Motor capacities of upper limbs in tetraplegics: a new scale for the assessment of the results of functional surgery on upper limbs.

Abstract:

STUDY DESIGN:Metrological investigation. OBJECTIVES:To study the validity and the reliability of a Motor Capacities Scale (MCS) specifically designed for tetraplegics who undergo a functional surgery of upper limbs. SETTING:Bouffard-Vercelli Centre, Cerbere, France. METHODS:From diverse sources (observation of patients, review of literature, discussions with occupational therapists and physicians), we compiled a list of 300 activities relating to daily living tasks. From this list, 80 items of motor capacities were retained. They correspond to the abilities of a patient to perform basic and functional tasks regardless of contextual factors (environmental and personal factors). In a preliminary study, items were reviewed by occupational therapists and by 40 tetraplegics for criticism. An open study and an intermediate study were conducted to assess, respectively, the feasibility and the reliability of the MCS. A prefinal study was focused on construct validity. Convergent and divergent hypotheses were formulated and tested against other measures. Four criteria were identified for the elimination of some of the 36 remaining items: a variance of the item equal to 0, a low reproducibility, a high level of redundancy studied by item-to-item correlation and a low level of comprehension. RESULTS:In all, 52 tetraplegics were included in the prefinal study. Global inter-rater reproducibility was excellent (intraclass correlation coefficient of 0.99). In accordance with the criteria of elimination, the number of items was reduced to 31. Correlations with the Sollerman test and the Asia Motor Score were, respectively, 0.959 and 0.7444 (P<0.0001). Correlation with the interval since the onset of the tetraplegia and the educational level were, respectively, 0.20 and 0.195 (P=0.163). CONCLUSION:MCS displays a good apparent and content validity, and excellent reproducibility and construct validity. Metrological properties were good enough to allow the evaluation of sensitivity to change in the final study.

journal_name

Spinal Cord

journal_title

Spinal cord

authors

Fattal C

doi

10.1038/sj.sc.3101551

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

80-90

issue

2

eissn

1362-4393

issn

1476-5624

pii

3101551

journal_volume

42

pub_type

杂志文章
  • Measurement properties of the short version of the Van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury.

    abstract:STUDY DESIGN:Two validation studies. OBJECTIVES:To assess the measurement properties of the short version of the Van Lieshout test (VLT-SV), a new test for arm/hand function of persons with tetraplegia after spinal cord injury (SCI). SETTING:Two specialized rehabilitation centres in The Netherlands. METHODS:Study 1 ...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101937

    authors: Post MW,Van Lieshout G,Seelen HA,Snoek GJ,Ijzerman MJ,Pons C

    更新日期:2006-12-01 00:00:00

  • Conversion motor paralysis disorder: overview and rehabilitation model.

    abstract::It is important to consider a differential diagnosis between paralysis on an organic basis and paralysis and disability due to psychological mechanisms in people with physical impairment secondary to trauma, without evidence of organic etiology. We review the most dramatic type of conversion disorder (CD)-'Conversion ...

    journal_title:Spinal cord

    pub_type: 杂志文章,评审

    doi:10.1038/sj.sc.3101308

    authors: Heruti RJ,Levy A,Adunski A,Ohry A

    更新日期:2002-07-01 00:00:00

  • Antioxidative therapy in contusion spinal cord injury.

    abstract:INTRODUCTION:Some studies have made use of the antioxidative capabilities of high doses of vitamins C and E with the aim of neutralizing the noxious effects of free radicals following spinal cord lesion. OBJECTIVES:To evaluate the effects of vitamins C and E, separately and together, on the functional performance of r...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2008.155

    authors: Cristante AF,Barros Filho TE,Oliveira RP,Marcon RM,Rocha ID,Hanania FR,Daci K

    更新日期:2009-06-01 00:00:00

  • A scoping review of trials for cell-based therapies in human spinal cord injury.

    abstract:INTRODUCTION:Spinal cord injury (SCI) is associated with significant and life-long disability. Yet, despite decades of research, no regenerative treatment has reached clinical practice. Cell-based therapies are one possible regenerative strategy beginning to transfer to human trials from a more extensive pre-clinical b...

    journal_title:Spinal cord

    pub_type: 杂志文章,评审

    doi:10.1038/s41393-020-0455-1

    authors: Willison AG,Smith S,Davies BM,Kotter MRN,Barnett SC

    更新日期:2020-08-01 00:00:00

  • A comprehensive, multispecialty approach to an acute exacerbation of chronic central pain in a tetraplegic.

    abstract:STUDY DESIGN:We present a case report describing the multidisciplinary treatment of a tetraplegic spinal cord injury (SCI) patient who developed an acute exacerbation of chronic central pain. OBJECTIVE:To bring further awareness to the importance of using a comprehensive, multidisciplinary approach in treating acute e...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2014.12

    authors: Chang EY,Zhao X,Perret DM,Luo ZD,Liao SS

    更新日期:2014-06-01 00:00:00

  • Upper thoracic disc herniation followed by acutely progressing paraplegia.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To report a rare thoracic intervertebral disc herniation followed by acutely progressing paraplegia. SETTING:Spinal Injuries Center, Fukuoka, Japan. METHOD:A 37-year-old man presented with sudden severe backache and acutely progressing motor impairments of both lower extremities a...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101781

    authors: Sasaki S,Kaji K,Shiba K

    更新日期:2005-12-01 00:00:00

  • Traumatic spinal cord injuries in Jordan--an epidemiological study.

    abstract::To survey the situation of traumatic spinal cord injuries (SCI) in Jordan and for a future nationwide epidemiological survey, a retrospective study was conducted at the Royal Jordanian Rehabilitation Centre (RJRC) King Hussein Medical Centre (KHMC) Amman-Jordan, where all traumatic cases within this centre in addition...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3100402

    authors: Otom AS,Doughan AM,Kawar JS,Hattar EZ

    更新日期:1997-04-01 00:00:00

  • Autologous incubated macrophage therapy in acute, complete spinal cord injury: results of the phase 2 randomized controlled multicenter trial.

    abstract:STUDY DESIGN:Randomized controlled trial with single-blinded primary outcome assessment. OBJECTIVES:To determine the efficacy and safety of autologous incubated macrophage treatment for improving neurological outcome in patients with acute, complete spinal cord injury (SCI). SETTING:Six SCI treatment centers in the U...

    journal_title:Spinal cord

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1038/sc.2012.39

    authors: Lammertse DP,Jones LA,Charlifue SB,Kirshblum SC,Apple DF,Ragnarsson KT,Falci SP,Heary RF,Choudhri TF,Jenkins AL,Betz RR,Poonian D,Cuthbert JP,Jha A,Snyder DA,Knoller N

    更新日期:2012-09-01 00:00:00

  • Electrophysiological changes in isolated spinal cord white matter in response to oxygen deprivation.

    abstract:STUDY DESIGN:In vitro studies using isolated guinea pig spinal cord white matter. OBJECTIVES:To determine whether lack of oxygen can cause irreversible impairment of electrical impulse conduction. SETTING:Department of Basic Medical Sciences, Purdue University, West Lafayette, Indiana, USA. METHODS:The hypoxic injur...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101901

    authors: Pryor J,Shi R

    更新日期:2006-11-01 00:00:00

  • Pelvic organ prolapse and urogynecological assessment in women with spinal cord injury.

    abstract:STUDY DESIGN:Observational cross-sectional study. OBJECTIVES:Due to weakened pelvic floor muscles, the risk of pelvic organ prolapse (POP) may increase after a spinal cord injury (SCI); hence, the aim of this study was to investigate the occurrence of POP after SCI and to evaluate the need for urogynecological consult...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/s41393-018-0181-0

    authors: Elmelund M,Biering-Sørensen F,Bing MH,Klarskov N

    更新日期:2019-01-01 00:00:00

  • Descriptive study of earthquake-related spinal cord injury in Nepal.

    abstract:STUDY DESIGN:Descriptive study. OBJECTIVES:To describe the epidemiological features of spinal cord injury (SCI) following the 2015 earthquakes in Nepal. SETTING:Spinal Injury Rehabilitation Centre, Kavre, Nepal. METHODS:Data were collected from the medical records of all earthquake-related patients seen from 25 Apri...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2017.25

    authors: Groves CC,Poudel MK,Baniya M,Rana C,House DR

    更新日期:2017-07-01 00:00:00

  • Subjective health in spinal cord injury after outpatient healthcare follow-up.

    abstract:OBJECTIVE:To compare self-reported health, independence, and depression in two samples of people with spinal cord injury (SCI), one which receives regular, comprehensive outpatient health care follow-up and one that does not. DESIGN:Exploratory study of self-reported secondary conditions in 235 individuals with SCI wh...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3100957

    authors: Dunn M,Love L,Ravesloot C

    更新日期:2000-02-01 00:00:00

  • Intraradicular disc herniations in the lumbar spine and a new classification of intradural disc herniations.

    abstract:STUDY DESIGN:A case report of intraradicular disc herniation. Intraradicular disc herniation is a special type of intradural disc herniations. In this report, we present the tenth case of intraradicular lumbar disc herniation and suggest a new classification for intradural disc herniations. CASE REPORT:A 32-year-old m...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101204

    authors: Mut M,Berker M,Palaoğlu S

    更新日期:2001-10-01 00:00:00

  • Developing a national registry of veterans with spinal cord dysfunction: experiences and implications.

    abstract::We describe the development of a registry of veterans with spinal cord dysfunction who have been treated within the Department of Veterans Affairs health care facilities. The registry departs from the function and structure of traditional registries by a more extensive utilization of advances in computer technology; i...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3100527

    authors: Samsa G,Hoenig H,Carswell J,Sloane R,Bovender CR,VanDeusen Lukas C,Horner RD

    更新日期:1998-01-01 00:00:00

  • Testicular torsion in spinal cord injury: a case report.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a case of testicular torsion in spinal cord injury (SCI). SETTING:Physical Medicine Rehabilitation Training and Research Hospital in Turkey. METHODS:We present the first case of testicular torsion in SCI along with its clinical presentation and follow-up results. RESU...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2015.11

    authors: Celik B,Bolukbas Y,Hacıislamoglu A,Yılmaz A,Karaca HE

    更新日期:2016-02-01 00:00:00

  • Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: clinical trial design.

    abstract::The International Campaign for Cures of Spinal Cord Injury Paralysis established a panel tasked with reviewing the methodology for clinical trials for spinal cord injury (SCI), and making recommendations on the conduct of future trials. This is the fourth of four papers. Here, we examine the phases of a clinical trial...

    journal_title:Spinal cord

    pub_type: 指南,杂志文章,评审

    doi:10.1038/sj.sc.3102010

    authors: Lammertse D,Tuszynski MH,Steeves JD,Curt A,Fawcett JW,Rask C,Ditunno JF,Fehlings MG,Guest JD,Ellaway PH,Kleitman N,Blight AR,Dobkin BH,Grossman R,Katoh H,Privat A,Kalichman M,International Campaign for Cures of Spinal C

    更新日期:2007-03-01 00:00:00

  • rTMS modulates reciprocal inhibition in patients with traumatic spinal cord injury.

    abstract:STUDY DESIGN:Randomized, double-blind, crossover, sham-controlled trial. OBJECTIVES:Repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) leads to a significant reduction of spasticity in subjects with spinal cord injury (SCI), but the physiological basis of this effect is still not we...

    journal_title:Spinal cord

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/sc.2014.136

    authors: Nardone R,Höller Y,Thomschewski A,Brigo F,Orioli A,Höller P,Golaszewski S,Trinka E

    更新日期:2014-11-01 00:00:00

  • Brown-Sequard syndrome associated with Horner's syndrome after a penetrating trauma at the cervicomedullary junction.

    abstract:STUDY DESIGN:Case report of a 21-year-old man that had concurrence of Brown-Sequard syndrome and Horner's syndrome after a penetrating trauma in the neck. OBJECTIVES:This report analyzes the location of lesions that cause a combination of Horner's and Brown-Sequard syndrome. It is important to know the anatomic struct...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101062

    authors: García-Manzanares MD,Belda-Sanchis JI,Giner-Pascual M,Miguel-Leon I,Delgado-Calvo M,Alió y Sanz JL

    更新日期:2000-11-01 00:00:00

  • Attentional requirements of postural control in people with spinal cord injury: the effect of dual task.

    abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVES:To investigate the attentional requirements for maintaining standing balance in people with spinal cord injury (SCI) using a dual-task paradigm and to compare standing balance performance between SCI and able-bodied (AB) controls. SETTING:LaboratoryMethods:Nine adults wi...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2017.42

    authors: Tse CM,Carpenter MG,Liu-Ambrose T,Chisholm AE,Lam T

    更新日期:2017-10-01 00:00:00

  • Non-conventional hemostatic risk factors for coronary heart disease in individuals with spinal cord injury.

    abstract:STUDY DESIGN:Review. OBJECTIVES:In subjects with spinal cord injury (SCI), there is strong evidence for platelet hyperactivity, which may stimulate atherosclerosis and coronary heart disease (CHD). The literature was reviewed. BACKGROUND:Individuals with SCI develop premature CHD. In addition to the conventional risk...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2011.33

    authors: Khan B,Bauman WA,Sinha AK,Kahn NN

    更新日期:2011-08-01 00:00:00

  • Modified Girdlestones-Taylor procedure for claw toes in spinal cord injury.

    abstract:STUDY DESIGN:A combination of review of case notes and outpatient follow-up. OBJECTIVE:To evaluate the effectiveness of the modified Girdlestones-Taylor procedure in patients with spinal cord injury (SCI). SETTING:Princess Royal Spinal Injuries Centre (PRSIC), Northern General Hospital, Sheffield, UK. METHODS:Nine p...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101924

    authors: Ozdolop S,Mathew KM,McClelland M,Ravichandran G

    更新日期:2006-12-01 00:00:00

  • Feasibility of predicting improvements in motor function following SCI using the SCAR outcome measure: a retrospective study.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVES:To assess improvement in volitional motor function after SCI, using The Spinal Cord Ability Ruler (SCAR) as a metric and investigate participant characteristics and recovery of motor functioning. SETTING:A highly-specialized SCI rehabilitation unit (Spinal Cord Injury Ce...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/s41393-019-0307-z

    authors: Bach Jønsson A,Møller Thygesen M,Krogh S,Kasch H

    更新日期:2019-11-01 00:00:00

  • Postural responses during falling with rapid reach-and-grasp balance reaction in patients with motor complete paraplegia.

    abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVES:To investigate the kinematic, kinetic and electromyographic (EMG) aspects of postural control during falling with rapid reach-and-grasp balance reaction in thoracic cord-injured individuals wearing knee-ankle-foot orthoses (KAFOs). SETTING:Institutional Motion Analysis L...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3102100

    authors: Lin KH,Lu TW,Hsu PP,Yu SM,Liao WS

    更新日期:2008-03-01 00:00:00

  • Delayed post-traumatic syringohydromyelia after an uncomplicated fracture of the spine: case report and literature review.

    abstract::A patient who had had a traffic accident resulting with a compression fracture of the L1 vertebra but with no neurological deficits, developed urinary incontinence and weakness in his lower extremities 25 years after the spinal injury. An MRI scan of the spine revealed gliosis of the conus medullaris at the level of t...

    journal_title:Spinal cord

    pub_type: 杂志文章,评审

    doi:10.1038/sc.1996.55

    authors: Güler-Uysal F,Orkun S,Cila A,Ozgirgin N

    更新日期:1996-05-01 00:00:00

  • Spinal epidural cavernous haemangioma: a case report and review of literature.

    abstract:STUDY DESIGN:A case report of purely epidural cavernous haemangioma with MRI appearance and pathological features. OBJECTIVE:To present a rare case of extradural mass with differential diagnosis. SETTING:Delhi, India. METHOD:A 55-year-old man presented with progressive weakness and diminished sensation in both lower...

    journal_title:Spinal cord

    pub_type: 杂志文章,评审

    doi:10.1038/sj.sc.3101248

    authors: Goyal A,Singh AK,Gupta V,Tatke M

    更新日期:2002-04-01 00:00:00

  • Cardiorespiratory responses during functional electrical stimulation cycling and electrical stimulation isometric exercise.

    abstract:STUDY DESIGN:Prospective experimental. OBJECTIVES:To compare the cardiorespiratory responses with electrical stimulation (ES) producing either dynamic leg cycling or intermittent isometric leg contractions using the same ES protocol. SETTING:Sydney, Australia. METHODS:Eight paraplegics (T4-T11) performed ES exercise...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2014.85

    authors: Fornusek C,Gwinn TH,Heard R

    更新日期:2014-08-01 00:00:00

  • "Challenges and facilitators-navigating in the landscape of spinal cord injury neuropathic pain"-a qualitative study on the use of prescribed drugs.

    abstract:STUDY DESIGN:A qualitative study with an emergent design using semi-structured interviews in focus groups. OBJECTIVES:To explore the expectations, experiences and desires among individuals who are prescribed drugs for spinal cord injury (SCI) neuropathic pain (NP). SETTING:SCI rehabilitation centre. METHODS:Eighteen...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/s41393-020-00553-w

    authors: Norrbrink C,Sörling K,Hultling C,von Kieseritzky F,Wahman K

    更新日期:2020-09-25 00:00:00

  • Brown-Séquard-plus syndrome due to stab injury: a case report.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe the mechanism of injury in this case and its clinical features. Magnetic resonance (MR) images of hemorrhage in spinal cord injury due to stab wound are discussed. METHODS:We describe the case of a 21-year-old woman who was stabbed in the right side of her neck and deve...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sj.sc.3101871

    authors: Takemura S,Sasai K,Ohnari H,Ichikawa N,Akagi S,Iida H

    更新日期:2006-08-01 00:00:00

  • Longitudinal outcome 6 years after spinal cord injury.

    abstract:STUDY DESIGN:Multicentered follow-up with centralized data collection based on retrospective study. OBJECTIVES:To assess the outcome in a population of patients with spinal cord injury (SCI). The assessed outcomes are mortality, state of health, occupation, mobility, autonomy, social and partner relationships, quality...

    journal_title:Spinal cord

    pub_type: 杂志文章,多中心研究

    doi:10.1038/sj.sc.3101457

    authors: Franceschini M,Di Clemente B,Rampello A,Nora M,Spizzichino L

    更新日期:2003-05-01 00:00:00

  • Effects of dynamic sitting interventions on tissue oxygenation in individuals with spinal cord disorders.

    abstract:STUDY DESIGN:An explorative cross-sectional study. OBJECTIVES:The objective of this study was to investigate the possibility of imposing dynamic sitting behavior on individuals with spinal cord disorders by using the Dynasit chair and to investigate its effect on the (sub-)cutaneous tissue oxygenation. SETTING:Rehabi...

    journal_title:Spinal cord

    pub_type: 杂志文章

    doi:10.1038/sc.2009.138

    authors: Reenalda J,van Geffen P,Snoek G,Jannink M,Ijzerman M,Rietman H

    更新日期:2010-04-01 00:00:00