Pattern and Rate of Functional Recovery After Surgery for Cervical Spondylotic Myelopathy: Egyptian Prospective Study

2021 ◽  
Author(s):  
Sonia Elbhrawy ◽  
Ashraf Abdou ◽  
Hesham ElSaghir ◽  
Yasmine A. Ashram ◽  
Jaidaa Mekky
Keyword(s):  
Prospective Study ◽  
Functional Recovery ◽  
Cervical Spondylotic Myelopathy

Percutaneous Cannulated Screw Fixation of Acute Scaphoid Waist Fracture

2002 ◽  
Vol 27 (1) ◽  
pp. 42-46 ◽  
Author(s):  
H. S. F. YIP ◽  
W. C. WU ◽  
R. Y. P. CHANG ◽  
T. Y. C. SO
Keyword(s):  
Prospective Study ◽  
Functional Recovery ◽  
Screw Fixation ◽  
Cannulated Screw ◽  
Union Rate ◽  
Scaphoid Fractures ◽  
Mean Time ◽  
Radiological Union

This prospective study assessed the outcome of percutaneous cannulated screw fixation in 49 of 60 acute scaphoid fractures. The union rate was 100% (mean time for radiological union at 12 weeks). There were no early or mid-term complications and all achieved an excellent functional recovery.

The Correlation between Clinical Presentation of Cervical Spondylotic Myelopathy and MRI Findings in a Prospective Study of 278 Patients

2012 ◽  
Vol 12 (9) ◽  
pp. S35-S36
Author(s):  
Sukhvinder Kalsi-Ryan ◽  
Alina Karpova ◽  
Branko Kopjar ◽  
Eric M. Massicotte ◽  
Michael G. Fehlings
Keyword(s):  
Prospective Study ◽  
Cervical Spondylotic Myelopathy ◽  
Clinical Presentation ◽  
Mri Findings ◽  
A Prospective Study

scholarly journals Analysis of Prognostic Risk Factors Determining Poor Functional Recovery After Comprehensive Rehabilitation Including Motor-Imagery Brain-Computer Interface Training in Stroke Patients: A Prospective Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Qiong Wu ◽  
Yunxiang Ge ◽  
Di Ma ◽  
Xue Pang ◽  
Yingyu Cao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Motor Imagery ◽  
Functional Recovery ◽  
Brain Computer Interface ◽  
Computer Interface ◽  
Comprehensive Treatment ◽  
Stroke Patients ◽  
Independent Risk Factors ◽  
Comprehensive Rehabilitation

Objective: Upper limb (UL) motor function recovery, especially distal function, is one of the main goals of stroke rehabilitation as this function is important to perform activities of daily living (ADL). The efficacy of the motor-imagery brain-computer interface (MI-BCI) has been demonstrated in patients with stroke. Most patients with stroke receive comprehensive rehabilitation, including MI-BCI and routine training. However, most aspects of MI-BCI training for patients with subacute stroke are based on routine training. Risk factors for inadequate distal UL functional recovery in these patients remain unclear; therefore, it is more realistic to explore the prognostic factors of this comprehensive treatment based on clinical practice. The present study aims to investigate the independent risk factors that might lead to inadequate distal UL functional recovery in patients with stroke after comprehensive rehabilitation including MI-BCI (CRIMI-BCI).Methods: This prospective study recruited 82 patients with stroke who underwent CRIMI-BCI. Motor-imagery brain-computer interface training was performed for 60 min per day, 5 days per week for 4 weeks. The primary outcome was improvement of the wrist and hand dimensionality of Fugl-Meyer Assessment (δFMA-WH). According to the improvement score, the patients were classified into the efficient group (EG, δFMA-WH > 2) and the inefficient group (IG, δFMA-WH ≤ 2). Binary logistic regression was used to analyze clinical and demographic data, including aphasia, spasticity of the affected hand [assessed by Modified Ashworth Scale (MAS-H)], initial UL function, age, gender, time since stroke (TSS), lesion hemisphere, and lesion location.Results: Seventy-three patients completed the study. After training, all patients showed significant improvement in FMA-UL (Z = 7.381, p = 0.000**), FMA-SE (Z = 7.336, p = 0.000**), and FMA-WH (Z = 6.568, p = 0.000**). There were 35 patients (47.9%) in the IG group and 38 patients (52.1%) in the EG group. Multivariate analysis revealed that presence of aphasia [odds ratio (OR) 4.617, 95% confidence interval (CI) 1.435–14.860; p < 0.05], initial FMA-UL score ≤ 30 (OR 5.158, 95% CI 1.150–23.132; p < 0.05), and MAS-H ≥ level I+ (OR 3.810, 95% CI 1.231–11.790; p < 0.05) were the risk factors for inadequate distal UL functional recovery in patients with stroke after CRIMI-BCI.Conclusion: We concluded that CRIMI-BCI improved UL function in stroke patients with varying effectiveness. Inferior initial UL function, significant hand spasticity, and presence of aphasia were identified as independent risk factors for inadequate distal UL functional recovery in stroke patients after CRIMI-BCI.

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