Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2013     Vol 38     No 1
     
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      UDK 616.832-001(497.11)"2000/2009"

ISSN 035-2899, 38(2013) br.1 p.5-10

     
   
Original paper

Demographic characteristics and functional recovery of patients with clinical syndrome in spinal cord injury
Demografske karakteristike i funkcionalni oporavak pacijenata sa kliničkim sindromima kod povreda kičmene moždine

Saša Milićević (1), Zoran Bukumirić (2), Aleksandra Karadžov Nikolić (3), Rade Babović (1), Aleksandar Ćorac (4), Vladimir Piščević (5)
(1) KLINIKA ZA REHABILITACIJU “DR M. ZOTOVIĆ“, BEOGRAD, (2) MEDICINSKI FAKULTET U BEOGRADU, INSTITUT ZA MEDICINSKU STATISTIKU I INFORMATIKU, BEOGRAD, (3) SPECIJALNA BOLNICA ZA CEREBRALNU PARALIZU I RAZVOJNU NEUROLOGIJU, BEOGRAD, (4) MEDICINSKI FAKULTET U PRIŠTINI, INSTITUT ZA HIGIJENU, KOSOVSKA MITROVICA, (5) SLUŽBA ZA FIZIKALNU MEDICINU I REHABILITACIJU KBC ZVEZDARA, BEOGRAD

     
 
 
     
 

 

         
      Summary:
Introduction: the clinical syndromes of a spinal cord injury are: Central cord syndrome (Sy Schneider), Brow-Sequard Syndrom, anterior cord syndrome, posterior cord syndrome , syndrome caudae equinae and conus medullaris syndrome. Aim: to investigate demographic characteristics and functional outcomes in patients with clinical syndromes of spinal cord injury. Method: this study is a retrospective analysis of patients with clinical syndromes of spinal cord injury admitted to the “Clinic for Rehabilitation Dr M. Zotović”, Belgrade, Serbia, from January 2000 to December 2009. The classification of clinical syndromes is determined by clinical examination. The functional status was measured by the FIM scale (Functional Independence Measure). The international standards of the American Spinal Injury Association (ASIA) were used to record motor and sensory levels of the injury. To test statistical hypothesis a single factor ANOVA with Tukey posthoc test was used. Statistical hypotheses were tested at 0.05 level of statistical significance. Results: The study included 591 participants with spinal cord injury. Of the total number of respondents, 93 (15.73%) of them were with clinical syndromes of the spinal cord, namely: Sy Schneider had 18 (3.0%, 17 males and 1 female), Sy Brown Sequard 6 (1.6%, 6 male), Sy Caudae equinae 54 (9.1%, 36 male and 18 female) and Sy Conus medullaris 15 (2.5%, 8 male and 7 female) patients. The average value of FIM score at discharge for all patients included in this study was 113.7 ± 16.2. The length of stay for all patients in this study was 82.1 ± 65.2. Conclusion: knowing the demographic characteristics and functional outcomes at admission may influence better functional recovery and better quality of life for patients with clinical syndromes of spinal cord injury.
Key words: spinal cord injury, functional outcomes, clinical syndromes of spinal cord injury, rehabilitation

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
     
             
     
     
      Corresponding Address:
Saša Milićević,
Klinika za Rehabilitaciju "Dr M. Zotović", Sokobanjska 13, Beograd, Srbija;
E-mail: rsmilicevic@gmail.com
Paper received: 19. 6. 2012
Paper accepted: 26. 12. 2012
Paper Internet issues: 15. 7. 2013
     
             
             
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija
E-mail: tmglasnik@gmail.com

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