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  4. Electrophysiological Study in Acute Spinal Cord Injury Patients: Its Correlation to Neurological Deficit and Subsequent Recovery Assessment by ASIA Score

Electrophysiological Study in Acute Spinal Cord Injury Patients: Its Correlation to Neurological Deficit and Subsequent Recovery Assessment by ASIA Score

Indian Journal of Orthopaedics, 2020 · DOI: 10.1007/s43465-020-00108-4 · Published: April 27, 2020

Spinal Cord InjuryPhysiologyOrthopedics

Simple Explanation

This study investigates the relationship between neurological deficit and recovery in acute spinal cord injury (SCI) patients, using the ASIA score and electrodiagnostic studies. Patients were evaluated clinically and underwent electrodiagnostic studies of nerves and muscles in their lower limbs, with repeated assessments over six months. The study found a strong correlation between electrodiagnostic findings and ASIA scores, suggesting that these tools can help predict neurological deficits and recovery after SCI.

Study Duration
June 2014 to November 2016
Participants
35 patients with acute SCI
Evidence Level
Not specified

Key Findings

  • 1
    Neurological recovery was highly significant at 6 months based on ASIA scores.
  • 2
    Significant differences were observed in mean amplitude for all nerves and mean conduction velocity for peroneal and sural nerves.
  • 3
    Significant agreement was found between neurological recovery and nerve conduction velocity for the right tibial nerve, and EMG findings for specific lower limb muscles.

Research Summary

This study investigated the relationship between neurological deficit and subsequent recovery in acute spinal cord injury (SCI) patients using ASIA score and electrodiagnostic studies. The neurological recovery was highly significant (p < 0.001) at 6 months. There is a strong relationship between electrodiagnostic findings and ASIA scoring to predict neurological deficit and subsequent recovery after acute traumatic SCI.

Practical Implications

Customized Rehabilitation Programs

Serial neurologic evaluation by ASIA score and electrodiagnostic studies may help in designing customized rehabilitation programs for the patients according to the expected neurological recovery.

Evaluating Future Research

Electrodiagnostic studies may assist in evaluating future research in the field of SCI with more scientific authenticity.

Prognostic Tool

Electrophysiological studies can be used as supplementary tool for clinical examination.

Study Limitations

  • 1
    Small number of patients recruited.
  • 2
    Requires future extensive studies to develop research protocols utilizing clinical, electrodiagnostic, and neuroimaging modalities.
  • 3
    Not specified

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