中国神经再生研究(英文版)

中国神经再生研究(英文版) ›› 2012, Vol. 7 ›› Issue (25): 1978-1984.doi: 10.3969/j.issn.1673-5374.2012.25.009

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

步态和昏迷量表可预测创伤性脑损伤患者功能的恢复

  

  • 收稿日期:2012-07-02 修回日期:2012-08-15 出版日期:2012-09-05 发布日期:2012-09-05

Gait and Glasgow Coma Scale scores can predict functional recovery in patients with traumatic brain injury

Sevil Bilgin¹, Arzu Guclu-Gunduz2, Hakan Oruckaptan3, Nezire Kose4, Bülent Celik5   

  1. 1 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
    2 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
    3 Department of Neurosurgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
    4 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
    5 Department of Biostatistics, Faculty of Health Sciences, Gazi University, Ankara, Turkey
  • Received:2012-07-02 Revised:2012-08-15 Online:2012-09-05 Published:2012-09-05
  • Contact: Sevil Bilgin, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazar?/Ankara, 06100 Turkey sevilcuvalci@yahoo.com
  • About author:Sevil Bilgin☆, Ph.D., P.T., Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

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Abstract:

Fifty-one patients with mild (n = 14), moderate (n = 10) and severe traumatic brain injury (n = 27) received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score. Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.

Key words: brain injury, traumatic brain injury, rehabilitation, early rehabilitation, function, prognosis, Glasgow Coma Scale, Glasgow Outcome Scale, functional level, neural regeneration