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Introduction: Recovery of lower urinary tract (LUT) and lower gastrointestinal tract (LGIT) is a high priority for people with lived experience following spinal cord injury (SCI). A universally accepted validated patient‐reported outcome (PRO) measure of the individual sensory and motor components of LGIT and LUT function, which allows tracking of recovery is lacking. To address this literature gap, the SCI Bladder and Bowel Control Questionnaire (SCI‐BBC‐Q) was developed. Methods: The SCI‐BBC‐Q was developed as a direct assessment of the micturition and defecation experiences of an individual with SCI with possible neurogenic LUT and LGIT dysfunction. The SCI‐BBC‐Q development process consisted of two phases, measure development and evaluation. Measure development was guided by a conceptual framework, review of existing instruments and literature, and an iterative process of item incorporation, review, feedback, and consensus revision. Evaluation included cognitive interviewing, and assessments of feasibility, reliability, and content validity. Results: The final 6‐item SCI‐BBC‐Q is a PRO, which assesses motor and sensory function related to micturition and defecation, requiring ~5 min to complete. Assessments of clarity of the instrument components with regard to understanding of what is being asked in the questionnaire, feasibility of administration, reliability, internal consistency, and agreement with proxy measures have demonstrated that the SCI‐BBC‐Q provides consistent, stable, and reproducible data. Significant correlations were found between SCI‐BBC‐Q scores and the anorectal motor and sensory components of the International Standards for the Neurological Classification of SCI. Conclusion: The SCI‐BBC‐Q is a practical and reliable method for baseline and ongoing evaluation of patients with neurogenic LUT and LGIT dysfunction, especially in the acute and subacute period when function is changing due to neurological plasticity. It is also appropriate for use in monitoring response to treatments related to neurological recovery. [ABSTRACT FROM AUTHOR]

Spinal cord injury (SCI) negatively impacts individuals' functional independence, and motor and sensory function. Intense walking training has been shown to facilitate recovery for individuals with chronic SCI. Powered robotic exoskeletons provide therapists with a tool that allows them to conduct walking training with less therapist effort as compared to conventional walking training. Exoskeletal-assisted walking (EAW) has been studied in the chronic SCI population with preliminary reports showing benefits in mobility, health, and quality-of-life outcomes. However, few reports have studied EAW's benefits in the acute (<90 days post) SCI population at a time when neural plasticity is most dynamic and modifiable. The purpose of the study was to conduct a pilot randomized controlled trial (RCT) to understand the effects of incorporated EAW in acute inpatient rehabilitation (AIR) for individuals with SCI on functional, motor, and sensory recovery. The study outcomes included the Spinal Cord Independence Measure (SCIM) III and International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) motor and sensory scores that were assessed by unblinded assessors. We also recorded EAW session data, including adverse events, walking and up time, step counts, Borg Rating of Perceived Exertion (RPE), and compliance with scheduled EAW training. From August 2019 to July 2022, 16 participants completed the AIR with incorporated EAW, and 12 completed the standard AIR, all with SCI and preserved leg function within 90 days post-injury. During each session, the AIR with incorporated EAW group averaged 34.3 (±9.4) min of up time, 25.4 (±7.7) min of walk time, and 536 (±157) steps. Analysis via two-by-two mixed-effects models showed significant increases in the SCIM total score and ISNCSCI total motor and sensory scores over time for the AIR with incorporated EAW group [SCIM total score: F(1, 26) = 5.59, p = 0.03; total motor score: F(1, 26) = 8.06, p < 0.01; total sensory score: F(1, 19.2) = 5.08, p = 0.04], outperforming the standard AIR group. The AIR with incorporated EAW group showed 13, 14, and 22 points higher changes in the SCIM total score, total motor score, and total sensory score (respectively) by discharge compared with the standard AIR group. Incorporating EAW into AIR may facilitate functional, motor, and sensory recovery for individuals with SCI during AIR better than standard AIR. However, the study had a limited sample size. Further studies are needed to clarify the effects of EAW in AIR. [ABSTRACT FROM AUTHOR]

Recently, high-performance self-healing electromagnetic interference (EMI) shielding materials with superior electrical conductivity, excellent shielding efficiency, and effective self-repairing ability have gained great attention. However, the practical development of such systems still encounters considerable challenges. In this study, a highly efficient EMI shielding self-healing nanocomposite system composed of multiple components of multiwalled carbon nanotubes (MWCNTs), graphene nanosheets (GNSs), and Fe3O4 nanoparticles was developed by integrating a novel amphiphilic poly-(ethylene glycol)-block-poly-(caprolactone-co-furfuryl glycidyl ether) block copolymer (PEG-b-PCLF) with 1,1′-(methylenedi-4,1-phenylene)-bismaleimide and nanofillers via Diels–Alder (DA) chemistry and molecular affinity. Within this composite system, MWCNTs were distributed within the GNSs and served as connecting bridges across adjacent GNSs. Simultaneously, Fe3O4 nanoparticles were uniformly interspersed in the space around the MWCNT/GNS staggered framework due to good affinity with the hydrophilic PEG block, thereby forming MWCNT/GNS/Fe3O4 tricontinuous networks. Upon heating, the retro-DA mechanisms endowed the material system with excellent reprocessability and self-repairability. More importantly, the MWCNT/GNS/Fe3O4 tricontinuous networks not only provided efficient channels for charge transport but also served as an electromagnetic framework that synergistically endowed the material system with excellent EMI shielding properties. Accordingly, a favorable electrical conductivity of 18.5 S m–1 and an extremely high shielding effectiveness of 92.7 dB in the X-band were achieved. Additionally, the material system also possessed sufficient performances in the recovery of mechanical properties and shielding efficiency after repair, thereby leading to a prolonged service life. This study offers a promising strategy for the effective integration of multiple electromagnetic nanofillers into a self-healing polymeric system, which leads to highly efficient electrical and EMI shielding properties as well as remarkable self-repairability. We believe that these results can guide the development of advanced, durable EMI shielding applications. [ABSTRACT FROM AUTHOR]