Archives of Physical Medicine and Rehabilitation
Volume 85, Issue 11 , Pages 1811-1817 , November 2004

Late neurologic recovery after traumatic spinal cord injury1

  • Steven Kirshblum, MD

      Affiliations

    • Kessler Institute for Rehabilitation, West Orange, NJ, USA
    • Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ, USA
    • Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA
    • Corresponding Author InformationReprint requests to Steven Kirshblum, MD, Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052 USA
    • ,
  • Scott Millis, PhD

      Affiliations

    • Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ, USA
    • Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA
    • ,
  • William McKinley, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA
    • ,
  • David Tulsky, PhD

      Affiliations

    • Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ, USA
    • Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA

References 

  1. Kirshblum S, O’Connor K. Predicting neurologic recovery in traumatic cervical spinal cord injury. Arch Phys Med Rehabil. 1998;79:1456–1466
  2. Kirshblum S, O’Connor K. Levels of injury and outcome in traumatic spinal cord injury. Phys Med Rehabil Clin North Am. 2000;11:1–27
  3. Ditunno J, Flanders A, Kirshblum SC, Graziani V, Tessler A. Predicting outcome in traumatic spinal cord injury. In:  Kirshblum SC,  Campagnolo D,  DeLisa JE editor. Spinal cord medicine. Philadelphia: Lippincott Williams & Wilkins; 2002;p. 108–122
  4. American Spinal Injury Association/International Medical Society of Paraplegia . International standards for neurologic and functional classification of spinal cord injury, revised 2000. Chicago: AISA; 2002;
  5. In:  Stover S,  DeLisa JA,  Whiteneck GG editor. Spinal cord injury (clinical outcomes from the model systems). Gaithersburg: Aspen; 1995;
  6. Bedbrook GM, Sakae T. A review of cervical spine injuries with neurologic dysfunction. Paraplegia. 1982;20:321–333
  7. Crozier KS, Cheng LL, Graziani V, Zern G, Herbison G, Ditunno JF. Spinal cord injury (prognosis for ambulation based on recovery of quadriceps function). Paraplegia. 1992;30:762–767
  8. Crozier KS, Graziani V, Ditunno JF, Herbison GJ. Spinal cord injury (prognosis for ambulation based on sensory examination in patients who are initially motor complete). Arch Phys Med Rehabil. 1991;72:119–121
  9. Ditunno JF, Cohen ME, Belikoff MM, Herbison GJ. Recovery of upper extremity muscles following cervical spinal cord injury. [abstract] J Spinal Cord Med. 1997;20:144
  10. Ditunno JF, Sipski ML, Psouniak EA, Chen YT, Stass WE, Herbison GJ. Wrist extensor recovery in traumatic quadriplegia. Arch Phys Med Rehabil. 1987;68:287–290
  11. Ditunno JF, Stover SL, Freed MM, Ahn JH. Motor recovery of the upper extremities in traumatic quadriplegia (a multicenter study). Arch Phys Med Rehabil. 1992;73:431–436
  12. Ditunno JF, Cohen ME, Hauck W. Early prediction of upper extremity motor recovery in tetraplegia (results of a 10 year multicenter study). [abstract] J Spinal Cord Med. 1998;21:162
  13. Folman Y, Masri WE. Spinal cord injury (prognostic indicators). Injury. 1989;20:92–93
  14. Foo D. Spinal cord injury in forty-four patients with cervical spondylosis. Paraplegia. 1986;24:301–306
  15. Frankel HL, Hancock DO, Hyslop G, et al.  The value of postural reduction in initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia. 1969;7:179–192
  16. Katoh S, El Masry WS. Motor recovery of patients presenting with motor paralysis and sensory sparing following cervical spinal cord injuries. Paraplegia. 1995;33:506–509
  17. Mange KC, Ditunno JF, Herbison GJ, Jaweed MM. Recovery of strength at the zone of injury in motor complete and motor incomplete cervical spinal cord injured patients. Arch Phys Med Rehabil. 1990;71:562–565
  18. Mange KC, Marino RJ, Gregory PC, Herbison GJ, Ditunno JF. The course of motor recovery at the zone of injury in complete spinal cord injury. Arch Phys Med Rehabil. 1992;73:437–441
  19. Stauffer ES. Neurologic recovery following injuries to the cervical spinal cord and nerve roots. Spine. 1984;9:532–534
  20. Tominaga L. Periodic neurologic-functional assessment for cervical cord injury. Paraplegia. 1989;27:227–236
  21. Waters RL, Adkins RH, Yakura JS, Sie I. Motor and sensory recovery following complete tetraplegia. Arch Phys Med Rehabil. 1993;74:242–247
  22. Waters RL, Adkins RH, Yakura JS, Sie I. Motor and sensory recovery following incomplete tetraplegia. Arch Phys Med Rehabil. 1994;75:306–311
  23. Waters RL, Yakura JS, Adkins RH, Sie I. Recovery following complete paraplegia. Arch Phys Med Rehabil. 1992;73:784–789
  24. Waters RL, Adkins RH, Yakura JS, Sie I. Motor and sensory recovery following incomplete paraplegia. Arch Phys Med Rehabil. 1994;75:67–72
  25. Wu L, Marino RJ, Herbison GJ, Ditunno JF. Recovery of zero-grade muscles in the zone of partial preservation in motor complete quadriplegia. Arch Phys Med Rehabil. 1992;73:40–43
  26. Young JS, Dexter SR. Neurologic recovery distal to the zone of injury in 172 cases of closed, traumatic spinal cord injury. Paraplegia. 1978;16:39–49
  27. Marino RJ, Ditunno JF, Donovan WF, Maynard F. Neurologic recovery after traumatic spinal cord injury (data from the model spinal cord injury systems). Arch Phys Med Rehabil. 1999;80:1391–1396
  28. Waters RL, Sie I, Adkins RH, Yakura JS. Injury pattern effect on motor recovery after traumatic spinal cord injury. Arch Phys Med Rehabil. 1995;76:440–443
  29. Maynard FM, Glen GR, Fountain S, Wilmot C, Hamilton R. Neurologic prognosis after traumatic quadriplegia. J Neurosurg. 1979;50:611–616
  30. Ditunno JF, Cohen MS, Formal C, Whiteneck GG. Functional outcomes. In:  Stover SL,  DeLisa JA,  Whiteneck GG editor. Spinal cord injury (clinical outcomes from the model systems). Gaithersburg: Aspen; 1995;p. 170–184
  31. Waters RL, Adkins RH, Yakura JS. Definition of complete spinal cord injury. Paraplegia. 1991;29:573–581
  32. McDonald JW, Becker D, Sadowsky CL, Jane JA, Conturo TE, Schultz LM. Late recovery following spinal cord injury (case report and review of the literature). [published erratum in: J Neurosurg 2002;97(3 Suppl):405–6] J Neurosurg. 2002;97(2 Suppl):252–265 Comment in: J Neurosurg 2003;98(2 Suppl):227–8; author reply 228
  33. American Spinal Cord Injury Association . Standards for neurologic classification of spinal cord injury. Chicago: ASIA; 1989;
  34. American Spinal Injury Association/International Medical Society of Paraplegia (ASIA/IMSOP) . International standards for neurologic and functional classification of spinal cord injury. Chicago: ASIA; 1992; (revised)
  35. American Spinal Injury Association/International Medical Society of Paraplegia . International standards for neurologic and functional classification of spinal cord injury. Chicago: ASIA; 1996;
  36. American Spinal Injury Association/International Medical Society of Paraplegia . International standards for neurologic and functional classification of spinal cord injury. Chicago: ASIA; 2000;
  37. Lin L. A concordance correlation coefficient to evaluate reproducibility. Biometrics. 1989;45:255–268
  38. Richards JS, Go BK, Rutt RD, Lazarus PB. The national spinal cord injury collaboration database. In:  Stover SL,  DeLisa JA,  Whiteneck GG editor. Spinal cord injury (clinical outcomes from the model systems). Gaithersburg: Aspen; 1995;p. 10–20
  39. Donovan WH, Brown DJ, Ditunno JF, Dollfus P, Frankel HL. Neurologic issues. Spinal Cord. 1997;35:275–281
  40. Cohen ME, Ditunno JF, Donovan WH, Maynard FM. A test of the 1992 International Standards for Neurologic and Functional Classification of Spinal Cord Injury. Spinal Cord. 1998;36:554–560

☆ Supported by the National Institute on Disability and Rehabilitation Research, Office of Special Education and Rehabilitation Services, US Department of Education (grant no. H133N000022), and the Eastern Paralyzed Veterans Association.

PII: S0003-9993(04)00386-7

doi: 10.1016/j.apmr.2004.03.015

Archives of Physical Medicine and Rehabilitation
Volume 85, Issue 11 , Pages 1811-1817 , November 2004

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