bluuebunny/crossref_metadata_2025_split huggingface dataset:
Poster (Technology Innovation) ID 1970531
Authors: Barua Ujjoyinee , Holmes Jeffery , Loh Eldon , Teasell Robert , Sequeira Keith , Wolfe Dalton , Mehta Swati 
Published: December 2023

Background/Objective
Spinal cord injuries (SCI) have a devastating effect on individuals incurring this life-changing event; however, it can also affect those integrally involved in their care. Family caregivers often experience negative outcomes, including high levels of burden, leading to decreased psychological well-being. Cognitive behavioural therapy is the most evidence-based treatment to help people identify and modify thoughts and behaviours contributing to their mental health concerns. However, several resource limitations exist. Guided internet-delivered cognitive behaviour therapy (ICBT) offers an evidence-based and accessible approach to psychosocial service delivery. ICBT improved psychosocial outcomes, including depression among persons with chronic health conditions. However, the efficacy of ICBT has yet to be evaluated among these caregivers.

Methods/Design
We present the protocol of the Well-being Care Partners Program, a 10-week clinician-guided ICBT program tailored for SCI caregivers to improve their well-being. The program was developed through participatory action research involving seven expert members (i.e., clinicians, people with lived experiences). We aim to recruit 30 participants to pilot this program. Participants will complete measures at baseline, post-intervention, and three months post-intervention. The primary outcome will be feasibility assessed through acceptability and limited efficacy (i.e., depression, anxiety, caregiver burden) as suggested by Bowen’s feasibility framework.

Discussion
This is one of the first pilot trials to test the feasibility, acceptability, and efficacy of a guided ICBT program for SCI caregivers. ICBT is designed to deliver an evidence-based intervention to overcome face-to-face therapy barriers and reach a wider group of patients, including those who might experience difficulties accessing health care.
Student Competition (Knowledge Generation) ID 1973368
Authors: Pei William , Fok Kai Lon , Tajali Shirin , Lee Jae Woung , Atputharaj Sharmini , Musselman Kristin , Masani Kei 
Published: December 2023

Background
Individuals with an incomplete spinal cord injury (iSCI) have increased risk of falls during walking and standing. Our previous longitudinal pilot study demonstrated that a therapeutic system (FES+VFT system) using functional electrical stimulation (FES) and visual feedback training (VFT) improved the standing balance of individuals with iSCI.

Purpose
This study investigated the orthotic and acute therapeutic effects of FES in the FES+VFT system.

Participants
Fifteen individuals with iSCI will be recruited for this study. To date, four participants have completed the study.

Methods
The four participants completed three different sessions. In the first session, participants were evaluated for their balance, postural control and familiarized with the FES+VFT system. In the second and third sessions, the participant completed training sessions with the FES+VFT system with or without FES. Centre of pressure (COP) data were collected via force platforms. Before and after the training, the motor evoked potentials (MEP) of the soleus and tibialis anterior muscles were recorded.

Results
There was a greater increase in the total dynamic range of the COP with FES+VFT than VFT (Anterior posterior: increase of 17.5 ± 14.27mm, medial lateral: increase of 17.9 ± 19.45mm). Both the soleus and tibialis anterior muscles showed greater increases in MEP after FES+VFT than VFT (Soleus: 70.4 ± 31.1% vs 5.45 ± 29.1%; Tibialis Anterior: 115.3 ± 234.8% vs 11.0 ± 42.9%).

Conclusions
These findings suggest that FES improves the performance of VFT (positive orthotic effect) and increases the corticospinal connection (positive acute therapeutic effect) in individuals with iSCI.
Student Competition (Knowledge Generation) ID 1984525
Authors: Sequeira Nicholas , Craven Beverley C. 
Published: December 2023

Background
Drug-induced myelopathy has been reported widely for heroin use, but less frequently for amphetamines or fentanyl. Hyperglycemia-induced acute myelopathy has not previously been described.

Methods
We present a case of toxic/metabolic myelopathy secondary to the aforementioned results in a patient presenting for tertiary inpatient rehabilitation.

Results
A 28-year-old man with Type 1 Diabetes without complications and polysubstance use (fentanyl and crystal methamphetamine) presented to hospital with quadriparesis and anesthesia. Patient reported he fell down a flight of stairs while using substances and remained on the ground for hours-days as he was acutely paralyzed when he awoke. Initial examination demonstrated a C5 motor level. Pan-CT demonstrated no intracranial or spinous abnormalities. MRI with gadolinium showed cord edema from C1-T4 and patchy enhancement from C4-C7 without cord compression. Diffusion restriction and hemorrhagic transformation were later seen in C4-C7. Initial blood glucose was 66 with no serum ketones. Serum toxicology was negative and urine toxicology was positive for amphetamines and fentanyl. Autoimmune and infectious workups were negative. He received 5 days of pulse steroids and 7 sessions of plasmapheresis with minimal functional or neurological improvement. He was admitted to rehabilitation as a C5 AIS-B and did not exhibit further improvement in motor or sensory function over 3 months of active inpatient rehab.

Conclusions
Given the pattern of cord enhancement with hemorrhagic transformation, this injury most likely represents acute myelitis induced by hyperglycemia and amphetamines/fentanyl. To our knowledge, this is the first case report where hyperglycemia may have contributed to acute myelopathy.
Poster (Technology Innovation) ID 1984794
Authors: Li Guijin , Balbinot Gustavo , Furlan Julio C. , Kalsi-Ryan Sukhvinder , Zariffa José 
Published: December 2023

Background
Cervical spinal cord injury (SCI) can cause significant impairment and disability with an impact on individuals’ quality of life and independence. Surface electromyography (SEMG) is a sensitive and non-invasive technique to measure muscle activity and has demonstrated great potential in capturing the impact from SCI. The mechanisms of SCI damage on SEMG signal characteristics are multi-faceted and difficult to study in vivo.

Objective
Use validated computational models to characterize changes in SEMG signal after SCI and identify SEMG features that are sensitive and specific to the impact from different aspects of SCI.

Method
Starting from existing computational models for motor neuron pool organization and for motor unit action potential generation for healthy neuromuscular systems, we set up scenarios to model alterations in upper motor neurons, lower motor neurons, and the number of muscle fibers within each motor unit after SCI. After simulating SEMG signals from each scenario, we extracted time and frequency domain features and investigated the impact of SCI disruptions on SEMG features using the Pearson correlation between a feature and the extent of a given disruption.

Findings
Commonly used amplitude-based SEMG features cannot differentiate between injury scenarios. A broader set of features provides greater specificity to the type of damage present.

Conclusion
We demonstrated a novel approach to mechanistically relate SEMG features to different types of neuromuscular alterations after SCI. This work contributes to a deeper understanding and exploitation of SEMG in clinical applications, which will ultimately improve patient outcomes after SCI.
Student Competition (Knowledge Generation) ID 1985159
Authors: Okusanya Deborah O. , Porter Jane A. , Mann Darren J. , Karamzadeh Zahra , Hemakumara Sisuri G. , Barss Trevor S. , Mushahwar Vivian K. 
Published: December 2023

Background
When we walk, we swing our arms in rhythm with our legs due to neural connections in the spinal cord. Currently, rehabilitation protocols primarily focus on leg training to improve walking function. However, past research has highlighted the importance of engaging the arms in rehabilitative interventions through arm and leg cycling following an incomplete spinal cord injury (iSCI).

Objectives
The objective of this study is to determine if the application of non-invasive transcutaneous spinal cord stimulation (tSCS) paired with arm and leg cycling can improve walking for individuals with an iSCI. It is hypothesized that the addition of tSCS will activate previously inaccessible neural circuits within the spinal cord to produce significant improvements in walking capacity.

Methods
Individuals with an iSCI underwent arm and leg cycling training that was assisted by functional electrical stimulation applied to the main extensor muscles of the leg. tSCS was applied over the cervical and lumbar regions of the spinal cord. Training consisted of 1 hour of cycling, 5 days/week for 12 weeks. A series of clinical and biomechanical assessments were performed to assess changes in functional mobility.

Results
Preliminary results in three participants showed increases in maximal walking speed on the 10-metre walk test, increases in walking endurance on the 6-minute walk test, and improved balance on the Berg Balance Scale. Preliminary biomechanical results suggested that the addition of tSCS may reduce left-right asymmetry.

Conclusions
Arm and leg cycling paired with tSCS offers tremendous potential for improvements in walking function following an iSCI.
Workshop (Knowledge Generation) ID 1985178
Authors: Chernesky John 
Published: December 2023

Background
As more research funding agencies require grant applications to include an array of stakeholder expertise, a clear and well-thought-out Engagement Plan is necessary to ensure grant reviewers understand how projects will engage relevant stakeholders.

Objectives
Provide a comprehensive framework for drafting Engagement Plans for grant applications that will strengthen research proposals, help to mitigate tokenism and lead to more meaningful engagement in SCI research.

Overview
This presentation will describe in detail the key components you should include in your grant Engagement Plan, including tools you can utilize to select ideal project partners, develop an activity timeline, choose appropriate engagement methodologies, and prepare an accurate budget. Drawing on established best-practices in meaningful engagement, this presentation will guide delegates through the various components funding agencies expect to see in a thorough Engagement Plan. A novel framework will be shared that addresses common shortcomings in Engagement Plans and provides clear guidance on the elements to include in your grant submissions.

Conclusions
A detailed Engagement Plan clarifies to grant reviewers the steps you intend to take to ensure meaningful engagement in your proposed work, and will help set your application apart in the highly competitive research funding market.
Poster (Clinical/Best Practice Implementation) ID 1985182
Authors: Chase Andrea D. , Cordner Sharol E. , Duley Jennifer M. , Doupe Marty , Giurleo Charlie , Hong Julianne W. Y. , Kras-Dupuis Anna , Ventre Anellina , Watson Julie , Wolfe Dalton L. , Xia Nancy 
Published: December 2023

Background
Persons with spinal cord injury (SCI) are at increased risk of developing pressure injuries throughout their lifetime. This significant yet preventable secondary complication can have a negative impact on one’s health and well-being. A key aspect of prevention is performing regular daily skin checks; however, a gap in knowledge is apparent among clinicians and patients on how exactly to perform them.

Objective
To develop a universal and widely available skin check video resource that supports clinicians and patients.

Methods
Clinicians across the SCI-IEQCC Network from Parkwood Institute, Hamilton Regional Reha-bilitation Centre, Ottawa Hospital Rehabilitation Center, Lyndhurst, Providence Care, and in partnership with SCIO, Cortree and persons with lived experiences, all contributed in an iterative manner to the development of a skin check video resource. Feedback from all relevant stakeholders was gathered after each round of edits to ensure the content would meet the educational needs of persons with lived experience and rehabilitation staff.

Results
This collaboration allowed for the development of an open-source skin check video resource for both clinicians and persons with lived experience. This video is in process of being integrated within patient skin check education of the various rehabilitation sites across Ontario. The video identifies key factors to consider when completing skin checks and demonstrates the technique on how to complete skin checks independently and with assistance.

Conclusion
While a successful skin check video resource was created, next steps will look to its sustainable implementation and dissemination at a local and provincial level.
Poster (Clinical/Best Practice Implementation) ID 1985364
Authors: Khorasheh Triti , Langford Lucie , Croosfernando Mariza , Richards Dawn , Craven Beverley Catharine 
Published: December 2023

Background/objectives
The engagement of people with lived experience (PLEX) of spinal cord injury/disease (SCI/D) in rehabilitation research can lead to relevant questions and improved data collection, interpretation, knowledge translation, and research impact. We describe the process to create a toolkit which elaborates the roles that PLEX can play in rehabilitation research to ensure engagement is authentic and effective.

Methods
Five separate working groups were convened to each focus on a specific role of PLEX: research team member, peer reviewer, knowledge translator, decision-maker, and fundraising ambassador. The roles of PLEX in research, relevant training tools, and indicators to measure engagement were explored through 17 virtual meetings with 45 scientists, research staff, learners, and PLEX. Menti-meter and Survey Monkey were used to select training tools via consensus. A summative meeting was held with all participants to achieve consensus regarding the role descriptions. Meeting transcripts and survey data informed iterations of the materials prior to achieving consensus.

Findings
The Toolkit contains five role descriptions for PLEX as well as example activities, training requirements for scientists and PLEX, and specific indicators for each role. The Toolkit includes several best practice considerations and three practical tools for researchers to plan engagement, facilitate compensation, and implement/evaluate engagement.

Conclusions
The Toolkit can be used by researchers and research organizations to develop, implement, and evaluate engagement plans with PLEX in SCI/D rehabilitation research. This Toolkit can be used to transform the SCI/D rehabilitation research and advocacy agenda, and contribute to more relevant research with a greater impact.
Student Competition (Knowledge Generation) ID 1987548
Authors: Brockie S. , Zhou C. , Movahed M. , Hong J. , Fehlings M.G. 
Published: December 2023

Background
Degenerative cervical myelopathy (DCM) is the most common form of spinal impairment worldwide and is caused by a series of degenerative changes that compress the spinal cord. DCM can be treated with surgical decompression (DEC), but recovery is impaired by secondary injury, such that 44% of patients who undergo DEC never regain lost function, and 9% experience persistent decline. The fractalkine receptor, CX3CR1, is expressed by monocyte-derived macrophages and CNS-resident microglia, where it mediates communication with neurons expressing its ligand, CX3CL1, and maintains phagocytic, migration, and injury response functions.

Objective
The purpose of this study is to determine the role of fractalkine in degeneration and post-surgical injury. We hypothesize that CX3CR1 expression is elevated by DCM and DEC and that inhibiting it may attenuate inflammation and improve functional outcomes.

Methods
To determine this, I am using a mouse model of C5-6 myelopathy in Cx3cr1-knockout and wildtype mice to produce functional degeneration and neuropathic pain across a 12-week period.

Results
Immunostaining of spinal tissue from myelo-pathic wildtype mice indicates upregulation of CX3CR1 throughout DCM and confirms this expression to be mediated by resident microglia. Inhibiting fractalkine signalling attenuates neuropathic pain across DCM progression. Following DEC, these benefits are reversed, and knockouts experience more pain up to 5 weeks post-surgery, suggesting a critical role for CX3CR1 in mediating secondary injury.

Conclusions
My findings thus far indicate a significant role played by fractalkine signaling in DCM and DEC recovery and posit microglia as a target for therapeutic intervention.
Workshop (Clinical/Best Practice Implementation) ID 1998666
Authors: Rockall Shannon , Hektner James , Donia Scott , Chernesky John , Noonan Vanessa 
Published: December 2023

Background
Persons with lived experience of SCI (PLEX) living in rural areas have difficulty accessing optimal care and are required to travel long distances to access specialized services. Clinicians not affiliated with specialized urban centres recognize that developing knowledge and skills specific to SCI will improve care outcomes. Praxis has conducted multiple workshops on SCI topics throughout the BC Interior Health Region to improve clinician knowledge about SCI. Topics include pressure injuries, autonomic dysreflexia, specialized equipment, bowel and bladder, etc. Utilizing evidence-based information and PLEX experiences, these workshops have increased clinician confidence when working with clients with SCI.
This interactive workshop explores the development and implementation of the sessions, from the perspectives of a clinician, a PLEX, and a knowledge exchange expert.

Objectives
The goals of this workshop are to:

Conclusion
This workshop demonstrates the benefit of SCI knowledge exchange for clinicians working in rural areas. Furthermore, it highlights key factors in developing these workshops, and provides an opportunity to connect with other rural SCI initiatives and networks aimed at enhancing the care and well-being of PLEX.
Workshop (Knowledge Generation) ID 2001810
Authors: Mehta S , Nugent M , Prasad K , Upper R , Loh E , Teasell R , Sequeira K , Wolfe D , Titov N , Dear B , Hadjistavropoulos H.D 
Published: December 2023

Background
Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). However, there is a lack of evidence to support its use through large, controlled trials.

Study Objectives
The primary aim of the current study is to explore the efficacy of ICBT in reducing symptoms of depression and anxiety among persons with SCI compared to an online SCI Rehabilitation Education program.

Learning Objectives
Upon completing this workshop, attendees will: 1) understand the state of mental health among those post SCI; 2) explain the evidence behind guided ICBT among those post SCI; 3) apply cognitive behaviour therapy skills.

Overview
The presenters of this workshop will engage in lecture to provide current state of evidence for ICBT among those post SCI, conduct small-group discussions to apply CBT skills and examine barriers and facilitators of implementing the program.

Methods
Participants (n=122) endorsing symptoms of depression and/or anxiety related to SCI were randomized to an 8-week transdiagnostic ICBT program for those with SCI or an online SCI Rehabilitation Education program. Participants completed measures on depression, anxiety, self-efficacy, quality of life, and pain at pre-, post-, 3-months, and 6-months post-intervention.

Results
Significantly greater improvements in depression, anxiety, self-efficacy, quality of life, and pain interference were seen in the ICBT group compared to the Education group at post treatment and follow-up. Completion rates (∼90%) and satisfaction (&gt;90%) were high in both groups.

Conclusions
The findings provide evidence for the superiority of ICBT over education in improving well-being among those with SCI.
Poster (Clinical/Best Practice Implementation) ID 2004605
Authors: Milligan James , Lee Joseph , Harrison Allison , MacGregor Kathleen 
Published: December 2023

Background/Objectives
The Centre for Family Medicine Mobility Clinic strives to provide high quality primary care to persons living with spinal cord injury or other health conditions that affect mobility. The Mobility Clinic Resource Abilities Council (MC RAC) was established to serve in an advisory capacity, making recommendations on matters that impact the experience of patients with physical disabilities and their support persons at the Mobility Clinic.

Objectives
MC RAC provides feedback on, and ideas for initiatives and programs that support and enhance the model of person-centred care. It also advances collaborative patient engagement and person-centred care principles and practices within primary care for persons with physical disabilities

Methods/Overview
Members include individuals with lived experience with physical disability, their support persons, and Mobility Clinic staff. The council was established August 2022 and meets virtually once per month for approximately 90 minutes.

Results
MC RAC has successfully met nine times and has provided feedback on the following topics: Breast & Cervical Cancer screening Initiative for People with Physical Disabilities, Mobility Clinic website development, building pathways for advocacy with the KW4 OHT, Circulus Network webinar topics, Mobility Clinic organization and clinical flow. Feedback to be implemented into Mobility Clinic activities.

Conclusions
Patient and support persons involvement in decision-making processes improve care experiences and contribute to better health outcomes for patients. We will continue to work and develop our patient advisory council to better support the Mobility Clinic’s patients and their support persons.
Development of Android Based Mathematics Learning Media for Primary School Students
Authors: Triayomi Ria , Pamugkas Simon Panji 
Published: December 2023

This research was conducted to develop an android-based mathematics learning media design for second-grade students at Xaverius 2 Primary School Palembang. This research adopted the research procedures outlined by Borg and Gall. The findings of this research are divided into two parts. The first part of the result research pertains to the needs analysis. Based on the need analysis, it is obvious that the development of learning media design to enhance students’ independent learning at home is highly necessary. The second result research relates to the validation of the development of Android-based learning media design. The development of the android-based learning media design falls under the category of validity. Validation testing was conducted through a single assessment, The level of feasibility of Android-based Mathematics Learning Media for Elementary School Students by media experts obtained an overall average of 95.34% in the "Very Feasible" category, by material experts an overall average of 88.6% was obtained in the "Very Feasible" category, and Testing by students obtained an average of 82.47% in the "Very Appropriate" category, so it can be concluded that the Android-based learning media developed is very suitable for use.
Keywords: Learning Media, Android-Based Mathematics Learning