with virtual walking and transcranial direct current stimulation was the most effective. The quality of studies was a major limitation.
Conclusion
VR therapy could reduce SCI-associated neuropathic pain, although the clinical significance of this analgesic effect is unclear. Clinical trials evaluating VR therapy as standalone and/or adjunct therapy for neuropathic pain in SCI patients are warranted.Permalink : ./index.php?lvl=notice_display&id=82639
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 49-57[article] Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review [texte imprimé] / B. Chi ; B. Chau ; E. Yeo ; P. Ta . - 2019 . - p. 49-57.
Doi : 10.1016/j.rehab.2018.09.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 49-57
Mots-clés : Virtual reality Spinal cord injury Neuropathic pain Résumé : Background
Treatment of spinal cord injury (SCI)-associated neuropathic pain is challenging, with limited efficacy and no definitive options, and SCI patients often show resistance to pharmacologic treatment. Virtual reality (VR) therapy is a non-invasive, non-pharmacologic alternative with minimal adverse effects.
Objective
To investigate the effect of VR therapy on SCI-associated neuropathic pain in a systematic review.
Methods
Articles needed to 1) be written in English; 2) include adult subjects, with at least half the study population with a SCI diagnosis; 3) involve any form of VR therapy; and 4) assess neuropathic pain by quantitative outcome measures. Articles were searched in MEDLINE/PubMed, CINAHL®, EMBASE, and PsycINFO up to April 2018. Reference lists of retrieved articles were hand-searched. Methodologic quality was assessed by the Physiotherapy Evidence Database Score (PEDro) for randomized controlled trials and Modified Downs and Black Tool (D&B) for all other studies. Level of evidence was determined by using a modified Sackett scale.
Results
Among 333 studies identified, 9 included in this review (n=150 participants) evaluated 4 methods of VR therapy (virtual walking, VR-augmented training, virtual illusion, and VR hypnosis) for treating neuropathic pain in SCI patients. Each VR method reduced neuropathic pain: 4 studies supported virtual walking, and the other 3 VR methods were each supported by a different study. Combined treatment with virtual walking and transcranial direct current stimulation was the most effective. The quality of studies was a major limitation.
Conclusion
VR therapy could reduce SCI-associated neuropathic pain, although the clinical significance of this analgesic effect is unclear. Clinical trials evaluating VR therapy as standalone and/or adjunct therapy for neuropathic pain in SCI patients are warranted.Permalink : ./index.php?lvl=notice_display&id=82639 Exemplaires (1)
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Exclu du prêtIs OPLL-Induced Canal Stenosis A Risk Factor Of Cord Injury In Cervical Trauma ? / Kyung-Jin SONG in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
PermalinkAssessment of sexual function in women with neurological disorders: A review / Frédérique Courtois in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)
PermalinkReorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers / A. Sarcher in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)
PermalinkInconclusive efficacy of intervention on upper-limb function after tetraplegia : A systematic review and meta-analysis / Sébastien Mateo in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
PermalinkReference values for transformed Van Lieshout handfunction test for Tetraplegia / Annemie I.F. Spooren
Permalink