Postacute predictors of functional and cognitive progress in traumatic brain injury: Somatosensory evoked potentials
| Autor: | Fusun Guler-Uysal, Sevim Orkun, Müfit Akyüz, Sibel Özbudak-Demir |
|---|---|
| Přispěvatelé: | Çukurova Üniversitesi |
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Traumatic brain injury medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Rancho Los Amigos Scale Neuropsychological Tests Central nervous system disease Disability Evaluation Evoked Potentials Somatosensory Reaction Time medicine Humans Rehabilitation Motor control Cognition Somatosensory Cortex Disability Rating Scale Middle Aged Prognosis medicine.disease Somatosensory evoked potential Physical therapy Brain Damage Chronic Female Cognition Disorders Psychology |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 80:252-257 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/s0003-9993(99)90134-x |
| Popis: | PubMedID: 10084431 Objective: To investigate the prognostic value of electrophysiologic studies performed during the postacute phase after traumatic brain injury (TBI). Design: A prospective comparative study in which 26 patients with TBI participated. Patients were grouped according to their admission short- latency somatosensory evoked potential (SEP) results. Nonparametric Kruskal- Wallis and Mann-Whitney U tests were applied to different SEP groups to determine the differences among them in specific functional and cognitive outcome measures. Setting: An inpatient brain injury rehabilitation unit. Participants: Twenty-six patients with TBI who were admitted to the rehabilitation center at the postacute phase for a late inpatient rehabilitation program and 15 age-matched healthy subjects who served as a control group for the electrophysiologic comparison. Main Outcome Measures: Motricity Index, Barthel Index, Disability Rating Scale, Mini-Mental Status Exam, and Rancho Los Amigos Scale. Results: Disability Rating Scale scores at discharge and rate of change of Barthel Index scores differed between median nerve SEP classification groups (p < .05 for both). Disability Rating Scale scores at admission (p < .05) and at discharge (p < .01), Barthel Index scores at discharge (p < .05), and rate of change of Barthel Index scores (p < .05) differed between tibial nerve SEP classification groups. There was a relation between Motricity Index side scores at discharge and the different body side SEP response groups (p < .0001). Cognitive results showed no relation to the SEP groups. Conclusions: Postacute SEP scores after a late admission to a rehabilitation center showed a relation to measures of functional and motor progress. Patients with better SEP responses were more likely to experience greater functional and motor improvement. Cognitive functions were not related to SEP results. |
| Databáze: | OpenAIRE |
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