The impact of sacral sensory sparing in motor complete spinal cord injury
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2011, vol. 92, issue 3, pp 376-383
Study examined the effect of sensory sparing on completion of rehabilitation on neurologic, functional, and social outcomes reported at 1 year in people with motor complete spinal cord injury (SCI). Secondary analysis was conducted of data submitted to the National SCI Statistical Center Database. Of the 4,106 patients evaluated with American Spinal Injury Association Impairment Scale (AIS) grade A or B (a motor complete injury) at the time of discharge between 1997 and 2007, a total of 2,331 completed a 1-year follow-up interview and 1,284 had complete data for neurologic (AIS grade, injury level) variables at 1 year. Outcome measures included AIS grade at 1 year, bladder management, hospitalizations, perceived health status, Functional Independence Measure motor items, the Satisfaction With Life Scale, depressive symptoms, and social participation. Compared with subjects with AIS grade A at discharge, those with AIS grade B were less likely to require indwelling catheterization and be hospitalized and more likely to perceive better health; report greater functional independence (self-care, sphincter control, mobility, locomotion); and report social participation in the first year after injury. A greater portion of individuals with AIS grade B at discharge had improved neurologic recovery at 1 year postinjury than those with AIS grade A. Significant AIS group differences in 1-year outcomes related to physical health were maintained after excluding people who improved to motor incomplete status for only bladder management and change in perceived health status.
Kirshblum, S., Botticello, A., Lammertse, D.P., Marino, R.J., Chiodo, A.E., Jha, A.,
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