Recovery of ambulation in motor-incomplete tetraplegia
Recovery of ambulation in motor-incomplete tetraplegia
复制标题
DOI：
10.1016/s0003-9993(97)90326-9
复制
发表时间：
1997-11-01
影响因子：
4.3
通讯作者：
Ditunno, JF
中科院分区：
文献类型：
--
作者：
Burns, SP;Golding, DG;Ditunno, JF
目的：确定年龄和初始神经功能状态对运动不完全性四肢瘫患者肢体运动功能恢复的影响。研究设计：初始队列研究。设置：城市三级护理医院与区域脊髓损伤中心。患者：105例美国脊髓损伤协会（ASIA）C或D级四肢瘫患者入院时或受伤后72小时内。主要结果测量：住院康复出院时的行走状态。结果：91%（30/33）年龄小于50岁的ASIA C患者出院时可以走动，而42%（13/31）年龄大于或等于50岁的ASIA C患者出院时可以走动（p <0.0001），所有（41/41）最初分类为ASIA D的患者在出院时都能走动。对于ASIA C型四肢瘫痪患者，如果年龄在50岁或以上，则截肢的恢复可能性明显降低。(C)1997年由美国康复医学大会和美国物理医学和康复学会。
Objective: To determine the effect of age and initial neurologic status on recovery of ambulation in patients with motor-incomplete tetraplegia.Study Design: Inception cohort study.Setting: Urban, tertiary care hospital with Regional Spinal Cord Injury Center.Patients: One hundred five patients with American Spinal Injury Association (ASIA) C or D tetraplegia at admission or within 72 hours of injury.Main Outcome Measure: Ambulatory status at time of discharge from inpatient rehabilitation.Results: Ninety-one percent (30/33) of ASIA C patients younger than 50 years of age became ambulatory by discharge, versus 42% (13/31) ASIA C patients age 50 or older (p < .0001), All (41/41) patients initially classified as ASIA D became ambulatory by discharge.Conclusion: For patients with ASIA D tetraplegia, prognosis for recovery of independent ambulation is excellent. For patients with ASIA C tetraplegia, recovery of ambulation is significantly less likely if age is 50 years or older. (C) 1997 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.