Neurological recovery after traumatic spinal cord injury:what is meaningful? A patients' and physicians' perspective
| Autor: | Paula Valerie Ter Wengel, Janneke M. Stolwijk-Swuste, F. C. Oner, William P. Vandertop, Allard J. F. Hosman, Marcel W M Post, Said Sadiqi, Enrico Martin |
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| Přispěvatelé: | Extremities Pain and Disability (EXPAND), Neurosurgery, Amsterdam Movement Sciences, Amsterdam Neuroscience - Systems & Network Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Future studies Traumatic spinal cord injury Cross-sectional study business.industry American Spinal Injury Association Health knowledge General Medicine Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] 03 medical and health sciences 0302 clinical medicine Neurology Physical therapy medicine Injury Severity Score Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Ter Wengel, P V, Post, M W M, Martin, E, Stolwijk-Swuste, J, Hosman, A J F, Sadiqi, S, Vandertop, W P & Öner, F C 2020, ' Neurological recovery after traumatic spinal cord injury : what is meaningful? A patients' and physicians' perspective ', Spinal Cord, vol. 58, no. 8, pp. 865-872 . https://doi.org/10.1038/s41393-020-0436-4 Spinal Cord, 58(8), 865-872. Nature Publishing Group Spinal Cord, 58, 8, pp. 865-872 Spinal Cord, 58(8), 865-872. NATURE PUBLISHING GROUP Spinal Cord, 58, 865-872 Spinal cord, 58(8), 865-872. Nature Publishing Group |
| ISSN: | 1362-4393 |
| DOI: | 10.1038/s41393-020-0436-4 |
| Popis: | Item does not contain fulltext STUDY DESIGN: Cross-sectional survey. OBJECTIVES: Most studies on neurological recovery after traumatic spinal cord injury (tSCI) assess treatment effects using the American Spinal Injury Association Impairment Scale (AIS grade) or motor points recovery. To what extent neurological recovery is considered clinically meaningful is unknown. This study investigated the perceived clinical benefit of various degrees of neurological recovery one year after C5 AIS-A tSCI. SETTING: The Netherlands. METHODS: By means of a web-based survey SCI patients and physicians evaluated the benefit of various scenarios of neurological recovery on a scale from 0 to 100% (0% no benefit to 100% major benefit). Recovery to AIS-C and D, was split into C/C+ and D/D+, which was defined by the lower and upper limit of recovery for each grade. RESULTS: A total of 79 patients and 77 physicians participated in the survey. Each AIS grade improvement from AIS-A was considered significant benefit (all p |
| Databáze: | OpenAIRE |
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