Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study
Regaining greater independence in performing daily activities constitutes a priority for people with tetraplegia following spinal cord injury (SCI). The highest expectations are connected with the improvement of hand function. Therefore, it is so important for the clinician to identify reliable and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/2/129 |
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| author | Krzysztof Wasiak Justyna Frasuńska Beata Tarnacka |
| author_facet | Krzysztof Wasiak Justyna Frasuńska Beata Tarnacka |
| author_sort | Krzysztof Wasiak |
| collection | DOAJ |
| description | Regaining greater independence in performing daily activities constitutes a priority for people with tetraplegia following spinal cord injury (SCI). The highest expectations are connected with the improvement of hand function. Therefore, it is so important for the clinician to identify reliable and commonly applicable prognostic factors for functional improvement. The aim of this study was to conduct an analysis to assess the impact of initial functional factors on the clinical improvement in patients during early neurological rehabilitation (ENR). This study assessed 38 patients with complete SCI aged 17–78 who underwent ENR in 2012–2022. The analysis included the motor score from the AIS (MS), the Barthel Index (BI) and the SCIM scale values at the beginning of the ENR program and after its completion. During ENR, patients achieved a statistically significant improvement in MS, BI and SCIM. The initial MS and the level of neurological injury constituted the predictors of functional improvement during ENR. Significant statistical relationships were observed primarily in the correlations between the initial MS and BI, and the increase in the analyzed functional scales of SCI patients. Higher initial MS may increase the chances of a greater and faster functional improvement during ENR. |
| first_indexed | 2024-03-08T11:01:14Z |
| format | Article |
| id | doaj.art-7d6736b0e1864ff8be643ceeb25ecd47 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-08T11:01:14Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-7d6736b0e1864ff8be643ceeb25ecd472024-01-26T16:00:19ZengMDPI AGDiagnostics2075-44182024-01-0114212910.3390/diagnostics14020129Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort StudyKrzysztof Wasiak0Justyna Frasuńska1Beata Tarnacka2Department of Rehabilitation, Mazovian Rehabilitation Center STOCER, 05-520 Konstancin-Jeziorna, PolandDepartment of Rehabilitation, Medical University of Warsaw, 02-637 Warsaw, PolandDepartment of Rehabilitation, Medical University of Warsaw, 02-637 Warsaw, PolandRegaining greater independence in performing daily activities constitutes a priority for people with tetraplegia following spinal cord injury (SCI). The highest expectations are connected with the improvement of hand function. Therefore, it is so important for the clinician to identify reliable and commonly applicable prognostic factors for functional improvement. The aim of this study was to conduct an analysis to assess the impact of initial functional factors on the clinical improvement in patients during early neurological rehabilitation (ENR). This study assessed 38 patients with complete SCI aged 17–78 who underwent ENR in 2012–2022. The analysis included the motor score from the AIS (MS), the Barthel Index (BI) and the SCIM scale values at the beginning of the ENR program and after its completion. During ENR, patients achieved a statistically significant improvement in MS, BI and SCIM. The initial MS and the level of neurological injury constituted the predictors of functional improvement during ENR. Significant statistical relationships were observed primarily in the correlations between the initial MS and BI, and the increase in the analyzed functional scales of SCI patients. Higher initial MS may increase the chances of a greater and faster functional improvement during ENR.https://www.mdpi.com/2075-4418/14/2/129tetraplegiaparaplegiaearly spinal cord injuryfunctional scalesmotor score of AISBarthel Index |
| spellingShingle | Krzysztof Wasiak Justyna Frasuńska Beata Tarnacka Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study Diagnostics tetraplegia paraplegia early spinal cord injury functional scales motor score of AIS Barthel Index |
| title | Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study |
| title_full | Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study |
| title_fullStr | Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study |
| title_full_unstemmed | Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study |
| title_short | Can the Initial Parameters of Functional Scales Predict Recovery in Patients with Complete Spinal Cord Injury? A Retrospective Cohort Study |
| title_sort | can the initial parameters of functional scales predict recovery in patients with complete spinal cord injury a retrospective cohort study |
| topic | tetraplegia paraplegia early spinal cord injury functional scales motor score of AIS Barthel Index |
| url | https://www.mdpi.com/2075-4418/14/2/129 |
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