Title: Recovery of sensorimotor function and activities of daily living after cervical spinal cord injury : the influence of age
Authors : Wirz, Markus
Dietz, Volker
Published in : Journal of neurotrauma
Volume(Issue) : 32
Issue : 3
Pages : 194
Pages to: 199
Publisher / Ed. Institution : Liebert
Issue Date: Feb-2015
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (publication)
Language : English
Subjects : Age; Clinical management; Peripheral nerve injury; Rehabilitation; Spinal cord injury; Adult; Age Factors; Aged; Cervical Vertebrae; Disability Evaluation; Female; Humans; Male; Middle Aged; Retrospective Studies; Spinal Cord Injuries; Young Adult; Activities of Daily Living; Recovery of Function
Subject (DDC) : 617: Surgery
Abstract: This retrospective study was designed to examine the influence of age on the outcome of motor function and activities of daily living (ADLs) in patients with a cervical spinal cord injury (SCI). The study is based on the data registry of the European Multicenter Study of Spinal Cord Injury (EMSCI) study group. Initial upper-extremity motor score (UEMS) and its change over 5 months, as well as the initial Spinal Cord Independence Measure (SCIM) score, did not differ between younger adults (20-39 years) and elderly (60-79 years) patients. However, the change in SCIM score over 5 months was significantly greater in the younger patient group. Initial UEMS, SCIM, and ulnar compound motor action potentials (CMAP), reflecting peripheral nerve damage (motoneurons and roots), were significantly greater in incomplete, compared to complete, SCI, regardless of age group. The initial assessment of UEMS in combination with CMAP recordings allows an early prediction of ADLs outcomes in both younger adults and elderly subjects. The impaired translation of gain in motor score into increased ADL independence in elderly patients requires specifically tailored rehabilitation programs.
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
Publication type: Article in scientific journal
DOI : 10.1089/neu.2014.3335
ISSN: 0897-7151
URI: https://digitalcollection.zhaw.ch/handle/11475/14604
Appears in Collections:Publikationen Gesundheit

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