Recovery of upper-extremity strength in complete and incomplete tetraplegia: a multicenter study.
Arch Phys Med Rehabil
; 81(4): 389-93, 2000 Apr.
Article
en En
| MEDLINE
| ID: mdl-10768525
ABSTRACT
OBJECTIVE:
To examine upper-extremity motor recovery of subjects with tetraplegia with both complete and incomplete injuries, to predict which patients and at what time they would recover a motor level.DESIGN:
Prospective, multicenter clinical study of upper-extremity motor recovery in subjects with acute traumatic spinal cord injury.SETTING:
Three regional spinal cord injury centers.SUBJECTS:
One hundred sixty-seven individuals with acute traumatic tetraplegia (144 males [86%], and 23 females [14%]) between the ages of 15 and 75 years (mean age, 35.5 yrs).METHODS:
Subjects were examined and classified using sequential manual muscle tests performed on admission, 72 hours, 1, 2, and 3 weeks, and 1, 2, 3, 6, 12, 18, and 24 months postinjury. C5 biceps, C6 extensor carpi radialis, C7 triceps, and C8 flexor digitorum profundus were evaluated using a 0-5 scale. Analyses of the right motor levels used a series of logistic regression models, and for multiple measurements on each subject, models were estimated using generalized estimating equations.RESULTS:
The analysis for recovery of the biceps for the C4 group showed 70% of complete compared with 90% of incomplete injuries recovered (p < .001); of the extensor carpi radialis in the C5 group, 75% complete and 90% incomplete recovered (p < .002); and of the triceps in the C6 group, 85% of complete and 90% of incomplete injuries recovered (p < .16).CONCLUSION:
Predicting future potential for upper-extremity motor recovery and for independence in self-care in groups of patients at a specific motor level is possible within the first week of injury.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuadriplejía
/
Traumatismos de la Médula Espinal
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Músculo Esquelético
Tipo de estudio:
Clinical_trials
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Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos