Functional outcome following spinal cord injury: significance of motor-evoked potentials and ASIA scores

Archives of Physical Medicine and Rehabilitation
A CurtV Dietz

Abstract

Prediction of outcome of ambulatory capacity and hand function in tetraplegic patients with spinal cord injury (SCI) using neurologic examination, according to the protocol of the American Spinal Injury Association (ASIA) and motor-evoked potentials (MEP). Correlation study on a prospective cohort. SCI center, university hospital. Thirty-six patients with acute and 34 with chronic SCI. (1) ASIA motor and sensory scores, (2) MEP recordings of upper and lower limb muscles, and (3) outcome of ambulatory capacity and hand function. In acute and chronic SCI, both the initial ASIA scores and the MEP recordings were significantly related (p < .0001) to the outcome of ambulatory capacity and hand function. In tetraplegic patients, the MEP of the abductor digiti minimi muscle (Spearman correlation coefficient, .75; p < .0001) and the ASIA motor score for the upper limbs (Spearman correlation coefficient, .83; p < .0001) were most related to the outcome of hand function. Ambulatory capacity could be predicted by the ASIA motor score of the lower limbs (Spearman correlation coefficient, .78; p < .0001) and by MEP recordings of the leg muscles (Spearman correlation coefficient, .77; p < .0001). In patients with acute SCI, for the period 6 ...Continue Reading

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Citations

Jul 27, 2005·Journal of Neurology·Philipp DiehlArmin Curt
Mar 1, 2011·Archives of Physical Medicine and Rehabilitation·Steven KirshblumAmitabh Jha
Apr 23, 2013·Archives of Physical Medicine and Rehabilitation·Rob LabruyèreHubertus J van Hedel
Jul 31, 2003·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·V Dietz
Dec 21, 2006·Spinal Cord·J D SteevesUNKNOWN International Campaign for Cures of Spinal Cord Injury Paralysis
Dec 14, 2011·Journal of Neurotrauma·Jens A PetersenSpyridon Kollias
Jan 26, 2000·Critical Care Nursing Quarterly·J Sullivan
Aug 5, 2008·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Brigitte WirthArmin Curt
Aug 19, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·A KuppuswamyN J Davey
Oct 16, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·E IseliA Curt
Feb 26, 2013·The Journal of Spinal Cord Medicine·Sam Chi Chung Chan, Alice Po Shan Chan
Nov 29, 2011·The Journal of Spinal Cord Medicine·Jenny Luise LauschkePhil M E Waite
Nov 5, 2008·Neurosurgical Focus·James Xie, Maxwell Boakye
Apr 5, 2008·Neurological Research·Brigitte WirthArmin Curt
Jan 22, 2008·Journal of Neurology·Brigitte WirthArmin Curt
May 16, 2012·The Journal of Physiology·Martin Oudega, Monica A Perez
Oct 10, 2008·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·M LiechtiA Curt
Jul 22, 2008·Brain Research Bulletin·Giorgio Scivoletto, Valentina Di Donna
Feb 12, 2008·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Susanne WydenkellerPascal Halder
May 18, 1999·Archives of Physical Medicine and Rehabilitation·A Curt, V Dietz
Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Lynda M MurrayMar Cortes
Apr 29, 2006·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Alain LerouxHugues Barbeau
Apr 14, 2005·Archives of Physical Medicine and Rehabilitation·Markus WirzT George Hornby

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