Pattern of neurological recovery in persons with an acute cervical spinal cord injury over the first 14 days post injury Article Swipe
Nader Fallah
,
Vanessa K. Noonan
,
Zeina Waheed
,
Raphaële Charest-Morin
,
Charlotte Dandurand
,
Christiana L. Cheng
,
Tamir Ailon
,
Nicolas Dea
,
Scott Paquette
,
John Street
,
Charles G. Fisher
,
Marcel F. Dvorak
,
Brian K. Kwon
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1278826
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1278826
Introduction Following a traumatic spinal cord injury (SCI) it is critical to document the level and severity of injury. Neurological recovery occurs dynamically after injury and a baseline neurological exam offers a snapshot of the patient's impairment at that time. Understanding when this exam occurs in the recovery process is crucial for discussing prognosis and acute clinical trial enrollment. The objectives of this study were to: (1) describe the trajectory of motor recovery in persons with acute cervical SCI in the first 14 days post-injury; and (2) evaluate if the timing of the baseline neurological assessment in the first 14 days impacts the amount of motor recovery observed. Methods Data were obtained from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) site in Vancouver and additional neurological data was extracted from medical charts. Participants with a cervical injury (C1–T1) who had a minimum of three exams (including a baseline and discharge exam) were included. Data on the upper-extremity motor score (UEMS), total motor score (TMS) and American Spinal Injury Association (ASIA) Impairment Scale (AIS) were included. A linear mixed-effect model with additional variables (AIS, level of injury, UEMS, time, time 2 , and TMS) was used to explore the pattern and amount of motor recovery over time. Results Trajectories of motor recovery in the first 14 days post-injury showed significant improvements in both TMS and UEMS for participants with AIS B, C, and D injuries, but was not different for high (C1–4) vs. low (C5–T1) cervical injuries or AIS A injuries. The timing of the baseline neurological examination significantly impacted the amount of motor recovery in participants with AIS B, C, and D injuries. Discussion Timing of baseline neurological exams was significantly associated with the amount of motor recovery in cervical AIS B, C, and D injuries. Studies examining changes in neurological recovery should consider stratifying by severity and timing of the baseline exam to reduce bias amongst study cohorts. Future studies should validate these estimates for cervical AIS B, C, and D injuries to see if they can serve as an “adjustment factor” to control for differences in the timing of the baseline neurological exam.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fneur.2023.1278826
- https://www.frontiersin.org/articles/10.3389/fneur.2023.1278826/pdf?isPublishedV2=False
- OA Status
- gold
- Cited By
- 2
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389941544
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4389941544Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fneur.2023.1278826Digital Object Identifier
- Title
-
Pattern of neurological recovery in persons with an acute cervical spinal cord injury over the first 14 days post injuryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-19Full publication date if available
- Authors
-
Nader Fallah, Vanessa K. Noonan, Zeina Waheed, Raphaële Charest-Morin, Charlotte Dandurand, Christiana L. Cheng, Tamir Ailon, Nicolas Dea, Scott Paquette, John Street, Charles G. Fisher, Marcel F. Dvorak, Brian K. KwonList of authors in order
- Landing page
-
https://doi.org/10.3389/fneur.2023.1278826Publisher landing page
- PDF URL
-
https://www.frontiersin.org/articles/10.3389/fneur.2023.1278826/pdf?isPublishedV2=FalseDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontiersin.org/articles/10.3389/fneur.2023.1278826/pdf?isPublishedV2=FalseDirect OA link when available
- Concepts
-
Medicine, Spinal cord injury, Spinal cord, Traumatic brain injury, Physical medicine and rehabilitation, Physical therapy, Anesthesia, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.trial | 57 |
| abstract_inverted_index.(ASIA) | 170 |
| abstract_inverted_index.Future | 320 |
| abstract_inverted_index.Hansen | 115 |
| abstract_inverted_index.Injury | 118, 168 |
| abstract_inverted_index.Spinal | 116, 167 |
| abstract_inverted_index.Timing | 275 |
| abstract_inverted_index.amount | 103, 201, 261, 285 |
| abstract_inverted_index.injury | 6, 24, 137 |
| abstract_inverted_index.linear | 177 |
| abstract_inverted_index.occurs | 21, 44 |
| abstract_inverted_index.offers | 30 |
| abstract_inverted_index.reduce | 315 |
| abstract_inverted_index.should | 303, 322 |
| abstract_inverted_index.showed | 218 |
| abstract_inverted_index.spinal | 4 |
| abstract_inverted_index.timing | 90, 252, 309, 350 |
| abstract_inverted_index.(UEMS), | 160 |
| abstract_inverted_index.Methods | 108 |
| abstract_inverted_index.Results | 207 |
| abstract_inverted_index.Studies | 297 |
| abstract_inverted_index.amongst | 317 |
| abstract_inverted_index.changes | 299 |
| abstract_inverted_index.charts. | 132 |
| abstract_inverted_index.control | 345 |
| abstract_inverted_index.crucial | 50 |
| abstract_inverted_index.explore | 197 |
| abstract_inverted_index.impacts | 101 |
| abstract_inverted_index.injury, | 186 |
| abstract_inverted_index.injury. | 18 |
| abstract_inverted_index.medical | 131 |
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| abstract_inverted_index.persons | 74 |
| abstract_inverted_index.process | 48 |
| abstract_inverted_index.studies | 321 |
| abstract_inverted_index.(C1–4) | 241 |
| abstract_inverted_index.(RHSCIR) | 120 |
| abstract_inverted_index.American | 166 |
| abstract_inverted_index.Registry | 119 |
| abstract_inverted_index.baseline | 27, 93, 148, 255, 277, 312, 353 |
| abstract_inverted_index.cervical | 77, 136, 245, 290, 327 |
| abstract_inverted_index.clinical | 56 |
| abstract_inverted_index.cohorts. | 319 |
| abstract_inverted_index.consider | 304 |
| abstract_inverted_index.critical | 10 |
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| abstract_inverted_index.document | 12 |
| abstract_inverted_index.evaluate | 87 |
| abstract_inverted_index.impacted | 259 |
| abstract_inverted_index.injuries | 246, 333 |
| abstract_inverted_index.obtained | 111 |
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| abstract_inverted_index.severity | 16, 307 |
| abstract_inverted_index.snapshot | 32 |
| abstract_inverted_index.validate | 323 |
| abstract_inverted_index.(C1–T1) | 138 |
| abstract_inverted_index.(C5–T1) | 244 |
| abstract_inverted_index.Following | 1 |
| abstract_inverted_index.Vancouver | 123 |
| abstract_inverted_index.different | 238 |
| abstract_inverted_index.discharge | 150 |
| abstract_inverted_index.estimates | 325 |
| abstract_inverted_index.examining | 298 |
| abstract_inverted_index.extracted | 129 |
| abstract_inverted_index.factor” | 343 |
| abstract_inverted_index.included. | 153, 175 |
| abstract_inverted_index.injuries, | 234 |
| abstract_inverted_index.injuries. | 250, 273, 296 |
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| abstract_inverted_index.patient's | 35 |
| abstract_inverted_index.prognosis | 53 |
| abstract_inverted_index.traumatic | 3 |
| abstract_inverted_index.variables | 182 |
| abstract_inverted_index.(including | 146 |
| abstract_inverted_index.Discussion | 274 |
| abstract_inverted_index.Impairment | 171 |
| abstract_inverted_index.additional | 125, 181 |
| abstract_inverted_index.assessment | 95 |
| abstract_inverted_index.associated | 282 |
| abstract_inverted_index.discussing | 52 |
| abstract_inverted_index.impairment | 36 |
| abstract_inverted_index.objectives | 60 |
| abstract_inverted_index.trajectory | 69 |
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| abstract_inverted_index.differences | 347 |
| abstract_inverted_index.dynamically | 22 |
| abstract_inverted_index.enrollment. | 58 |
| abstract_inverted_index.examination | 257 |
| abstract_inverted_index.post-injury | 217 |
| abstract_inverted_index.significant | 219 |
| abstract_inverted_index.stratifying | 305 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.Neurological | 19 |
| abstract_inverted_index.Participants | 133 |
| abstract_inverted_index.Trajectories | 208 |
| abstract_inverted_index.improvements | 220 |
| abstract_inverted_index.mixed-effect | 178 |
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| abstract_inverted_index.participants | 227, 266 |
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| abstract_inverted_index.Understanding | 40 |
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| abstract_inverted_index.“adjustment | 342 |
| abstract_inverted_index.upper-extremity | 157 |
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| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5027259098 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I141945490, https://openalex.org/I4210128534, https://openalex.org/I4210158523 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.75 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.73068305 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |