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在急性AIS级D脊髓损伤后预测完整或不完整的长期功能独立:一项前性队列研究

Antoine Dionne^1,2, Andréane Richard-Denis^1,2,3, Jean-Marc Mac-Thiong^1,2,3

¹Faculty of Medicine, Université de Montréal, Centre-ville, Montréal, Québec, Canada.

Topics in spinal cord injury rehabilitation

|August 14, 2024

概括

美国脊髓损伤协会损伤量表 (AIS) D级创伤性脊髓损伤 (tSCI) 患者中约有一半实现了完全独立. 早期识别低运动分数或高并发症负担是优化康复的关键.

科学领域:

神经学神经学
康复医学康复医学康复医学
脊髓损伤研究脊髓损伤研究

背景情况:

美国脊髓损伤协会损伤量表 (AIS) D级创伤性脊髓损伤 (tSCI) 的发生率正在上升.
虽然最初的运动缺陷可能是轻微的,但有些患者无法恢复功能独立.

研究的目的:

确定与未能在患有AIS级D tSCI的患者中实现完全功能独立相关的因素.
确定创伤性脊髓损伤中功能恢复的预测因素.

主要方法:

对121名患有AIS级D tSCI的患者进行前性观察队列研究.
评估基线特征,急性护理停留,康复需求和12个月功能状态.
单变量和分类和回归树 (CART) 分析以确定功能独立的预测因素.

主要成果:

52%的患者在12个月后在自我护理,呼吸/管管理和运动领域实现了完全的功能独立.
较高的基线运动分数 (≥83) 和较少的医学并发症 (查尔森并发症指数 [CCI] ≤4) 预测了更好的功能结果.
基线运动分数≥83的患者更有可能实现完全独立 (65%).

结论:

大约50%的AIS级D tSCI个体实现了完全的长期功能独立.
早期识别基线运动分数<83或高并发症负担 (CCI ≥5) 的患者对于定制康复策略至关重要.
优化风险人群的康复计划可以改善SCI后的功能恢复.

关键词:

在AIS等级D中,AIS等级是D级.功能恢复恢复的功能恢复.康复康复康复康复康复康复脊髓损伤导致的脊髓损伤

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