Testosterone replacement therapy and motor function in men with spinal cord injury: a retrospective analysis
| Autor: | Michael Acuff, Micah O. Mazurek, Gregory F. Petroski, Andrew B. Lammy, Mary J. Clark, Kristofer J. Hagglund, Martin K. Childers, Ashley K. Sherman |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Quadriplegia Motor function medicine Retrospective analysis Humans Testosterone Testosterone replacement Muscle Strength Spinal cord injury Spinal Cord Injuries Retrospective Studies Paraplegia business.industry Rehabilitation Retrospective cohort study Testosterone (patch) Recovery of Function Middle Aged medicine.disease Surgery Rehabilitation outcome Anesthesia Case-Control Studies Androgens Hormone therapy business |
| Zdroj: | American journal of physical medicinerehabilitation. 87(4) |
| ISSN: | 0894-9115 |
| Popis: | To evaluate motor function in men with spinal cord injury (SCI) given testosterone replacement therapy (TRT).American Spinal Injury Association (ASIA) rehabilitation discharge motor index scores were compared between men with SCI given TRT (testosterone cypionate, 200 mg, monthly; n = 50) and a comparison group (n = 480) in a retrospective study. Covariates included admission motor and FIM scores, level of injury (paraplegia/tetraplegia), days since injury, and age.ASIA discharge motor scores for ASIA impairment scale grades C and D were significantly different (P0.05) in men with incomplete SCI given TRT, relative to the comparison group. The covariate-adjusted mean discharge score for the TRT group was higher than for the comparison group. There were no significant differences in discharge FIM scores (P = 0.34) for men with incomplete injuries and no differences in the adjusted discharge ASIA motor scores (P = 0.92) or adjusted discharge FIM scores (P = 0.16) for men with complete injuries.The data support a relationship between TRT and strength gains in men with residual motor function after SCI. Prospective studies are necessary to validate these findings. |
| Databáze: | OpenAIRE |
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