지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 969 - 978 (10page)
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초록· 키워드
오류제보하기
Objective To identify different contributions of motor and sensory variables for independent ambulation of patients with incomplete spinal cord injury (SCI), and reveal the most significant contributors among the variables.Methods The retrospective study included 30 patients with incomplete SCI and lesions were confirmed by magnetic resonance imaging. Motor and sensory scores were collected according to the International Standards for Neurological Classification of Spinal Cord Injury. The variables were analyzed by plotting ROC (receiver operating characteristic) curves to estimate their differential contributions for independent walking. The most significant functional determinant was identified through the subsequent logistic regression analysis.Results Motor and sensory scores were significantly different between the ambulators and non-ambulators. The majority was associated to the function of lower extremities. Calculation of area under ROC curves (AUC) revealed that strength of hip flexor (L2) (AUC=0.905, p<0.001) and knee extensor (L3) (AUC=0.820, p=0.006) contributed the greatest to independent walking. Also, hip flexor strength (L2) was the single most powerful predictor of ambulation by the logistic regression analysis (odds ratio=6.3, p=0.049), and the model fit well to the data.Conclusion The most important potential contributor for independent walking in patients with incomplete SCI is the muscle strength of hip flexors, followed by knee extensors compared with other sensory and motor variables.
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참고문헌 (25)
참고문헌 신청
Adriaansen JJ / 2013 / Secondary health conditions in persons with a spinal cord injury for at least 10 years: design of a comprehensive long-term cross-sectional study / Dis
Catz A / 2002 / SCIM: spinal cord independence measure (version II): sensitivity to functional changes / Harefuah 141 : 1025 ~ 1031
Catz A / 2007 / A multicenter international study on the Spinal Cord Independence Measure, version III: Rasch psychometric validation / Spinal Cord 45 : 275 ~ 291
Catz A / 2007 / Spinal Cord Independence Measure:comprehensive ability rating scale for the spinal cord lesion patient / J Rehabil Res Dev 44 : 65 ~ 68
Crozier KS / 1991 / Spinal cord injury: prognosis for ambulation based on sensory examination in patients who are initially motor complete / Arch Phys Med Rehabil 72 : 119 ~
Catz A / 2002 / SCIM: spinal cord independence measure (version II): sensitivity to functional changes / Harefuah 141 : 1025 ~ 1031
Catz A / 2007 / A multicenter international study on the Spinal Cord Independence Measure, version III: Rasch psychometric validation / Spinal Cord 45 : 275 ~ 291
Catz A / 2007 / Spinal Cord Independence Measure:comprehensive ability rating scale for the spinal cord lesion patient / J Rehabil Res Dev 44 : 65 ~ 68
Crozier KS / 1991 / Spinal cord injury: prognosis for ambulation based on sensory examination in patients who are initially motor complete / Arch Phys Med Rehabil 72 : 119 ~
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