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Difficulty of elderly SCI subjects to translate motor recovery -"body function"- into activity of daily living


Jakob, W; Wirz, M; van Hedel, H J A; Dietz, V (2009). Difficulty of elderly SCI subjects to translate motor recovery -"body function"- into activity of daily living. Journal of Neurotrauma, 26(11):2037-2044.

Abstract

The objective of this retrospective analysis was to determine whether outcome of body functions and activities as well as length of stay of inpatient rehabilitation is related to age in patients with traumatic spinal cord injury (SCI). Data were collected from a European network of 17 SCI rehabilitation centers (EM-SCI) and 237 traumatic SCI subjects were included. Assessments were performed at one, six and twelve months after SCI. The measures analyzed were: motor score according to the American Spinal Injury Association, Spinal Cord Independence Measure (SCIM), gait speed and length of stay. Correlation analysis was applied to quantify the association between age and change in the outcome measures. A positive relationship was found between age and neurological recovery in both the first and second 6 month- period of assessment. A negative relationship was found between age and change in SCIM in the second six month period after SCI. A negative relationship between age and gait speed was observed in the first half year. Length of stay was not associated with age. It is concluded that age is an important determining factor for functional outcome after SCI and that elderly patients have difficulties in translating an improvement in neurological outcome into functional changes. Therefore, rehabilitation approaches should focus on functional training in elderly subjects.

Abstract

The objective of this retrospective analysis was to determine whether outcome of body functions and activities as well as length of stay of inpatient rehabilitation is related to age in patients with traumatic spinal cord injury (SCI). Data were collected from a European network of 17 SCI rehabilitation centers (EM-SCI) and 237 traumatic SCI subjects were included. Assessments were performed at one, six and twelve months after SCI. The measures analyzed were: motor score according to the American Spinal Injury Association, Spinal Cord Independence Measure (SCIM), gait speed and length of stay. Correlation analysis was applied to quantify the association between age and change in the outcome measures. A positive relationship was found between age and neurological recovery in both the first and second 6 month- period of assessment. A negative relationship was found between age and change in SCIM in the second six month period after SCI. A negative relationship between age and gait speed was observed in the first half year. Length of stay was not associated with age. It is concluded that age is an important determining factor for functional outcome after SCI and that elderly patients have difficulties in translating an improvement in neurological outcome into functional changes. Therefore, rehabilitation approaches should focus on functional training in elderly subjects.

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20 citations in Web of Science®
26 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:November 2009
Deposited On:29 Sep 2009 12:31
Last Modified:05 Apr 2016 13:21
Publisher:Mary Ann Liebert
ISSN:0897-7151
Additional Information:© 2009 Copyright Mary Ann Liebert, Inc.Journal of Neurotrauma is available online at: http://www.liebertonline.com
Publisher DOI:https://doi.org/10.1089/neu.2008.0824
PubMed ID:19604099

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