Rehabilitation outcome and influencing factors of functional recovery in patients with nontraumatic spinal cord injury

• DOI: 10.3760/cma.j.issn.1672-7088.2017.14.007
• Publication Date: 2017-05-11
• Authors: DU Xiao-bing; Yaping Ding; Hui Ding; Li Zhou

Objective To explore the rehabilitation outcome and influencing factors of functional recovery in patients with nontraumatic spinal cord injury (NTSCI).

Methods A retrospective analysis was done on 49 cases suffering from NTSCI who recepted therapy December 2014 to November 2016. The main indicator effect Modified Barthel Index (MBI). A total were divided into two groups, effective group (31 cases) ineffective (18 according whether their MBI discharge had beated target setted admission. following factors: ages, gender, causes, level, grade, severity, types paralysis, hospitalization time, sick complications number, admission discharge, operation, early evaluated by Univarite Logistic stepwise regression assess how they influenced outcome.

Results After systematically training, apparent improvement, (38.98±24.90) score (56.35±22.69) statistical significance(Z=-4.95, P=0.00), which showed that training can effectively improve patients′ self-care ability daily living. Regression found admission(OR=1.044, P=0.010) time(OR=1.044, P=0.039) a noticeable outcome, while all other factors, such as age, sex, number hadn′t show concrete outcome.

Conclusions Patients should have rehabilitation, medical staff MBI, make strict plan efficiency, shorten quality life.

Key words: Nontraumatic injury; Ability living; Rehabilitation outcomes; Influencing