Spinal Cord Injury (SCI) cluster
Department of Rehabilitation Medicine
Faculty of Medicine Chiang Mai University
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
Spinal cord injury (SCI)
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.
Spinal cord injury (SCI)
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
E-mail: [email protected]
Members
Asst. Prof. Pratchayapon Kammuang-lue
E-mail: [email protected]
Dr. Sintip Pattanakuhar E-mail: [email protected]
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
On going research projects
• 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
On going research projects
• Upper limb robot (WEFRE) in tetraplegic
patients
– Principal Investigator: Dr. Winai
Chonnaparamutt, NECTEC
– Site investigators:
• Assoc. Prof. Apichana Kovindha
• Asst. Prof. Siam Tongprasert
• Asst. Prof. Pratchayapon Kammuang-lue
On going research projects
• Reliability of the International SCI Upper Extremity Basic Data
– Principal investigator: Dr. Ajaree
Namchandee
– Co-investigators
• Dr. Kasan Sotthipoka
• Asst. Prof. Pratchayapon Kammuang-lue
• Asst. Prof. Siam Tongprasert
•
On going research projects
• Construct validity of the International SCI Upper Extremity Basic Data
– Principal investigator: Dr. Kasan Sotthipoka
– Co-investigators
• Asst. Prof. Pratchayapon Kammuang-lue
• Asst. Prof. Siam Tongprasert
•
Future research projects
• International SCI community survey
– National Collaborator:
Assoc. Prof. Apichana Kovindha
– Site principal investigators:
• CMU: Asst. Prof. Siam Tongprasert
• SNRC: Dr. Napasakorn Komaratat
• Ratchaburee: Dr. Rungarun Mahachai
• Siriraj: Dr. Chayaporn Chotiyarnwong
Future research projects
• Validity of the Thai version of the
International SCI QoL Basic Data set
– Principal investigator: Asst. Prof. Siam
Tongprasert
– Co-investigators
• Asst. Prof. Montana Buntragulpoontawee
• Dr. Jeerapan Rapipong
• Prof. Tinakorn Wongpakaran, Department of
Psychiatry, CMU
Future research projects
• Reliability of the International SCI
Urodynamic Basic Data set
– Principal investigator: Dr. Kittamet
Dejkriengkraikul
– Co-investigators
• Dr. Tuankasfee Hama
• Dr. Sintip Pattanakuha
• Asst. Prof. Siam Tongprasert
Future research projects
• Abdominal FES to reduce respiratory
complications in SCI
– National Collaborator:
Assoc. Prof. Apichana Kovindha
– Site principal investigators:
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.
International SCI publications
• 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.
International SCI publications
• 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.
International SCI publications
• 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.
International SCI publications
• 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.
International SCI publications
• 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.
International SCI publications
• 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.