spinal cord injury (sci) cluster...spinal cord injury (sci) background •sci affects many aspects...

Spinal Cord Injury (SCI) cluster

Department of Rehabilitation Medicine

Faculty of Medicine Chiang Mai University

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Spinal cord injury (SCI)

Background

• SCI affects many aspects of life, range

from general physical function to coping

skills and social reintegration.

• For examples: problems with bladder and

bowel care, sexual dysfunction, and

complications


Background

• From our previous study, incidence of SCI

in Chiang Mai was about 23 per million

population and seemed increasing due to

traumatic and non-traumatic causes.


Propose

• Our aim is to improve the QoL of people

with SCI by increasing functional capacity

and preventing unwanted secondary

conditions such as pressure ulcers and

urinary tract infection.

Our focus

• SCI database • Registry and cause of injury survey: a pilot study of ASCON

• International SCI survey

• Mobility & assistive technology • Robots for leg and arm

• Wheelchairs

• Rehab Management Outcomes • Neurogenic bladder management

• Neurogenic bowel management

• Cardiovascular risk management

• Tetraplegic hand and shoulder

• Pressure ulcers

Members

Assoc. Prof. Dr. Apichana Kovindha

E-mail: [email protected]

Asst. Prof. Dr. Siam Tongprasert


https://www.ncbi.nlm.nih.gov/pubmed/?term=Kovindha+A

https://www.ncbi.nlm.nih.gov/pubmed/?term=Tongprasert+S

Members

Asst. Prof. Pratchayapon Kammuang-lue


Dr. Sintip Pattanakuhar E-mail: [email protected]

https://www.ncbi.nlm.nih.gov/pubmed/?term=Kammuang-lue+P

https://www.ncbi.nlm.nih.gov/pubmed/?term=Pattanakuhar+S

On going research projects

• National SCI registry

– Project investigator: Assoc. Prof. Apichana

Kovindha

– Site principal investigators:

• CMU: Asst. Prof. Siam Tongprasert

• SNRC: Dr. Napasakorn Komaratat

• Ratchaburee: Dr. Rungarun Mahachai

• Siriraj: Dr. Chayaporn Chotiyarnwong


• Distal nerve transfer in tetraplegia

– Principal investigator: Assoc. Prof. Kanit

Sananpanich, Department of Orthopaedic

Surgery, CMU

– Co-investigators

• Asst. Prof. Jirachart Kraisarin, Department of

Orthopaedic Surgery, CMU

• Assoc. Prof. Apichana Kovindha

• Asst. Prof. Siam Tongprasert

• Asst. Prof. Pratchayapon Kammuang-lue


• Upper limb robot (WEFRE) in tetraplegic

patients

– Principal Investigator: Dr. Winai

Chonnaparamutt, NECTEC

– Site investigators:

• Assoc. Prof. Apichana Kovindha




• Reliability of the International SCI Upper Extremity Basic Data

– Principal investigator: Dr. Ajaree

Namchandee


• Dr. Kasan Sotthipoka



•


• Construct validity of the International SCI Upper Extremity Basic Data

– Principal investigator: Dr. Kasan Sotthipoka




•

Future research projects

• International SCI community survey

– National Collaborator:

Assoc. Prof. Apichana Kovindha


• CMU: Asst. Prof. Siam Tongprasert

• SNRC: Dr. Napasakorn Komaratat

• Ratchaburee: Dr. Rungarun Mahachai

• Siriraj: Dr. Chayaporn Chotiyarnwong


• Validity of the Thai version of the

International SCI QoL Basic Data set

– Principal investigator: Asst. Prof. Siam

Tongprasert


• Asst. Prof. Montana Buntragulpoontawee

• Dr. Jeerapan Rapipong

• Prof. Tinakorn Wongpakaran, Department of

Psychiatry, CMU


• Reliability of the International SCI

Urodynamic Basic Data set

– Principal investigator: Dr. Kittamet

Dejkriengkraikul


• Dr. Tuankasfee Hama

• Dr. Sintip Pattanakuha



• Abdominal FES to reduce respiratory

complications in SCI

– National Collaborator:

Assoc. Prof. Apichana Kovindha


Asst. Prof. Siam Tongprasert

International SCI publications

• Kovindha A, Kammuang-Lue P, Prakongsai P, Wongphan T.

Prevalence of pressure ulcers in Thai wheelchair users with chronic

spinal cord injuries. Spinal Cord 2015; 53: 767-71.

• Kovindha A, Kammuang-lue P. Pulmonary embolism after manual

muscle testing in an incomplete paraplegic patient: a case report.

Spinal Cord 2014; 52 Suppl 3: S6-7.

• Kovindha A, Saeng-Xuto W. Difficulty in moving around in a

wheelchair as a presenting symptom of left atrial myxoma in a

chronic paraplegic patient: a case report. Spinal Cord. 2014; 52

Suppl 2: S3-4.


• Chhabra HS, Harvey LA, Muldoon S, Chaudhary S, Arora M, Brown

DJ, Biering-Sorensen F, Wyndaele JJ, Charlifue S, Horsewell J,

Ducharme S, Green D, Simpson D, Glinsky J, Weerts E, Upadhyay

N, Aito S, Wing P, Katoh S, Kovindha A, Krassioukov A, Weeks C,

Srikumar V, Reeves R, Siriwardane C, Hasnan N, Kalke YB, Lanig I.

www.elearnSCI.org: a global educational initiative of ISCoS. Spinal

Cord. 2013; 51: 176-82.

• Cieza A, Kirchberger I, Biering-Sørensen F, Baumberger M,

Charlifue S, Post MW, Campbell R, Kovindha A, Ring H, Sinnott A,

Kostanjsek N, Stucki G. ICF Core Sets for individuals with spinal

cord injury in the long-term context. Spinal Cord 2010; 48: 305-12.


• Kirchberger I, Sinnott A, Charlifue S, Kovindha A, Lüthi H, Campbell

R, Zwecker M, Scheuringer M, Cieza A. Functioning and disability in

spinal cord injury from the consumer perspective: an international

qualitative study using focus groups and the ICF. Spinal Cord 2010 ;

48 :603-13.

• Wyndaele JJ, Kovindha A, Igawa Y, Madersbacher H, Radziszewski

P, Ruffion A, Schurch B, Castro D, Sakakibara R, Wein A; ICI 2009

Committee 10. Neurologic fecal incontinence. Neurourol Urodyn

2010; 29: 207-12.

• Wyndaele JJ, Kovindha A, Madersbacher H, Radziszewski P,

Ruffion A, Schurch B, Castro D, Igawa Y, Sakakibara R, Wein A;

Committe 10 on Neurogenic Bladder and Bowel of the International

Consultation on Incontinence 2008-2009.Neurologic urinary incontinence. Neurourol Urodyn 2010;29 : 159-64.


• Kirchberger I, Cieza A, Biering-Sørensen F, Baumberger M,

Charlifue S, Post MW, Campbell R, Kovindha A, Ring H, Sinnott A,

Kostanjsek N, Stucki G. ICF Core Sets for individuals with spinal

cord injury in the early post-acute context. Spinal Cord 2010; 48:

297-304.

• Kirchberger I, Biering-Sørensen F, Charlifue S, Baumberger M,

Campbell R, Kovindha A, Ring H, Sinnott A, Scheuringer M, Stucki

G. Identification of the most common problems in functioning of

individuals with spinal cord injury using the International

Classification of Functioning, Disability and Health. Spinal Cord 2010; 48 : 221-9.


• Wyndaele JJ, THi HV, Pham BC, Kovindha A, Huong VT, Weerts E.

The use of one-channel water cystometry in patients with a spinal

cord lesion: practicalities, clinical value and limitations for the

diagnosis of neurogenic bladder dysfunction. Spinal Cord 2009 ; 47:

526-30.

• Wyndaele JJ, Grima F, Castro D, Madersbacher H, Chartier-Kastler

E, Igawa Y, Kovindha A, Radziszewski P, Stone A, Wiesel P. The

various voiding modes in neurourology (Article in French). Prog Urol

2007; 17: 475-509.

• Kovindha A, Sivasomboon C, Ovatakanont P. Extravasation of the

contrast media during voiding cystourethrography in a long-term spinal cord injury patient. Spinal Cord 2005; 43: 448-9.


• Kovindha A, Mai WN, Madersbacher H. Reused silicone catheter for

clean intermittent catheterization (CIC): is it safe for spinal cord-

injured (SCI) men? Spinal Cord 2004; 42: 638-42.

• Wyndaele JJ, Madersbacher H, Kovindha A. Conservative treatment

of the neuropathic bladder in spinal cord injured patients. Spinal

Cord 2001; 39: 294-300.

• Kovindha A, Dollfus P. Workshop on spinal cord injuries (SCI)

management: the Chiang Mai experience. Spinal Cord. 1999 ; 37 :218-20.


• Ohry A, Weingarden H, Kiwerski J, Otom A, el-Masry WS, Kovindha

A, Biering-Sørensen F. Spinal injury rehabilitation complicated by

psycho-social problems. Spinal Cord 1998; 36: 262-5.

• Kovindha A, Mahachai R. Short-latency somatosensory evoked

potentials (SSEPs) of the tibial nerves in spinal cord injuries.

Paraplegia 1992; 30: 502-6.

• Kovindha A. The right to die of a high quadriplegic in a developing country: case report. Paraplegia 1990; 28: 272-3.

spinal cord injury (sci) cluster...spinal cord injury (sci) background •sci affects many aspects...

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