This article focuses on identifying how health care providers can support a person with spinal cord injury to pursue and maintain involvement in adaptive sports. Benefits and barriers of sport participation, equipment considerations, and recommendations on how to determine sport appropriateness for a person with spinal cord injury will be provided. The authors emphasize through appropriate medical management and consideration of level of disability, functional performance, psychological readiness, and individual preference, a health care provider can play a valuable role in connecting individuals with spinal cord injury to adaptive sports and recreation.

01 Feb 2025·Physical Medicine and Rehabilitation Clinics of North America

Managing Recurrent Urinary Tract Infections After Spinal Cord Injury

Review

Author: Aguirre-Guemez, Ana Valeria ; Groah, Suzanne L ; Groah, Suzanne L.

The majority of individuals with neurogenic lower urinary tract dysfunction will have complicated urinary tract infections (UTIs) that will qualify as recurrent. Existing inconsistencies and challenges contribute to its subjective diagnosis. Thus, there is a pressing need for a reconceptualization of our understanding of UTI, accompanied by a paradigm shift in diagnosis and treatment approaches.

01 Dec 2024·Current Cardiovascular Risk Reports

Hypertension Management to Reduce Racial/Ethnic Disparities: Clinical and Community-Based Interventions

Article

Author: Botchway, Marian ; Juraschek, Stephen P ; Nmezi, Nwakaego A ; Cluett, Jennifer L ; Kwapong, Fredrick Larbi ; Chen, Yuling ; Ogungbe, Oluwabunmi ; Owusu, Brenda ; Commodore-Mensah, Yvonne ; Turkson-Ocran, Ruth-Alma N ; Ajibewa, Tiwaloluwa ; Aidoo, Emily L ; Gbaba, Serina ; Baptiste, Diana Lyn

Purpose of the ReviewHypertension remains a major public health concern globally and in the United States with significant racial/ethnic disparities in prevalence, treatment, and control. Despite effective treatments, undiagnosed or uncontrolled hypertension persists, leading to an increased risk of cardiovascular disease and substantial healthcare costs. Addressing hypertension disparities requires a comprehensive approach, integrating clinical interventions with community-based strategies. This review examines the current landscape of clinic-and community-based interventions designed to improve hypertension management and reduce disparities.Recent FindingsClinic-based approaches highlighted include implementing evidence-based guidelines, using treatment algorithms, promoting self-management, integrating digital health technologies, and incorporating team-based care approaches. Community interventions discussed involve lifestyle modification programs, faith-based initiatives, trusted community spaces, culturally-tailored health education, engaging community health workers, and collaborative care models linking clinics and communities. This review stresses the importance of addressing SDoH, fostering community engagement, and delivering culturally competent care. Strengthening clinic-community linkages, evaluating long-term effectiveness and cost-effectiveness, leveraging technology and innovation, and addressing gaps in research for underrepresented groups are key priorities for advancing health equity in hypertension management.SummaryTo effectively close the widening gap in hypertension disparities, collaborative multi-level efforts integrating clinical excellence and community empowerment are essential to mitigate the disproportionate burden of hypertension among racial/ethnic minority populations.

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100 Translational Medicine associated with MedStar National Rehabilitation Hospital

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