TY  - JOUR
PY  - 2020//
TI  - The effects of lower extremity deep sensory impairments on walking capability in patients with incomplete cervical spinal cord injury
JO  - Journal of spinal cord medicine
A1  - Naka, Tomoki
A1  - Hayashi, Tetsuo
A1  - Sugyo, Atsushi
A1  - Watanabe, Ryouichi
A1  - Towatari, Fumihiro
A1  - Maeda, Takeshi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To analyze the impact of lower extremity deep sensory impairment on the walking capability of patients with incomplete cervical spinal cord injury. <br><br>DESIGN: Retrospective cohort study. Setting: Spinal Injuries Center, Fukuoka, Japan. Participants: Patients with incomplete cervical spinal cord injury who were transferred to the Spinal Injuries Center within 2 weeks of injury and whose progress was monitored for 6 months postinjury were included. Sixty-three patients with a lower extremity motor score of 42 points or more were enrolled. They were divided into lower extremity deep sensory impairment (16 patients) and normal (47 patients) groups, and their walking capability was compared. Interventions: Not applicable. Outcome Measures: Upper and lower extremity motor scores, the presence or absence of deep sensation impairment, and walking capability indices at 6 months postinjury were evaluated. <br><br>RESULTS: The deep sensory impairment group performed significantly worse than the normal group across items in the Walking Index for Spinal Cord Injury II and in the indoor and outdoor mobility items of the Spinal Cord Independence Measure III. Indoor and outdoor mobility independence levels decreased further in the lower extremity deep sensory impairment group than in the normal group. <br><br>CONCLUSIONS: The presence of lower extremity deep sensation impairments was an important factor affecting the achievement of independent walking capabilities in patients with incomplete cervical spinal cord injury. Hence, when patients with incomplete cervical spinal cord injury undergo walking training, not only their lower extremity muscle strength but also their level of deep sensation impairment must be evaluated.<p />  <p>Language: en</p>
LA  - en
SN  - 1079-0268
UR  - http://dx.doi.org/10.1080/10790268.2020.1788879
ID  - ref1
ER  -