{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:44:16Z","timestamp":1786995856348,"version":"build-2736575974"},"reference-count":62,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Physical Medicine and Rehabilitation Clinics of North America"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.pmr.2024.08.001","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T17:41:42Z","timestamp":1725730902000},"page":"125-137","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Empowering Women\u2019s Health after Spinal Cord Injuries"],"prefix":"10.1016","volume":"36","author":[{"given":"Sri","family":"Moturu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Lee","family":"Adkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne M.","family":"Delgado-Lebron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo M.","family":"Castillo Diaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.pmr.2024.08.001_bib1","doi-asserted-by":"crossref","first-page":"166","DOI":"10.46292\/sci2603-166","article-title":"A\u00a0primary care provider's guide to clinical needs of women with spinal cord injury","volume":"26","author":"Slocum","year":"2020","journal-title":"Top Spinal Cord Inj Rehabil"},{"issue":"5","key":"10.1016\/j.pmr.2024.08.001_bib2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1038\/sc.2011.178","article-title":"Epidemiology of traumatic spinal cord injury: trends and future implications","volume":"50","author":"Devivo","year":"2012","journal-title":"Spinal Cord"},{"issue":"10","key":"10.1016\/j.pmr.2024.08.001_bib3","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1016\/j.apmr.2016.07.001","article-title":"Risk and protective factors for cause-specific mortality after spinal cord injury","volume":"97","author":"Krause","year":"2016","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.pmr.2024.08.001_bib4","doi-asserted-by":"crossref","first-page":"853647","DOI":"10.3389\/fresc.2022.853647","article-title":"Sexual health and women living with spinal cord injury: the unheard voice","volume":"3","author":"Piatt","year":"2022","journal-title":"Front Rehabil Sci"},{"issue":"3","key":"10.1016\/j.pmr.2024.08.001_bib5","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1080\/10790268.2010.11689709","article-title":"Sexuality and reproductive health in adults with spinal cord injury: a clinical practice guideline for healthcare professionals","volume":"33","year":"2010","journal-title":"J\u00a0Spinal Cord Med"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib6","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1310\/sci2301-20","article-title":"Women's Sexual Health and Reproductive Function After SCI","volume":"23","author":"Courtois","year":"2017","journal-title":"Top Spinal Cord Inj Rehabil"},{"issue":"7","key":"10.1016\/j.pmr.2024.08.001_bib7","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1038\/sc.2015.53","article-title":"Sexual satisfaction in women with spinal cord injuries","volume":"53","author":"Otero-Villaverde","year":"2015","journal-title":"Spinal Cord"},{"issue":"6","key":"10.1016\/j.pmr.2024.08.001_bib8","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1038\/s41393-017-0020-8","article-title":"Orgasm and SCI: what do we know?","volume":"56","author":"Alexander","year":"2018","journal-title":"Spinal Cord"},{"key":"10.1016\/j.pmr.2024.08.001_bib9","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1038\/sc.2010.51","article-title":"Women's sexual functioning and sex life after spinal cord injury","volume":"49","author":"Kreuter","year":"2011","journal-title":"Spinal Cord"},{"issue":"17","key":"10.1016\/j.pmr.2024.08.001_bib10","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1080\/09638280210142248","article-title":"Impact of comprehensive gynecologic services on health maintenance behaviours among women with spinal cord injury","volume":"24","author":"Schopp","year":"2002","journal-title":"Disabil Rehabil"},{"issue":"4","key":"10.1016\/j.pmr.2024.08.001_bib11","doi-asserted-by":"crossref","first-page":"e255","DOI":"10.1016\/j.esxm.2017.07.003","article-title":"Women's sex life after spinal cord injury","volume":"5","author":"Sramkova","year":"2017","journal-title":"Sex Med"},{"key":"10.1016\/j.pmr.2024.08.001_bib12","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/0003-9993(93)90056-G","article-title":"Sexual activities, response and satisfaction in women pre- and post-spinal cord injury","volume":"74","author":"Sipski","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"issue":"No 1","key":"10.1016\/j.pmr.2024.08.001_bib13","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S1047-9651(18)30090-1","article-title":"Gynecological and reproductive issues in women with spinal cord injury","volume":"12","author":"Burns","year":"2001","journal-title":"Phys Med Rehabil Clin"},{"issue":"2","key":"10.1016\/j.pmr.2024.08.001_bib14","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/AOG.0000000000001257","article-title":"Alterations in the genital microbiota in women with spinal cord injury","volume":"127","author":"Pires","year":"2016","journal-title":"Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib15","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1038\/sc.2009.81","article-title":"Occurrence of candiduria in a population of chronically catheterized patients with spinal cord injury","volume":"48","author":"Goetz","year":"2010","journal-title":"Spinal Cord"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib16","first-page":"102","article-title":"Fertility treatment in spinal cord injury and other neurologic disease","volume":"5","author":"Trofimenko","year":"2016","journal-title":"Transl Androl Urol"},{"key":"10.1016\/j.pmr.2024.08.001_bib17","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1038\/sc.1992.54","article-title":"Sexual issues of women with spinal cord injuries","volume":"30","author":"Charlifue","year":"1992","journal-title":"Spinal Cord"},{"key":"10.1016\/j.pmr.2024.08.001_bib18","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1038\/s41393-022-00765-2","article-title":"Menstrual changes after spinal cord injury","volume":"60","author":"Charls","year":"2022","journal-title":"Spinal Cord"},{"issue":"10","key":"10.1016\/j.pmr.2024.08.001_bib19","first-page":"19","article-title":"Contraception for the disabled","volume":"16","author":"Hakim-elahi","year":"1991","journal-title":"Female Patient"},{"issue":"4","key":"10.1016\/j.pmr.2024.08.001_bib20","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/0010-7824(82)90106-8","article-title":"Sexuality, fertility and contraception in disability","volume":"26","author":"Leavesley","year":"1982","journal-title":"Contraception"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib21","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s12884-020-2752-2","article-title":"Vaginal delivery is safely achieved in pregnancies complicated by spinal cord injury: a retrospective 25-year observational study of pregnancy outcomes in a national spinal injuries centre","volume":"20","author":"Robertson","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"10.1016\/j.pmr.2024.08.001_bib22","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1177\/1753495X211011918","article-title":"Spinal cord injury and pregnancy","volume":"15","author":"Robertson","year":"2022","journal-title":"Obstet Med"},{"key":"10.1016\/j.pmr.2024.08.001_bib23","series-title":"Brentwood (TN): organization of teratology information specialists (OTIS); 1994-. Baclofen","year":"2021"},{"key":"10.1016\/j.pmr.2024.08.001_bib24","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1186\/s12884-017-1408-3","article-title":"The role of vitamin D in pre-eclampsia: a systematic review","volume":"17","author":"Purswani","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"issue":"6","key":"10.1016\/j.pmr.2024.08.001_bib25","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1179\/2045772313Y.0000000093","article-title":"Comprehensive management of pressure ulcers in spinal cord injury: current concepts and future trends","volume":"36","author":"Kruger","year":"2013","journal-title":"J\u00a0Spinal Cord Med"},{"issue":"3","key":"10.1016\/j.pmr.2024.08.001_bib26","first-page":"153","article-title":"Is chronic spinal cord injury associated with increased risk of venous thromboembolism?","volume":"16","author":"Lamb","year":"1993","journal-title":"J\u00a0Am ParaplegiaSoc"},{"issue":"7","key":"10.1016\/j.pmr.2024.08.001_bib27","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/OGX.0000000000001043","article-title":"Venous thromboembolism during pregnancy and the postpartum period: risk factors, diagnostic testing, and treatment","volume":"77","author":"Maughan","year":"2022","journal-title":"Obstet Gynecol Surv"},{"issue":"5","key":"10.1016\/j.pmr.2024.08.001_bib28","article-title":"Number 808","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"7","key":"10.1016\/j.pmr.2024.08.001_bib29","first-page":"e151","article-title":"Management of breech presentation","volume":"124","year":"2017","journal-title":"BJOG An Int J Obstet Gynaecol"},{"key":"10.1016\/j.pmr.2024.08.001_bib30","series-title":"StatPearls","article-title":"Autonomic dysreflexia","author":"Allen","year":"2023"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib31","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/01.grf.0000153873.88004.1d","article-title":"Traumatic spinal cord injury","volume":"48","author":"Kang","year":"2005","journal-title":"Clin Obstet Gynecol"},{"issue":"12","key":"10.1016\/j.pmr.2024.08.001_bib32","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1038\/sc.1992.166","article-title":"Pregnancy, labor and delivery post spinal cord injury","volume":"30","author":"Cross","year":"1992","journal-title":"Spinal Cord"},{"issue":"6","key":"10.1016\/j.pmr.2024.08.001_bib33","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/j.apmr.2004.10.039","article-title":"Psychogenic and pharmacologic induction of the let-down reflex can facilitate breastfeeding by tetraplegic women: a report of 3 cases","volume":"86","author":"Cowley","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"issue":"8","key":"10.1016\/j.pmr.2024.08.001_bib34","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1002\/pmrj.12122","article-title":"Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population-Based Study","volume":"11","author":"Crane","year":"2019","journal-title":"PM R"},{"key":"10.1016\/j.pmr.2024.08.001_bib35","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1080\/10790268.2003.11753675","article-title":"Breast And Gynecologic Health-Screening Behaviors Among 191 Women With Spinal Cord Injuries","volume":"26","author":"Broderick","year":"2003","journal-title":"J\u00a0Spinal Cord Med"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib36","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1080\/10790268.2016.1153293","article-title":"Adherence to US Preventive Services Task Force recommendations for breast and cervical cancer screening for women who have a spinal cord injury","volume":"40","author":"Xu","year":"2017","journal-title":"J\u00a0Spinal Cord Med"},{"issue":"6","key":"10.1016\/j.pmr.2024.08.001_bib37","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1080\/10790268.2018.1432308","article-title":"Preventive care among primary care patients living with spinal cord injury","volume":"42","author":"Lofters","year":"2019","journal-title":"The Journal of Spinal Cord Medicine"},{"issue":"6","key":"10.1016\/j.pmr.2024.08.001_bib38","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1016\/j.apmr.2014.02.005","article-title":"Health care utilization and barriers experienced by individuals with spinal cord injury","volume":"95","author":"Stillman","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.pmr.2024.08.001_bib39","series-title":"Recommendations of the U.S. Preventive services task force","year":"2014"},{"issue":"4","key":"10.1016\/j.pmr.2024.08.001_bib40","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.apmr.2009.12.012","article-title":"Menopause characteristics and subjective symptoms in women with and without spinal cord injury","volume":"91","author":"Kalpakjian","year":"2010","journal-title":"Arch Phys Med Rehabil"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib41","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1002\/1531-8249(200101)49:1<35::AID-ANA8>3.0.CO;2-J","article-title":"Sexual arousal and orgasm in women: effects of spinal cord injury","volume":"49","author":"Sipski","year":"2001","journal-title":"Ann Neurol"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib42","first-page":"9","article-title":"The perimenopause experience for women with spinal cord injuries","volume":"21","author":"Dannels","year":"2004","journal-title":"Sci Nurs"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib43","first-page":"26","article-title":"Osteoporosis after spinal cord injury: aetiology, effects and therapeutic approaches","volume":"21","author":"Abdelrahman","year":"2021","journal-title":"J\u00a0Musculoskelet Neuronal Interact"},{"issue":"2","key":"10.1016\/j.pmr.2024.08.001_bib44","doi-asserted-by":"crossref","first-page":"608","DOI":"10.3390\/ijms23020608","article-title":"The Effects of Exercise and Activity-Based Physical Therapy on Bone after Spinal Cord Injury","volume":"23","author":"Sutor","year":"2022","journal-title":"Int J Mol Sci"},{"issue":"3","key":"10.1016\/j.pmr.2024.08.001_bib45","doi-asserted-by":"crossref","DOI":"10.1016\/j.jocd.2023.101380","article-title":"Bone Mineral Loss at the Distal Femur and Proximal Tibia Following Spinal Cord Injury in Men and Women","volume":"26","author":"Mazur","year":"2023","journal-title":"J\u00a0Clin Densitom"},{"issue":"7","key":"10.1016\/j.pmr.2024.08.001_bib46","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.3390\/jpm12071178","article-title":"Psychosocial Consequences of Spinal Cord Injury: A Narrative Review","volume":"12","author":"Budd","year":"2022","journal-title":"J\u00a0Personalized Med"},{"issue":"17","key":"10.1016\/j.pmr.2024.08.001_bib47","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1080\/09638280701320839","article-title":"Return to work following spinal cord injury: a review","volume":"29","author":"Lidal","year":"2007","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.pmr.2024.08.001_bib48","unstructured":"Available at: www.nscisc.uab.edu\/public\/AR2022_public%20version.pdf"},{"key":"10.1016\/j.pmr.2024.08.001_bib49","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1038\/s41393-019-0356-3","article-title":"Gender, class, employment status and social mobility following spinal cord injury in Denmark, the Netherlands, Norway and Switzerland","volume":"58","author":"Leiulfsrud","year":"2020","journal-title":"Spinal Cord"},{"issue":"4","key":"10.1016\/j.pmr.2024.08.001_bib50","first-page":"100230","article-title":"Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury","volume":"4","author":"Krause","year":"2022","journal-title":"Arch Rehabil Res Clin Transl"},{"issue":"5","key":"10.1016\/j.pmr.2024.08.001_bib51","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1080\/10790268.2009.11754553","article-title":"Review of critical factors related to employment after spinal cord injury: implications for research and vocational services","volume":"32","author":"Ottomanelli","year":"2009","journal-title":"J\u00a0Spinal Cord Med"},{"issue":"4","key":"10.1016\/j.pmr.2024.08.001_bib52","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1179\/2045772315Y.0000000031","article-title":"Modifiable and non-modifiable factors associated with employment outcomes following spinal cord injury: A systematic review","volume":"38","author":"Trenaman","year":"2015","journal-title":"J\u00a0Spinal Cord Med"},{"key":"10.1016\/j.pmr.2024.08.001_bib53","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1080\/10790268.2019.1610618","article-title":"Global and domain-specific life satisfaction among older adults with long-term spinal cord injury","volume":"44","author":"J\u00f6rgensen","year":"2021","journal-title":"J.\u00a0Spinal Cord Med"},{"key":"10.1016\/j.pmr.2024.08.001_bib54","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s12883-019-1347-x","article-title":"Re-building relationships after a spinal cord injury: Experiences of family caregivers and care recipients","volume":"19","author":"Jeyathevan","year":"2019","journal-title":"BMC Neurol"},{"key":"10.1016\/j.pmr.2024.08.001_bib55","first-page":"913","article-title":"Economic impact of traumatic spinal cord injuries in the United States","volume":"6","author":"Merritt","year":"2019","journal-title":"Neuroimmunol. Neuroinflamm"},{"key":"10.1016\/j.pmr.2024.08.001_bib56","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1186\/s12939-021-01600-5","article-title":"Pathways to loneliness: A mediation analysis investigating the social gradient of loneliness in persons with disabilities in Switzerland","volume":"20","author":"Tough","year":"2021","journal-title":"Int J Equity Health"},{"issue":"2","key":"10.1016\/j.pmr.2024.08.001_bib57","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1310\/sci2102-149","article-title":"Depression Following Spinal Cord Injury: Its Relationship to Demographic and Socioeconomic Indicators","volume":"21","author":"Khazaeipour","year":"2015","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"10.1016\/j.pmr.2024.08.001_bib58","first-page":"102","article-title":"Suicide in Adults with Spinal Cord Injury","volume":"44","year":"2021","journal-title":"J.\u00a0Spinal Cord Med"},{"issue":"10","key":"10.1016\/j.pmr.2024.08.001_bib59","first-page":"1395","article-title":"The Effect of Injury-Related Characteristics on Changes in Marital Status after Spinal Cord Injury","volume":"44","author":"Merghati Khoi","year":"2015","journal-title":"Iran J Public Health"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib60","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1038\/sc.2010.63","article-title":"Predictors of marital longevity after new spinal cord injury","volume":"49","author":"Karana-Zebari","year":"2011","journal-title":"Spinal Cord"},{"issue":"3","key":"10.1016\/j.pmr.2024.08.001_bib61","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.apmr.2010.07.239","article-title":"Marital status, marital transitions, well-being, and spinal cord injury: an examination of the effects of sex and time","volume":"92","author":"Kalpakjian","year":"2011","journal-title":"Arch Phys Med Rehabil"},{"issue":"1","key":"10.1016\/j.pmr.2024.08.001_bib62","doi-asserted-by":"crossref","first-page":"70","DOI":"10.46292\/sci21-00083","article-title":"Interpersonal Violence Against Women with Spinal Cord Injury: Adding Insult to Injury","volume":"29","author":"Robinson-Whelen","year":"2023","journal-title":"Top Spinal Cord Inj Rehabil"}],"container-title":["Physical Medicine and Rehabilitation Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1047965124000688?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1047965124000688?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T15:17:53Z","timestamp":1755011873000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1047965124000688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":62,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["S1047965124000688"],"URL":"https:\/\/doi.org\/10.1016\/j.pmr.2024.08.001","relation":{},"ISSN":["1047-9651"],"issn-type":[{"value":"1047-9651","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Empowering Women\u2019s Health after Spinal Cord Injuries","name":"articletitle","label":"Article Title"},{"value":"Physical Medicine and Rehabilitation Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pmr.2024.08.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}