American Spinal Injury Association Impairment Scale Grade E Conversion After Spinal Cord Injury: Incidence, Conversion Characteristics, and Impact of Age on Functional Independence.
To investigate incidence, conversion, neurological characteristics, and age-dependent functional independence of individuals with initial spinal cord injury (SCI) recovering to American Spinal Injury Association Impairment Scale (AIS) E, meaning normal sensory and motor functions according to the In...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 31; no. 3; pp. 48 - 61 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Summer2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187499934&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187499934 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Summer2025 vid: 31 iid: 3 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 187499934 187499934 187499934 10.46292/sci25-00009 187499934 ppf: 48 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: American Spinal Injury Association Impairment Scale Grade E Conversion After Spinal Cord Injury: Incidence, Conversion Characteristics, and Impact of Age on Functional Independence. aug: au: Brancato, Gianmarco Schuld, Christian Heutehaus, Laura Jersch, Patrick Maier, Doris Freund, Patrick Pouw, Martin H. Scivoletto, Giorgio Weidner, Norbert Rupp, Ruediger affil: Spinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany sug: subj: Spinal Cord Injuries Physiopathology Spinal Cord Injuries Classification Spinal Cord Injuries Epidemiology Functional Status Age Factors Outcome Assessment Neurologic Manifestations Scales Human Male Female Adult Middle Age Aged Descriptive Statistics Data Analysis Software Kendall's tau Wilcoxon Signed Rank Test Activities of Daily Living Prospective Studies Linear Regression Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: To investigate incidence, conversion, neurological characteristics, and age-dependent functional independence of individuals with initial spinal cord injury (SCI) recovering to American Spinal Injury Association Impairment Scale (AIS) E, meaning normal sensory and motor functions according to the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). We analyzed 12,221 EMSCI (European Multicenter Study about Spinal Cord Injury) ISNCSCI datasets from 5 time points over the first year after SCI of 4286 individuals (age: 48.7 ± 19 years; 23% female; 92% traumatic, 8% ischemic). Sixty-five of 82 individuals with at least one AIS E exam had an initial assessment within 6 weeks after injury with neurological level of injury peaking at C4 (16.9%) and L2 (15.4%), predominantly AIS grade D (89.2%), and mean total sensory/motor scores reaching 89.4% of their maximum. First AIS E conversion was detected at a median of 171 (interquartile range 274) days after injury. A change point analysis of Spinal Cord Independence Measure (SCIM) III assessments at the time of conversion of 75 AIS E individuals demonstrates a decline of full functional independence with age particularly over 70 years (< 40, 76.9%; 40-70, 42.9%; >70, 14.3%). The current AIS E definition insufficiently reflects the reality experienced by older people without deficits in the ISNCSCI, as functional impairments remain predominantly in mobility-related activities. To detect whether these deficits are related to comorbidities attributable to aging rather than remnant deficits of SCI, functional assessments such as the SCIM should be performed in an age-matched non-SCI control group. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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