The Effect of Functional Electrically Stimulated Ambulation Training on Locomotor Function and Quality of Life in Individuals With Incomplete Spinal Cord Injury

The purpose of this study was to investigate the effects of a 12-week FES-ambulation program on locomotor function and quality of life after incomplete spinal cord injury. Six individuals with incomplete SCI participated in the study. Over-ground walking endurance (6MWT), speed (10MWT), independence (WISCI II) and body-weight support were assessed. Quality of life was assessed via the SF-36, WHOQOL-BREF, Perceived Stress Scale, Center of Epidemiological Studies for Depression scale, and task self-efficacy. Participants experienced significant improvements in walking endurance (223.6±141.5m to 297.3±164.5m; p=0.03), body-weight support (55.3±12.6% to 14.7±23.2%; p= 0.005) and four of the six participants showed improvements on the WISCI II scale (1-4 points). In addition, there was a significant reduction in reported bodily pain (6.5±1.2 to 5.0±1.7; p=0.04). Therefore, FES-ambulation is an effective means for enhancing over-ground locomotor function in individuals with incomplete SCI. It may also be an effective method for reducing pain in individuals with SCI.

Utilizing a Phenomenological Approach to Examine the Experience of Sexuality for Women Concerned about Urinary Incontinence following Spinal Cord Injury

Sexuality after spinal cord injury (SCI) is a complex issue that is influenced by a number of social, psychological and physiological factors, one of which is urinary incontinence (UI). Using a phenomenological approach, seven mixed methods interviews combining both the interview guide and standardized open-ended approaches were conducted to examine the experience of sexuality for women who are concerned about UI following SCI. Sexual function was one of the top priorities for the women after SCI, and UI was one of the main concerns the women had regarding sexuality. The findings of this study demonstrate that various dimensions of intimacy and the sexual experience as a whole were affected by UI, and the women discussed both physical and psychological concerns. The main issues regarding sexuality included concerns related to relationships, frustrations with limited sexual activities and the difficulty of being sexually satisfied, the number of unanswered questions and concerns, and a fear of being hurt or injured while participating in sexual activities. The main concerns regarding UI were embarrassment, the work and inconvenience involved with the clean-up of UI, bladder infections, the lack of accessible washrooms, and the negative effects of UI medications. When examining sexuality and UI together, the major issues were the constant comparison to the way things were before SCI, as well as the new concerns that the women did not have to worry about previously, worrying about how their partner would react if UI were to occur during sexual activity, and the impact of their own feelings toward UI on sexuality, a connection between pleasurable sexual sensations and UI as well as difficulty differentiating between the sensation of UI with the sensation of UI, dealing with infected urine during sexual activity, having to discuss UI with a new potential sexual partner, and a fear of rejection. Other identified issues included those related to body image, a lack of resources, Doctors who were inadequately educated regarding SCI, and issues related to both having and raising children. There is a significant shortage of information available for women with SCI to use as a resource regarding sexual function in general, and sexual function as it relates to UI. It is necessary that future work focus on creating resources to assist in this area, and that the dissemination of those resources becomes both appropriate and effective. Addressing sexual function and UI which are among the top concerns for this population has the opportunity to greatly improve quality of life (QOL) for these individuals.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1872

Annual Convocation proceedings for the year 1872. The title varies slightly and convocation is held at different cities or towns in Canada. Fifteenth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1873

Annual Convocation proceedings for the year 1873. Title varies slightly and convocation is held at different cities or towns in Canada. Sixteenth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1874

Annual Convocation proceedings for the year 1874. The title varies slightly and convocation is held at different cities or towns in Canada. Seventeenth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1875

Annual Convocation proceedings for the year 1875. The title varies slightly and convocation is held at different cities or towns in Canada. Eighteenth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1876

Annual Convocation proceedings for the year 1876. The title varies slightly and convocation is held at different cities or towns in Canada. Nineteenth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1877

Annual Convocation proceedings for the year 1877. The title varies slightly and convocation is held at different cities or towns in Canada. Twentieth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1878

Annual Convocation proceedings for the year 1878. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-First annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1879

Annual Convocation proceedings for the year 1879. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-second annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1880

Annual Convocation proceedings for the year 1880. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-third annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1881

Annual Convocation proceedings for the year 1881. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-fourth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1882

Annual Convocation proceedings for the year 1882. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-fifth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1883

Annual Convocation proceedings for the year 1883. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-sixth annual convocation.

Proceedings of the Grand Chapter of Royal Arch Masons of Canada at the annual convocation, 1884

Annual Convocation proceedings for the year 1884. The title varies slightly and convocation is held at different cities or towns in Canada. Twenty-seventh annual convocation.