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脊髓组织桥验证研究:与颈脊髓损伤后感觉评分的预测关系。

Spinal Cord Tissue Bridges Validation Study: Predictive Relationships With Sensory Scores Following Cervical Spinal Cord Injury.

机构信息

University of Colorado School of Medicine, Department of Physical Medicine and Rehabilitation, Physical Therapy Program, Aurora, Colorado.

Regis University School of Physical Therapy, Denver, Colorado.

出版信息

Top Spinal Cord Inj Rehabil. 2022 Spring;28(2):111-115. doi: 10.46292/sci21-00018. Epub 2021 Nov 24.

Abstract

BACKGROUND

Using magnetic resonance imaging (MRI), widths of ventral tissue bridges demonstrated significant predictive relationships with future pinprick sensory scores, and widths of dorsal tissue bridges demonstrated significant predictive relationships with future light touch sensory scores, following spinal cord injury (SCI). These studies involved smaller participant numbers, and external validation of their findings is warranted.

OBJECTIVES

The purpose of this study was to validate these previous findings using a larger independent data set.

METHODS

Widths of ventral and dorsal tissue bridges were quantified using MRI in persons post cervical level SCI (average 3.7 weeks post injury), and pinprick and light touch sensory scores were acquired at discharge from inpatient rehabilitation (average 14.3 weeks post injury). Pearson product-moments were calculated and linear regression models were created from these data.

RESULTS

Wider ventral tissue bridges were significantly correlated with pinprick scores ( = 0.31, < 0.001, = 136) and wider dorsal tissue bridges were significantly correlated with light touch scores ( = 0.31, < 0.001, = 136) at discharge from inpatient rehabilitation.

CONCLUSION

This retrospective study's results provide external validation of previous findings, using a larger sample size. Following SCI, ventral tissue bridges hold significant predictive relationships with future pinprick sensory scores and dorsal tissue bridges hold significant predictive relationships with future light touch sensory scores.

摘要

背景

利用磁共振成像(MRI),腹侧组织桥的宽度与未来的刺痛感觉评分具有显著的预测关系,背侧组织桥的宽度与未来的轻触感觉评分具有显著的预测关系,这些研究涉及到较小的参与者数量,并且需要对他们的发现进行外部验证。

目的

本研究旨在使用更大的独立数据集验证这些先前的发现。

方法

使用 MRI 对颈段脊髓损伤(SCI)后的患者的腹侧和背侧组织桥的宽度进行量化,在住院康复期间(平均受伤后 14.3 周)获得刺痛和轻触感觉评分。计算 Pearson 乘积矩,并从这些数据中创建线性回归模型。

结果

更宽的腹侧组织桥与刺痛评分显著相关( = 0.31, < 0.001, = 136),更宽的背侧组织桥与轻触评分显著相关( = 0.31, < 0.001, = 136)。

结论

本回顾性研究的结果使用更大的样本量提供了对先前发现的外部验证。在 SCI 后,腹侧组织桥与未来的刺痛感觉评分具有显著的预测关系,背侧组织桥与未来的轻触感觉评分具有显著的预测关系。

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