Validation of the American Spinal Injury Association (ASIA) motor score and the national acute spinal cord injury study (NASCIS) motor score
Validation of the American Spinal Injury Association (ASIA) motor score and the national acute spinal cord injury study (NASCIS) motor score
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DOI：
10.1097/00007632-199603010-00015
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发表时间：
1996-03-01
期刊：
影响因子：
3
通讯作者：
Khan, A
中科院分区：
文献类型：
--
作者：
ElMasry, WS;Tsubo, M;Khan, A
研究设计.在这项研究中，对62例连续的急性脊髓损伤患者的运动评分进行了回顾性分析。与传统的运动评分相比，美国脊髓损伤协会和国家急性脊髓损伤研究运动评分的可靠性进行了回顾性评估。美国脊髓损伤协会和国家急性脊髓损伤研究评分的可靠性尚未得到证实。方法。1983年4月至1992年9月，连续62例成人急性脊髓损伤患者在7天内入院，进行了评价。将美国脊髓损伤协会和国家急性脊髓损伤研究运动评分的运动缺陷百分比和运动恢复百分比与常规运动评分进行比较。根据初始和最终运动评分，计算运动缺陷百分比和运动恢复百分比。颈胸段病变38例，背腰段病变12例，下腰段病变12例。平均随访41个月。美国脊髓损伤协会运动评分和国家急性脊髓损伤研究运动评分均能代表传统运动评分对各节段运动缺陷百分比和运动恢复百分比的评价（P < 0.0001）。美国脊髓损伤协会运动评分与国家急性脊髓损伤研究运动评分之间的相关系数在各级别和各组间差异均无统计学意义。美国脊髓损伤协会和国家急性脊髓损伤研究运动评分均可用于运动缺陷和运动恢复的神经学量化。
Study Design. in this study the motor scores of 62 consecutive acute spinal cord-injured patients were retrospectively reviewed.Objective. The reliability of the American Spinal Injury Association and National Acute Spinal Cord injury Study motor scores, compared with the conventional motor scores, was retrospectively assessed.Summary of Background Date. The reliability of the American Spinal Injury Association and National Acute Spinal Cord injury Study scores has not as yet been confirmed.Methods. Sixty-two consecutive adult patients admitted within 7 days of acute spinal cord injury between April, 1983, and September, 1992, were evaluated. The motor deficit percentage and the motor recovery percentage of each of the American Spinal Injury Association and the National Acute Spinal Cord Injury Study motor scores were compared with those of the conventional motor score. From the initial and final motor score, the motor deficit percentage end motor recovery percentage were calculated. There were 38 patients with cervical and thoracic lesions, 12 patients with dorso-lumbar lesions, and 12 patients with lower lumbar lesions. The average follow-up period was 41 months.Results. Both the American Spinal injury Association motor score and the National Acute Spinal Cord injury Study motor score were representative of the conventional motor score for the evaluation of the motor deficit percentage and the motor recovery percentage in all levels(P < 0.0001). The differences in all correlation coefficients between the American Spinal injury Association motor score and the National Acute Spinal Cord injury Study motor score were not statistically significant in all levels and in every group.Conclusions. The American Spinal Injury Association and National Acute Spinal Cord Injury Study motor scores can both be used for the neurological quantification of motor deficit and motor recovery.