Improving the staging of neck injuries using a new index, the Neck Functional Holistic Analysis Score: Clustering approach to determine degrees of impairment

Autor: Mª Jesús Martínez-Beltrán, José A. Moreno-Ruiz, Carlos Jové-Blanco, Alberto Javier Fidalgo-Herrera, Julio César de la Torre-Montero
Rok vydání: 2020
Předmět:
Male
Critical Care and Emergency Medicine
Kinematics
Health Care Providers
Cohort Studies
Neck Injuries
0302 clinical medicine
Medicine and Health Sciences
Cluster Analysis
Public and Occupational Health
Medical Personnel
Range of Motion
Articular
Young adult
Musculoskeletal System
Trauma Medicine
Aged
80 and over
030222 orthopedics
Multidisciplinary
Physics
Accidents
Traffic
Classical Mechanics
Middle Aged
Biomechanical Phenomena
Professions
Traumatic injury
Physical Sciences
Cervical Vertebrae
Medicine
Female
Anatomy
Safety
Range of motion
Traumatic Injury
Research Article
Cohort study
Adult
medicine.medical_specialty
Adolescent
Science
MEDLINE
Disease cluster
Skewness
Young Adult
03 medical and health sciences
Diagnostic Medicine
Physicians
medicine
Humans
Cluster analysis
Skeleton
Aged
Retrospective Studies
business.industry
Traffic Safety
Biology and Life Sciences
Retrospective cohort study
Probability Theory
Probability Distribution
Spine
Health Care
People and Places
Physical therapy
Population Groupings
business
Neck
Mathematics
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 15, Iss 9, p e0238424 (2020)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0238424
Popis: BackgroundTraumatic cervical spine injuries are amongst the traffic injuries that can cause most harm to a person. Classifying subtypes of clinical presentations has been a method used in other pathologies to diagnose more efficiently and to address the appropriate treatment and the prognosis. The management of patients suffering from cervical injuries could be improved by classifying the severity of the impairment. This will allow clinicians to propose better treatment modalities according to the severity of the injury.Materials and methodsThe present study is a retrospective cohort study performed with the clinical data from 772 patients stored at Fisi-(ON) Health Group. All the patients treated for cervical spine injuries are evaluated using the EBI-5® system, which is based on inertial measurement unit (IMU) technology. The normalized range of motion of each patient was incorporated into a single index, the Neck Functional Holistic Analysis Score (NFHAS).ResultsClustering analysis of the patients according to their NFHAS resulted in five groups. The Kruskal-Wallis H test showed that there were statistically relevant differences in the ROM values and NFHAS of the patients depending on the cluster they were assigned to: FE X2(4) = 551.59, p = 0.0005; LB ROM X2(4) = 484.58, p = 0.0005; RT ROM X2(4) = 557.14, p = 0.0005; NFHAS X2(4) = 737.41, p = 0.0005. Effect size with ηp2 for the comparison of groups were: FE = 0.76, LB = 0.68, RT = 0.76 and NFHAS = 0.96.ConclusionThe NFHAS is directly correlated to the available ROM of the patient. The NFHAS serves as a good tool for the classification of cervical injury patients. The degree of impairment shown by the cervical injury can now be staged correctly using this new classification.
Databáze: OpenAIRE
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