Factors influencing functional recovery in patients with spinal cord injury at discharge
10.3760/cma.j.issn.0254-1424.2010.06.011
- VernacularTitle:影响脊髓损伤患者出院时日常生活活动能力的相关因素分析
- Author:
Li LI
;
Yulong BAI
;
Yi WU
;
Yongshan HU
- Publication Type:Journal Article
- Keywords:
Spinal cord injury;
Activities of daily living
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2010;32(6):442-445
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors influencing the functional recovery of patients with spinal cord injury (SCI) at discharge. Methods A total of 105 patients with SCI admitted to the rehabilitation medicine department at Huashan Hospital between December 2004 and October 2009 were studied. Data on eleven variables were collected including the patients' medical history, physical examination results and American Spinal Injury Association (ASIA) scores at admission. Functional status was registered according to the modified Barthel index (MBI) assessed at admission and before discharge. Linear regression analysis was used to assess the influence of the variables.Results After rehabilitation, average MBI and ASIA scores were significantly higher. The multiple regression analysis revealed that injury grade, motor and pinprick sensation scores at admission were related to MBI before discharge.The duration of rehabilitation, the rehabilitation treatment course and motor scores at admission were related to MBI increases during hospitalization. Conclusions Patients with different ages, injury levels and severity can improve their functional abilities through rehabilitation treatment, especially patients with better initial motor ability, longer treatment and earlier intervention.
