Ability Realization Improves During Inpatient Rehabilitation for Guillain-Barré Syndrome

医学 康复 功能独立性测度 脊髓损伤 格林-巴利综合征 物理疗法 物理医学与康复 脊髓 回顾性队列研究 队列 队列研究 内科学 儿科 精神科
作者
Miriam Shniper,Keren Elkayam,Vadim Bluvshtein,Ilana Gelernter,Rotem Rozenblum,Amiram Catz,Elena Eidinoff
出处
期刊:American Journal of Physical Medicine & Rehabilitation [Lippincott Williams & Wilkins]
卷期号:101 (10): 954-959 被引量:1
标识
DOI:10.1097/phm.0000000000001944
摘要

The aim of the study was to investigate improvement in ability realization and additional long-term outcomes, during and after inpatient rehabilitation for Guillain-Barré syndrome.This is a retrospective, longitudinal cohort study, in which outcomes were examined using validated scales, for 47 inpatients with Guillain-Barré syndrome.Scores improved from 65 on the American Spinal Injury Association Motor Score and 50 on the Spinal Cord Independence Measure, at admission to inpatient rehabilitation, to 81 and 80 at discharge, and to 92 and 95 at the end of 7.5 yrs, on average, at the follow-up ( P = 0.001). The mean Spinal Cord Independence Measure/American Spinal Injury Association Motor Score ratio, which reflects the ability realization, increased during rehabilitation from 50/65 to 80/81 ( P = 0.001), and tended to increase further at follow-up to 95/92 ( P = 0.228). At follow-up, pain did not correlate, and fatigue showed a weak correlation with the American Spinal Injury Association Motor Score, Spinal Cord Independence Measure, and the Adult Subjective Assessment of Participation ( r = -0.363, P = 0.012; r = -0.362, P = 0.012; r = -0.392, P = 0.006).Ability realization improved during inpatient rehabilitation for Guillain-Barré syndrome and remained high after discharge, suggesting a likely contribution of rehabilitation to the functional outcome, beyond the contribution of neurological recovery. Despite residual fatigue and pain, there was only minor or no effect on daily function or participation.

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