• A pilot study of the safety and effectiveness of the traxon spinal cord repair stimulator for the treatment of complete spinal cord injury in humans

      Murray, Patrick C.; Bolger, Ciaran; McEvoy, Linda; National Rehabilitation Hospital & Beaumont Hospital (2004)
    • Post Stroke Fatigue; Point Prevalence, Characterization, Associations and Radiological Correlation in a Rehabilitation Hospital

      Khan, A; Delargy, M (Irish Medical Journal, 2017-11)
      Post stroke fatigue (PSF) is a frequently reported symptom by stroke survivors undergoing rehabilitation. This cross sectional observational study was undertaken in a rehabilitation facility to look at its prevalence and relationship with various variables like personal factors, type of stroke, social context, hemispheric involvement on CT scan and mobility status. The results showed that PSF was present in 83% (25 out of 30) of the patients included in the study. No clear association could be established between PSF, social, radiological and functional characteristics.
    • The prevalence of osteoporosis in the disabled population at the national rehabilitation hospital

      Carroll, Dr Aine; Smith, Dr Eimear (2009)
      OBJECTIVES: To examine prevalence of low bone mineral density (BMD) among adults with disability, using World Health Organization diagnostic categories. DESIGN: Cross-sectional study. SETTING: National Rehabilitation Hospital, Dublin, Ireland. PARTICIPANTS: Patients (N=255; 178 men, 77 women) who were disabled for at least 3 months because of acquired brain injury, spinal cord injury, other neurologic condition, or lower-limb amputation. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Laboratory investigations including intact parathyroid hormone, 25-hydroxyvitamin D (25-OHD), and sex hormones; and BMD of lumbar spine and at least 1 hip, measured by dual-energy x-ray absorptiometry and expressed as T scores and z scores. RESULTS: Mean age +/- SD of participants was 48.7+/-15.6 years. Vitamin D deficiency, 25-OHD level 50 nmol/L or less, occurred in 154 (62.9%); insufficiency, a level between 51 and 72 nmol/L, occurred in 36 (14.7%). Based on T scores, 108 participants (42.4%) had osteopenia, and 60 (23.5%) had osteoporosis. A z score of -1 or less but more than -2 occurred in 76 (29.8%); a further 52 (20.4%) had a z score of -2 or less. On multiple linear regression analysis, ambulatory status and duration of disability were independent predictors of BMD at neck of femur (beta=.152, P=.007; beta=-.191, P=.001, respectively) and total proximal femur (beta=.170, P=.001; beta=-.216, P<.001, respectively). CONCLUSIONS: Osteopenia and osteoporosis are very common in adults with disability participating in rehabilitation, compared with the general young adult population. Duration since onset of disability and mobility status are independent predictors of BMD at the hip. Bone health monitoring should form part of the long-term follow-up in adults with newly acquired disabilities. Final Report presented to the NRH Ethics Committee - October 2009
    • A Prospective Audit of Inappropriately Occupied Hospital Beds in Patients with Newly Acquired Traumatic Spinal Cord Injury

      Smith, E.; Synnott, K. (Irish Medical Journal, 2019-07)
      Aim To quantify the inappropriate bed occupancy amongst patients with traumatic spinal cord injury (TSCI) awaiting transfer of care from the acute to community. Methods A prospective audit was carried out, of all newly acquired cases of TSCI in 2017, who progressed through acute care and specialist rehabilitation. Results Forty-four patients who were audited spent a total of 3915 days occupying a hospital bed, inappropriate for their phase of care, 78 awaiting admission to specialist acute care, 3126 awaiting admission to rehabilitation and 711 awaiting discharge from rehabilitation. Conclusion Valuable health-care resources are being wasted because TSCI patients cannot move seamlessly from one phase of care to the next. This impacts negatively on the quality of care being delivered to this patient cohort.
    • Psychological aspects of amputation: A cross-sectional study

      Ryall, Nicola Dr.; MacLachlan, Malcolm Prof.; Horgan, Olga (2004)
    • Psychological aspects of amputation: a cross-sectional study

      Ryall, Nicola Dr.; MacLachlan, Malcolm Prof.; Horgan, Olga; Natioanl Rehabilitation Hospital & Trinity College Dublin (2004)
    • Rehabilitation of awareness of deficits in patients with traumatic brain injury applying a user-friendly computerised intervention approach

      Morgan, Dr Jacinta; Carton, Dr Simone; Fitzgerald, Mary (2010)
      Objective : Awareness of errors is an important prerequisite in rehabilitation. Few studies have investigated rehabilitation of error awareness following acquired brain injury. Pilot research has shown that receiving feedback about errors during a computerised task of sustained attention improves performance in patients who have sustained a traumatic brain injury. In this study, a computer-based intervention training programme aimed at improving error awareness was developed. Participants and Methods: 20 patients who sustained a Traumatic or Acquired Brain Injury and had low error awareness level were enrolled in the study. Matched random groups design was used to test the effects of audio-visual feedback on error awareness. One group (n=10) received audio-visual feedback on errors and a second group (n=10) did not receive feedback on error. The task involved responding or withholding a response to specific images on a computer screen. Training was undertaken in 8 sessions over 4 weeks. Results: Analysis of pre and post intervention measures indicated that error awareness improved for all participants, and that the improvement was greater for the feedback group. An unexpected finding was that during recruitment more than 80 candidates with serious and recently diagnosed ABI were excluded because they had high levels of error awareness. Conclusions : This intervention provides an engaging task suitable for use amongst a broad age span that can be delivered in the home, community or clinical setting. Its potential use for assessing as well as rehabilitating error awareness shall be explored further. Acknowledgements: The authors would like to thank the patients of the National Rehabilitation Hospital. This work was supported by grants from the Health Research Board, National Rehabilitation Hospital Trust, UCD Seed Fund, and National Disability Authority
    • Rehabilitation psychology: Meeting the needs of individuals with acquired disabilities in Ireland

      Johnstone, Brick; Walsh, Jane; Carton, Simone; Fish, Rosemary (2012-04-30)
    • Road collisions as a cause of traumatic spinal cord injury in ireland, 2001-2010.

      Smith, Eimear; Brosnan, Michael; Comiskey, Catherine; Synnott, Keith (Thomas Land Publishers, Inc., 2014)
      Road collisions remain the leading cause of traumatic spinal cord injury (TSCI) in the world. Half of all TSCIs in Ireland in 2000 were caused by road collisions. Since then, there has been a downward trend in road fatalities coincident with implemented road safety strategies.
    • Standards of practice in Irish and UK hydrotherapy pools

      McNamara, Dr Angela; Langton, Aoife (2008)
    • Transanal irrigation in the management of neurogenic bowel dysfunction

      Loftus, C; Wallace, E; McCaughey, M; Smith, E (Irish Medical Journal (IMJ), 2012-07)
    • Traumatic brain injury and subsequent rehabilitation focussing on the future

      Delargy, Mark Dr.; Phillips, J.P. Prof.; Geoghegan, Lourda Dr. (2011-05-12)
    • Traumatic brain injury and subsequent rehabilitation –focussing on the future

      Delargy, Mark Dr.; Phillips, J.P. Prof.; Geoghegan, Laura Dr.; National Rehabilitation Hospital & UCD (2004)