The effects of lower extremity deep sensory impairments on walking capability in patients with incomplete cervical spinal cord injury
| Autor: | Atsushi Sugyo, Tetsuo Hayashi, Ryouichi Watanabe, Takeshi Maeda, Fumihiro Towatari, Tomoki Naka |
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| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment Sensory system Walking 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Sensation medicine Humans In patient Spinal cord injury Spinal Cord Injuries Research Articles Retrospective Studies Rehabilitation business.industry Cervical Cord Retrospective cohort study Spinal cord medicine.disease medicine.anatomical_structure Lower Extremity Cervical spinal cord injury Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 1079-0268 |
| DOI: | 10.1080/10790268.2020.1788879 |
| Popis: | Objective: To analyze the impact of lower extremity deep sensory impairment on the walking capability of patients with incomplete cervical spinal cord injury. Design: Retrospective cohort study. Setting: Spinal Injuries Center, Fukuoka, Japan. Participants: Patients with incomplete cervical spinal cord injury who were transferred to the Spinal Injuries Center within 2 weeks of injury and whose progress was monitored for 6 months postinjury were included. Sixty-three patients with a lower extremity motor score of 42 points or more were enrolled. They were divided into lower extremity deep sensory impairment (16 patients) and normal (47 patients) groups, and their walking capability was compared. Interventions: Not applicable. Outcome Measures: Upper and lower extremity motor scores, the presence or absence of deep sensation impairment, and walking capability indices at 6 months postinjury were evaluated. Results: The deep sensory impairment group performed significantly worse than the normal group across items in the Walking Index for Spinal Cord Injury II and in the indoor and outdoor mobility items of the Spinal Cord Independence Measure III. Indoor and outdoor mobility independence levels decreased further in the lower extremity deep sensory impairment group than in the normal group. Conclusions: The presence of lower extremity deep sensation impairments was an important factor affecting the achievement of independent walking capabilities in patients with incomplete cervical spinal cord injury. Hence, when patients with incomplete cervical spinal cord injury undergo walking training, not only their lower extremity muscle strength but also their level of deep sensation impairment must be evaluated. |
| Databáze: | OpenAIRE |
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