Functional Recovery and Prediction of Prognosis in Incomplete Spinal Cord Injured Persons
| Autor: | Kuniyasu Takahashi, Tetsuo Suyama, Masafumi Mizukami, Syusuke Kusano, Yoshie Takahashi, Shigeru Hirabayashi |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Activities of daily living business.industry medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Functional recovery medicine.disease Spinal cord Surgery Wheelchair medicine.anatomical_structure Paralysis medicine Physical therapy Spasticity medicine.symptom business Spinal cord injury |
| Zdroj: | Journal of Physical Therapy Science. 11:35-40 |
| ISSN: | 2187-5626 0915-5287 |
| Popis: | Making a functional prognosis for patients with traumatic incomplete spinal cord injuries is extremely important not only for the patients themselves, in attempting to achieve independence in activities of daily living and social rehabilitation, but also for medical co-workers, the family and almost everyone in the society. However, only very few reports deal with this subject, and rehabilitation is often conducted aimlessly. In the present study we tried at our department to summarize the functional prognosis of patients with spinal injuries and set up a preliminary standard for rehabilitation. The present study included 75 patients with Frankel class C, D, E, incomplete spinal injury who underwent rehabilitation training in the past ten years at our department. The level of the injury was the cervical cord in 53 patients and the thoracic or lumbar cord in 22 patients. The average age of the patients was 36.2 years. Seventy of the patients were male and 5 female. The time of the final evaluation after the injury was on the average 11.8 months (SD=5.9 months). When muscle power of the lower extremities three months after injury reached [4], patients accomplished independent walking 6.8 months after the injury. When muscle power of the lower extremities 6.5 months after injury reached [3-], patients accomplished semi-independent walking with the help of a wheelchair 8.7 months after the injury. Patients with a muscle power of more than [3-] in the upper extremities could walk independently. Among patients with incomplete injury of the cervical cord 64% gained independence in ADL 8.6 months after the injury, but patients with central paralysis or strong spasticity required assistance. |
| Databáze: | OpenAIRE |
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