Gait recovery in patients with late assessment of incomplete spinal cord injury: A retrospective study in Argentina.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Spinal Cord Medicine Pub Date : 2024-12-11 DOI:10.1080/10790268.2024.2434304

Marcelo A Gatti, Yamila Dieni, Lucia Yaccuzzi, María E Rivas, Daniela G L Terson de Paleville

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引用次数: 0

Abstract

Study design: Retrospective data analysis study.

Objectives: To assess gait recovery rates in subjects with motor incomplete spinal cord injury (SCI) at the start of rehabilitation and to report their gait performance.

Setting: Tertiary inpatient Rehabilitation Center in Argentina.

Methods: The study analyzed data from 143 individuals with traumatic and non-traumatic SCI (AIS/ASIA Impairment Scale C and D) within 90 days of injury, all non-ambulatory upon admission. Gait status at discharge was evaluated using the 6-minute walk test and the Walking Index for Spinal Cord Injury II (WISCI II). Statistical evaluations utilized Pearson chi-square and Mann-Whitney U-tests. Approval was obtained from Fleni's Ethics Committee.

Results: Among the 65 patients with AIS C, 69% regained walking function, compared to 87% of the 74 patients with AIS D (p = 0.01). Walkers had a mean total motor score of 67 (±19) versus 51.7 (±25.5) for non-walkers (p = 0.002), and a total pinprick sensation score of 69.8 (± 27.5) vs. 49.5 (± 29) (p = 0.001). Additionally, 54% of AIS C and 86% of AIS D patients aged ≥ 50 regained walking ability; however, age-related differences were statistically significant only in AIS C group (p = 0,015). AIS D patients walked a mean of 249 meters (±134), while AIS C walked 207 meters (±128) (p = 0.07). The median WISCI II score between the two groups were not statistically significant.

Conclusions: Most patients with incomplete motor SCI who participated in inpatient rehabilitation regained walking, with motor score and pinprick sensation correlating to walking ability. Gait performance was comparable between AIS C and D.

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不完全脊髓损伤晚期评估患者的步态恢复：阿根廷的一项回顾性研究。

研究设计：回顾性数据分析研究。目的：评估运动不完全性脊髓损伤（SCI）患者在康复开始时的步态恢复率，并报告其步态表现。地点：阿根廷三级住院康复中心。方法：研究分析了143例创伤性和非创伤性脊髓损伤患者（AIS/ASIA损伤量表C和D）在受伤后90天内的数据，所有患者入院时均不能走动。出院时的步态状况采用6分钟步行测试和脊髓损伤步行指数II （WISCI II）进行评估。统计评估采用Pearson卡方检验和Mann-Whitney u检验。获得了Fleni伦理委员会的批准。结果：65例AIS C患者中，69%的患者恢复了行走功能，而74例AIS D患者中87%的患者恢复了行走功能（p = 0.01）。学步者的平均总运动评分为67（±19）分，非学步者为51.7（±25.5）分（p = 0.002）；针刺感觉总分为69.8（±27.5）分，非学步者为49.5（±29）分（p = 0.001）。此外，54%的≥50岁的AIS C和86%的AIS D患者恢复了行走能力；然而，年龄相关差异仅在AIS C组有统计学意义（p = 0.015）。AIS D患者平均步行249米（±134米），AIS C患者平均步行207米（±128米）（p = 0.07）。两组间WISCIⅱ评分中位数差异无统计学意义。结论：大多数参加住院康复的不完全性运动性脊髓损伤患者均能恢复行走，运动评分和针刺感觉与行走能力相关。步态表现在AIS C和D之间具有可比性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Spinal Cord Medicine 医学-临床神经学

CiteScore

4.20

自引率

5.90%

发文量

101

审稿时长

6-12 weeks

期刊介绍： For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.