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SCI Science Perspectives

SCI Science Perspectives

di American Spinal Injury Association

Medicina Notizie informatiche Scienza della vita

Community EP060 - Early FES with Dr. Hope Jervis-Rademeyer

Join us in this episode for a conversation with Dr. Hope Jervis‑Rademeyer, physical therapist and Assistant Professor at the University of Saskatchewan, to hear about her paper, “Development of a functional electrical stimulation cycling toolkit for spinal cord injury rehabilitation in acute care hospitals: A participatory action approach,” published in PLOS One. In this conversation, we explore the early application of functional electrical stimulation cycling after spinal cord injury, and the potentially unique benefits of delivering this modality during a critical neuroplastic window in an in-patient hospital settings. Dr. Jervis‑Rademeyer highlights how stakeholder engagement, participatory action research, and iterative design were used to identify key barriers such as workflow constraints, lack of training, and competing clinical priorities, and translate them into actionable resources for both healthcare providers and patients. The resulting toolkit provides structured guidance on patient selection, safety, dosing, setup, and session delivery, alongside accessible information for individuals with spinal cord injury and their caregivers, with the goal of enabling broader adoption without displacing existing services. We invite you to listen in as Dr. Jervis‑Rademeyer discusses the importance of early intervention and the role of local champions in driving adoption.

Scholarly EP059 - Implementing FES in In-Patient with Dr. Hope Jervis-Rademeyer

Join us in this episode for a conversation with Dr. Hope Jervis‑Rademeyer, physical therapist and Assistant Professor at the University of Saskatchewan, to hear about her paper, “Development of a functional electrical stimulation cycling toolkit for spinal cord injury rehabilitation in acute care hospitals: A participatory action approach,” published in PLOS One. In this conversation, we explore the early application of functional electrical stimulation cycling after spinal cord injury, and the potentially unique benefits of delivering this modality during a critical neuroplastic window in an in-patient hospital settings. Dr. Jervis‑Rademeyer highlights how stakeholder engagement, participatory action research, and iterative design were used to identify key barriers such as workflow constraints, lack of training, and competing clinical priorities, and translate them into actionable resources for both healthcare providers and patients. The resulting toolkit provides structured guidance on patient selection, safety, dosing, setup, and session delivery, alongside accessible information for individuals with spinal cord injury and their caregivers, with the goal of enabling broader adoption without displacing existing services. We invite you to listen in as Dr. Jervis‑Rademeyer discusses the importance of early intervention and the role of local champions in driving adoption.

Community EP058 - Understanding and Controlling High and Low Blood Pressure with Dr. Aaron Phillips

Join us in this episode for a conversation with Aaron Phillips, PhD, scientist and Associate Dean of the Medical School at the University of Calgary. In this conversation we discuss two papers, A neuronal architecture underlying autonomic dysreflexia published in the journal Nature, and An implantable system to restore hemodynamic stability after spinal cord injury published in the journal Nature Medicine. In these papers Dr. Phillips and his team first identify specific neuronal components, and their location, responsible for blood pressure increases due to autonomic dysreflexia. Then an implantable device is demonstrated to help control, via neuromodulation, blood pressure fluctuations in both pre-clinical models and people living with SCI. We invite you to listen in as Dr. Phillips outlines this tour de force in neurologically understanding, and intervening on, hemodynamic instability after SCI.

Scholarly EP057 - Understanding Autonomic Dysreflexia and Addressing Hemodynamic Instability with Dr. Aaron Phillips

Join us in this episode for a conversation with Aaron Phillips, PhD, scientist and Associate Dean of the Medical School at the University of Calgary. In this conversation we discuss two papers, A neuronal architecture underlying autonomic dysreflexia published in the journal Nature, and An implantable system to restore hemodynamic stability after spinal cord injury published in the journal Nature Medicine. In these papers Dr. Phillips and his team first identify specific neuronal components, and their location, responsible for blood pressure increases due to autonomic dysreflexia. Then an implantable device is demonstrated to help control, via neuromodulation, blood pressure fluctuations in both pre-clinical models and people living with SCI. We invite you to listen in as Dr. Phillips outlines this tour de force in neurologically understanding, and intervening on, hemodynamic instability after SCI.

Community EP056 - Trading Stimulation for Overactive Bladder Medications with Dr. Argy Stampas

Join us in this episode for a conversation with Argyrios “Argy” Stampas, MD, physiatrist, Vice Chair of Research and Innovation and Full Professor in the Department of Physical Medicine and Rehabilitation at UTHealth Houston’s McGovern Medical School, and Director of Spinal Cord Injury Medicine Research at TIRR Memorial Hermann. In this conversation we discuss the paper titled “Reduction of Overactive Bladder Medications in Spinal Cord Injury with Self-Administered Neuromodulation: A randomized Trial" published in The Journal of Urology. In this paper Dr. Stampas discusses self-administered tibial nerve stimulation (TNS) for neurogenic bladder after spinal cord injury (SCI). The discussion highlights how noninvasive neuromodulation can reduce overactive bladder medication use, explores the underlying mechanisms, and considers what these findings mean for daily life and future SCI bladder management. We invite you to listen in as Dr. Stampas describes this device with the potential to reduce drug dependence for overactive bladder, and trust you will enjoy this episode.

Scholarly EP055 - Self-Administered Neuromodulation for Neurogenic Bladder with Dr. Argy Stampas

Join us in this episode for a conversation with Argyrios “Argy” Stampas, MD, physiatrist, Vice Chair of Research and Innovation and Full Professor in the Department of Physical Medicine and Rehabilitation at UTHealth Houston’s McGovern Medical School, and Director of Spinal Cord Injury Medicine Research at TIRR Memorial Hermann. In this conversation we discuss the paper titled “Reduction of Overactive Bladder Medications in Spinal Cord Injury with Self-Administered Neuromodulation: A randomized Trial" published in The Journal of Urology. In this paper Dr. Stampas discusses self-administered tibial nerve stimulation (TNS) for neurogenic bladder after spinal cord injury (SCI). The discussion highlights how noninvasive neuromodulation can reduce overactive bladder medication use, explores the underlying mechanisms, and considers what these findings mean for daily life and future SCI bladder management. We invite you to listen in as Dr. Stampas describes this device with the potential to reduce drug dependence for overactive bladder, and trust you will enjoy this episode.

Community EP054 - Managing Pain Without Drugs with Dr. Linda Ehrlich-Jones

Join us this episode for a conversation with Linda Ehrlich-Jones, RN, PhD, Associate Director of the Center for Rehabilitation Outcomes Research at Shirley Ryan AbilityLab and a Research Professor in the Department of Physical Medicine & Rehabilitation at Northwestern University Feinberg School of Medicine. In this conversation we discuss the current state of the art in medicine for chronic pain in people living with spinal cord injury (SCI), with a focus on care that does not require drugs. The paper explaining the process is titled "Behavioral/Physical and Stimulation Interventions for Chronic Pain Following Spinal Cord Injury: A systematic review" published in Topics in Spinal Cord Injury Rehabilitation. In this paper Dr. Ehrlich-Jones compared behavioral and complementary therapies with neuromodulation-based stimulation approaches for managing chronic neuropathic (or "nerve") pain after SCI. We invite you to listen in as Dr. Ehrlich-Jones gives a thorough current update on drug-free pain management, and trust you will enjoy this episode.

Scholarly EP053 - Non-Pharmacological Pain Interventions with Dr. Linda Ehrlich-Jones

Join us this episode for a conversation with Linda Ehrlich-Jones, RN, PhD, Associate Director of the Center for Rehabilitation Outcomes Research at Shirley Ryan AbilityLab and a Research Professor in the Department of Physical Medicine & Rehabilitation at Northwestern University Feinberg School of Medicine. In this conversation we discuss the current state of the medical evidence for intervening on chronic pain in people living with spinal cord injury, with a focus on strategies that do not require drugs. The paper explaining the process is titled "Behavioral/Physical and Stimulation Interventions for Chronic Pain Following Spinal Cord Injury: A systematic review" published in Topics in Spinal Cord Injury Rehabilitation. In this paper Dr. Ehrlich-Jones discuss a systematic literature review that compared behavioral and complementary therapies with neuromodulation-based stimulation approaches for managing chronic neuropathic pain after SCI, including their evidence base, clinical feasibility, and implications for future treatment innovation. We invite you to listen in as Dr. Ehrlich-Jones gives a thorough current update on non-pharmacological pain management, and trust you will enjoy this episode.

Administrative EP052 - The National Spinal Cord Injury Statistical Center

The National Spinal Cord Injury Statistical Center (NSCISC) coalesces data from the Spinal Cord Injury Model Systems Centers (SCIMS), a network of combined research and care teams that specialize in spinal cord injury (SCI). The statistical center generates national SCI demography, published in their annual full report and "facts and figures" summary. In this summary, a variety of experts will tell us about their use of the NSCISC and their experience with SCIMS, including a history of these important national services and the importance of continuing them into the future. Importantly, this episode was planned and hosted in conjunction with INside the OUTcomes: A Rehabilitation Research Podcast, with their producer-host Sharon Parmet.

Community EP051 - Continuing to Shorten the ISNCSCI (or "ASIA") Exam with Dr. Stephen Burns

Join us this episode for a conversation with Stephen Burns, MD, physiatrist, Professor of PM&R at University of Washington School of Medicine in Seattle, and Director of SCI Service at VA Puget Sound. In this conversation we discuss the process of shortening, or expediting, the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) exam. Most people know this exam, which assigns a level and grade to their injury, as their "ASIA" exam. The paper explaining the process is titled "“Development and validation of an algorithm for item reduction of the International Standards for Neurological Classification of Spinal Cord Injury examination to determine level and severity of SCI" which was recently accepted for publication in Topics in Spinal Cord Injury Rehabilitation." In this paper Dr. Burns and their team discuss the process by which this rather long exam can be reduced to less than half the items with acceptable accuracy for some, but not all, types of spinal cord injury. We invite you to listen in as Dr. Burns gives an insider perspective on the new E-ISNCSCI, and trust you will enjoy this episode on making an important but long exam quite a bit shorter. Other resources: ASIA's webpage on the E-ISNCSCI: https://asia-spinalinjury.org/expedited-isncsci-exam/ Upcoming webinar on the E-ISNCSCI: https://asia-spinalinjury.org/tscir-webinars/

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