运动性不完全性脊髓损伤后运动训练与常规护理的伤后一年活动能力结果比较

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-11-16 DOI:10.46292/sci23-00013
Candy Tefertiller, S. Wojciehowski, Mitch Sevigny, J. Ketchum, Meghan Rozwod
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引用次数: 0

摘要

目的:比较创伤性运动性不完全性脊髓损伤(miSCI)患者在伤后第一年内参加标准化运动训练(LT)与未参加者的一年行动能力结果。 这项回顾性病例对照分析由美国六家康复医院利用 SCI 模型系统(SCIMS)数据进行,比较了参加标准化运动训练(LT)的 miSCI 患者与接受常规护理(UC)的患者在受伤后一年的疗效。参与者的年龄、性别、受伤年份、行动方式和康复中心均匹配。主要结果是 FIM 运动总分。其他结果包括 FIM 转移指数、FIM 楼梯以及自我报告的家庭行动独立性、社区行动独立性和楼梯独立性。 LT参与者的FIM运动总分(差异=2.812,95%置信区间[CI] = 5.896,17.282)和FIM转移指数得分(差异=0.958,95%置信区间[CI] = 0.993,4.866)均明显提高。在控制多重比较后,FIM 楼梯(差异 = 0.713,95% CI = -0.104,1.530)或自我报告的家庭移动能力(几率比 [OR] = 5.065,CI = 1.435,17.884)、社区移动能力(OR = 2.933,95% CI = 0.868,9.910)和楼梯(OR = 5.817,95% CI = 1.424,23.756)均未发现明显的组间差异。 与统合症参与者相比,LT参与者在活动能力和独立性的主要和次要测量指标(FIM运动总分;FIM转移指数)方面的改善幅度明显更大。自我报告的活动能力结果在组间无显著差异。
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Comparison of One-Year Postinjury Mobility Outcomes Between Locomotor Training and Usual Care After Motor Incomplete Spinal Cord Injury
To compare 1-year mobility outcomes of individuals with traumatic motor incomplete spinal cord injury (miSCI) who participated in standardized locomotor training (LT) within the first year of injury to those who did not. This retrospective case-control analysis conducted with six US rehabilitation hospitals used SCI Model Systems (SCIMS) data comparing 1-year postinjury outcomes between individuals with miSCI who participated in standardized LT to those who received usual care (UC). Participants were matched on age, gender, injury year, mode of mobility, and rehabilitation center. The primary outcome is the FIM Total Motor score. Other outcomes include the FIM Transfer Index, FIM Stairs, and self-reported independence with household mobility, community mobility, and stairs. LT participants reported significantly better FIM Total Motor (difference = 2.812, 95% confidence interval [CI] = 5.896, 17.282) and FIM Transfer Index scores (difference = 0.958, 95% CI = 0.993, 4.866). No significant between-group differences were found for FIM Stairs (difference = 0.713, 95% CI = -0.104, 1.530) or self-reported household mobility (odds ratio [OR] = 5.065, CI = 1.435, 17.884), community mobility (OR = 2.933, 95% CI = 0.868, 9.910), and stairs (OR = 5.817, 95% CI = 1.424, 23.756) after controlling for multiple comparisons. LT participants reported significantly greater improvements in primary and secondary measures of mobility and independence (FIM Total Motor score; FIM Transfer Index) compared to UC participants. Self-reported mobility outcomes were not significant between groups.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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