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Titre : | Lateral Corticospinal Tract and Dorsal Column Damage: Predictive Relationships With Motor and Sensory Scores at Discharge From Acute Rehabilitation After Spinal Cord Injury (2022) |
Auteurs : | Andrew C. Smith ; Denise R. O'Dell ; Stephanie R. Albin ; Jeffrey C. Berliner ; David Dungan ; Eli Robinson ; James M. Elliott ; Julio Carballido-Gamio ; Jennifer Stevens-Lapsley ; Kenneth A. Weber II |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 1, 2022) |
Article en page(s) : | p. 62-68 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.07.792 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Imagerie par résonance magnétique ; Moelle cervicale ; Réadaptation ; Tractus pyramidaux ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To determine if lateral corticospinal tract (LCST) integrity demonstrates a significant predictive relationship with future ipsilateral lower extremity motor function (LEMS) and if dorsal column (DC) integrity demonstrates a significant predictive relationship with future light touch (LT) sensory function post spinal cord injury (SCI) at time of discharge from inpatient rehabilitation. Design Retrospective analyses of imaging and clinical outcomes. Setting University and academic hospital. Participants A total of 151 participants (N=151) with SCI. Interventions Inpatient rehabilitation. Main Outcome Measures LEMS and LT scores at discharge from inpatient rehabilitation. Results In 151 participants, right LCST spared tissue demonstrated a significant predictive relationship with right LEMS percentage recovered (β=0.56; 95% confidence interval [CI], 0.37-0.73; R=0.43; P<.001 left lcst spared tissue demonstrated a significant predictive relationship with lems percentage recovered ci r="0.51;" p dc lt when subgrouping the participants into motor complete vs incomplete sci relationships were no longer but sensory remained significant. those who had voluntary function some also significantly greater than did not recover function.> Conclusions LCST demonstrated significant moderate predictive relationships with lower extremity motor function at the time of discharge from inpatient rehabilitation, in an ipsilesional manner. DC integrity demonstrated a significant moderate predictive relationship with recovered function of LT. With further development, these neuroimaging methods might be used to predict potential deficits after SCI and to provide corresponding targeted interventions. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321013459#! |