INCOMPLETE NEURAL DEFICITS IN THORACOLUMBAR AND LUMBAR SPINE FRACTURES - RELIABILITY OF FRANKEL AND SUNNYBROOK SCALES

被引:20
作者
DAVIS, LA
WARREN, SA
REID, DC
OBERLE, K
SABOE, LA
GRACE, MGA
机构
[1] Division of Orthopedic Surgery, University of Alberta, Edmonton, AB
[2] Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB
[3] Glenrose Rehabilitation Hospital, Edmonton, AB
关键词
RELIABILITY; NEURAL STATUS FUNCTIONAL OUTCOME; FRANKEL SCALE; SUNNYBROOK SCALE; BLADDER; WALKING;
D O I
10.1097/00007632-199302000-00014
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Because neural status is used both as a treatment determiner and outcome measure, a universal, reliable scale is required. Experienced personnel, provided with concise definitions, demonstrated high inter-rater reliability of Frankel and Sunnybrook scales (Pearson correlation coefficients 0.71-0.91), with 94-100% intra-rater agreement. Both scales correspond to total sensory and motor function but are insensitive to walking and bladder function. Frankel's wide clinical use, reliability, and simplicity identify it to be the preferred measurement system until a better alternative is developed. Discussion of neural status must include description of bladder and walking function.
引用
收藏
页码:257 / 263
页数:7
相关论文
共 11 条
[1]  
Frankel H.L., Hancock D.O., Hyslop G., Et al., The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia, Paraplegia, 7, pp. 179-192, (1969)
[2]  
Guttman L., Spinal Cord Injuries: Comprehensive Management and Research, (1973)
[3]  
Holdworth F.W., Fractures, dislocations and fracture dislocations of the spine, J Bone Joint Surg, 45B, (1963)
[4]  
The Abbreviated Injury Scale (AIS), (1985)
[5]  
Lucas J.L., Ducker T.B., Motor classification of spinal cord injuries and mobility, morbidity and recovery indices, Am Surg, 45, pp. 13-20, (1979)
[6]  
Marar B.C., The pattern of neurological damage as an aid to the diagnosis of the mechanism in cervical spine injuries, J Bone Joint Surg, 56A, pp. 1648-1654, (1974)
[7]  
Maynard F.M., Reynolds G.G., Fontain S., Wilmot C., Hamilton R., Neurological prognosis after traumatic paraplegia—a three year experience of California regional spinal cord injury care system, J Neurosurg, 50, pp. 611-616, (1979)
[8]  
Michaelis L.S., International inquiry on neurological termi nology and prognosis in paraplegia and tetraplegia, Paraplegia, 7, 1, 5, pp. 1969-1970
[9]  
Meyer P.R., Surgery of Spine Trauma, (1989)
[10]  
Population and Dwelling Counts—Provinces and Territories, (1986)