SPINAL-CORD INJURY - PROGNOSIS FOR AMBULATION BASED ON QUADRICEPS RECOVERY

被引：73

作者：

CROZIER, KS

CHENG, LL

GRAZIANI, V

ZORN, G

HERBISON, G

DITUNNO, JF

机构：

[1] Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, 11th and Walnut Streets

来源：

PARAPLEGIA | 1992年 / 30卷 / 11期

关键词：

SPINAL CORD INJURY; AMBULATION; PROGNOSIS; QUADRICEPS MUSCLES;

D O I：

10.1038/sc.1992.147

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The purpose of this study was to determine if early recovery of quadricep muscle strength post spinal cord injury (SCI) is a useful predictor of future ambulation. Seventeen C4-T10 motor incomplete (Frankel C) spinal cord injured patients adimitted to our center between March 1988 and April 1990 were examined within 72 hours to one week post injury. All patients had initial quadricep strengths less-than-or-equal-to 2/5 in both legs. Strength in the strongest quadricep was followed prospectively at intervals from admission to one year post injury. Recovery time to a > 3/5 quadricep was established for each patient. Patients were categorized into 2 groups: FA (n = 11) were those patients who achieved functional ambulation and NA (n = 6) were those subjects who were nonambulators. Functional ambulators were defined as those patients who were able to walk in the household and/or the community while non ambulators were those who either did not ambulate or did so only for exercise. All patients (n = 9) who achieved a > 3/5 quadricep by 2 months post SCI became functional ambulators whereas in the group of 8 patients who did not achieve a > 3/5 by 2 months, only 2 became functional ambulators. This result was found to be significant using a point-by-serial correlation with p < 0.05. In conclusion, motor incomplete spinal cord injured patients who recovered to a > 3/5 quadricep strength by 2 months post injury had an excellent prognosis for subsequent ambulation by 6 months post injury.

引用

页码：762 / 767

页数：6

共 12 条

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