Andréane Richard-Denis1,2, Bich-Han Nguyen1,3, Jean-Marc Mac-Thiong2,4,5. 1. Department of Medicine, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada. 2. Department of Physical Medicine and Rehabilitation, Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada. 3. Department of Physical Medicine and Rehabilitation, Institut de réadaptation Gingras-Lindsay de Montréal, Montréal, Québec, Canada. 4. Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada. 5. Department of Surgery, Sainte-Justine University Hospital Research Center, Montréal, Quebec, Canada.
Abstract
Context/ Objectives: To determine the impact of spasticity presenting during the acute care hospitalization on the rehabilitation outcomes following a traumatic spinal cord injury (TSCI). Design: Retrospective cohort study. Setting: A single Level 1 trauma center specialized in SCI care. Participants: 150 individuals sustaining an acute TSCI. Interventions: Not applicable. Outcome Measures: The total inpatient functional rehabilitation length of stay. The occurrence of medical complications and the discharge destination from the inpatient functional rehabilitation facility were also considered. Results: 63.3% of the cohort presented signs and/or symptoms of spasticity during acute care. Individuals with early spasticity developed medical complications during acute care and during intensive functional rehabilitation in a higher proportion. They were also hospitalized significantly longer and were less likely to return home after rehabilitation than individuals without early spasticity. Early spasticity was an independent factor associated with increased total inpatient rehabilitation length of stay. Conclusion: The development of signs and symptoms of spasticity during acute care following a TSCI may impede functional rehabilitation outcomes. In view of its association with the occurrence of early spasticity, higher vigilance towards the prevention of medical complications is recommended. Early assessment of spasticity during acute care is recommended following TSCI.
Context/ Objectives: To determine the impact of spasticity presenting during the acute care hospitalization on the rehabilitation outcomes following a traumatic spinal cord injury (TSCI). Design: Retrospective cohort study. Setting: A single Level 1 trauma center specialized in SCI care. Participants: 150 individuals sustaining an acute TSCI. Interventions: Not applicable. Outcome Measures: The total inpatient functional rehabilitation length of stay. The occurrence of medical complications and the discharge destination from the inpatient functional rehabilitation facility were also considered. Results: 63.3% of the cohort presented signs and/or symptoms of spasticity during acute care. Individuals with early spasticity developed medical complications during acute care and during intensive functional rehabilitation in a higher proportion. They were also hospitalized significantly longer and were less likely to return home after rehabilitation than individuals without early spasticity. Early spasticity was an independent factor associated with increased total inpatient rehabilitation length of stay. Conclusion: The development of signs and symptoms of spasticity during acute care following a TSCI may impede functional rehabilitation outcomes. In view of its association with the occurrence of early spasticity, higher vigilance towards the prevention of medical complications is recommended. Early assessment of spasticity during acute care is recommended following TSCI.
Authors: Steven C Kirshblum; Stephen P Burns; Fin Biering-Sorensen; William Donovan; Daniel E Graves; Amitabh Jha; Mark Johansen; Linda Jones; Andrei Krassioukov; M J Mulcahey; Mary Schmidt-Read; William Waring Journal: J Spinal Cord Med Date: 2011-11 Impact factor: 1.985
Authors: Ashraf S Gorgey; Anthony E Chiodo; Eric D Zemper; Joseph E Hornyak; Gianna M Rodriguez; David R Gater Journal: J Spinal Cord Med Date: 2010 Impact factor: 1.985
Authors: Sasa Milicevic; Vladimir Piscevic; Zoran Bukumiric; Aleksandra Karadzov Nikolic; Aleksandra Sekulic; Aleksandar Corac; Rade Babovic; Slobodan Jankovic Journal: J Phys Ther Sci Date: 2014-02-06