OBJECTIVE: To investigate how injury level and American Spinal Injury Association Impairment Scale (AIS) grade at rehabilitation admission are related to walking at discharge after traumatic spinal cord injury (SCI). DESIGN: Retrospective study. SETTING: Comprehensive rehabilitation hospital. PARTICIPANTS: A total of 343 adult inpatients with traumatic SCI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: FIM instrument walking rating of 3 (moderate assistance) or higher at discharge. RESULTS: Significantly more subjects admitted with AIS grade C (28.3%) than AIS grade A or B injuries (0.9%) walked at discharge. Significantly more subjects admitted with AIS grade D (67.2%) than AIS grade C (28.3%) injuries walked at discharge. Level of injury did not significantly affect walking after AIS grade C or D injuries. Being 50 years or older had a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries. CONCLUSIONS: Admission AIS grades give information about walking for treatment and discharge planning during acute inpatient rehabilitation, including the following: (1) patients admitted with AIS grade C injuries should not be considered functionally complete when predicting walking (FIM score > or = 3; no more than moderate assistance) at discharge, (2) level of injury does not affect walking for those with AIS grade C or D injuries, and (3) being 50 years or older has a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries.
OBJECTIVE: To investigate how injury level and American Spinal Injury Association Impairment Scale (AIS) grade at rehabilitation admission are related to walking at discharge after traumatic spinal cord injury (SCI). DESIGN: Retrospective study. SETTING: Comprehensive rehabilitation hospital. PARTICIPANTS: A total of 343 adult inpatients with traumatic SCI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: FIM instrument walking rating of 3 (moderate assistance) or higher at discharge. RESULTS: Significantly more subjects admitted with AIS grade C (28.3%) than AIS grade A or B injuries (0.9%) walked at discharge. Significantly more subjects admitted with AIS grade D (67.2%) than AIS grade C (28.3%) injuries walked at discharge. Level of injury did not significantly affect walking after AIS grade C or D injuries. Being 50 years or older had a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries. CONCLUSIONS: Admission AIS grades give information about walking for treatment and discharge planning during acute inpatient rehabilitation, including the following: (1) patients admitted with AIS grade C injuries should not be considered functionally complete when predicting walking (FIM score > or = 3; no more than moderate assistance) at discharge, (2) level of injury does not affect walking for those with AIS grade C or D injuries, and (3) being 50 years or older has a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries.
Authors: Jefferson R Wilson; Robert G Grossman; Ralph F Frankowski; Alexander Kiss; Aileen M Davis; Abhaya V Kulkarni; James S Harrop; Bizhan Aarabi; Alexander Vaccaro; Charles H Tator; Marcel Dvorak; Christopher I Shaffrey; Susan Harkema; James D Guest; Michael G Fehlings Journal: J Neurotrauma Date: 2012-07-31 Impact factor: 5.269
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Authors: Michael G Fehlings; Jefferson R Wilson; James S Harrop; Brian K Kwon; Lindsay A Tetreault; Paul M Arnold; Jeffrey M Singh; Gregory Hawryluk; Joseph R Dettori Journal: Global Spine J Date: 2017-09-05
Authors: Anthony S Burns; Ralph J Marino; Sukhvinder Kalsi-Ryan; James W Middleton; Lindsay A Tetreault; Joseph R Dettori; Kathryn E Mihalovich; Michael G Fehlings Journal: Global Spine J Date: 2017-09-05
Authors: Alexander V Ovechkin; Todd W Vitaz; Daniela G L Terson de Paleville; William B McKay Journal: Front Neurol Date: 2013-11-07 Impact factor: 4.003