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  4. Changes of Functional Outcomes According to the Degree of Completeness of Spinal Cord Injury

Changes of Functional Outcomes According to the Degree of Completeness of Spinal Cord Injury

Annals of Rehabilitation Medicine, 2014 · DOI: 10.5535/arm.2014.38.3.335 · Published: June 1, 2014

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study looks at how the completeness of a spinal cord injury (SCI) affects a patient's recovery and ability to perform daily activities. The researchers used the American Spinal Injury Association (ASIA) Impairment Scale (AIS) and somatosensory evoked potentials (SEP) to assess the completeness of the injury. They then tracked the patients' progress using various functional indices like walking ability and balance to see if there was a connection.

Study Duration
6 Years
Participants
60 SCI subjects (47 male)
Evidence Level
Not specified

Key Findings

  • 1
    The study found that the recovery of walking ability and balance was significantly different between patients with complete and incomplete spinal cord injuries based on initial AIS and SEP assessments.
  • 2
    Specifically, the Walking Index for Spinal Cord Injury (WISCI) and Berg Balance Scale (BBS) showed statistically significant differences between complete and incomplete impairments.
  • 3
    The Spinal Cord Independence Measure (SCIM) and Modified Barthel Index (MBI) did not reveal significant differences related to the degree of completeness.

Research Summary

This study investigates the prognostic value of AIS and PTSEP in post-acute SCI patients, focusing on predicting functional recovery. The research highlights that AIS and PTSEP effectively evaluate prognosis, with BBS and WISCI proving superior for predicting walking ability recovery compared to other functional indices. The findings suggest that differentiating between complete and incomplete SCI is crucial for estimating the potential for walking and balance recovery, emphasizing PTSEP as a critical assessment tool.

Practical Implications

Prognostic Evaluation

AIS and PTSEP are valuable tools for evaluating the prognosis of SCI patients in the post-acute phase.

Targeted Rehabilitation

BBS and WISCI are better parameters for predicting the recovery of walking ability, allowing for more targeted rehabilitation strategies.

Personalized Treatment Plans

Distinguishing between complete and incomplete SCI is useful for estimating recovery potential and tailoring treatment plans.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Sample size of 60 subjects
  • 3
    Lack of long-term follow-up data

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