Abstract
Sipski ML, Jackson AB, Gómez-Marín O, Estores I, Stein A. Effects of gender on neurologic and functional recovery after spinal cord injury. Arch Phys Med Rehabil 2004;85:1826-36. To assess gender differences in neurologic and functional outcome measures in persons with spinal cord injury (SCI). Case series. Model Spinal Cord Injury Systems (MSCIS) throughout the United States. People (N=14,433) admitted to an MSCIS within 30 days of injury. Not applicable. Improvement in American Spinal Injury Association (ASIA) motor index score, ASIA Impairment Scale, level of injury, and FIM instrument scores after SCI. When examining subjects grouped by severity of injury, changes in ASIA motor index total scores, from system admission to 1-year anniversary, were significantly greater for women than men with either complete (P=.035) or incomplete (P=.031) injuries. Functional comparison of men and women, using the FIM motor subscale, revealed that men had higher FIM motor scores at rehabilitation discharge among those with motor-complete injuries, except for those with C1-4 and C6 neurologic levels. Women with motor-incomplete high tetraplegia (C1-4 levels) had higher discharge FIM motor scores than did similarly afflicted men. There were no significant differences in FIM motor scores among men and women with other levels of motor incomplete SCI. Gender differences in SCI were seen in several areas. Women may have more natural neurologic recovery than men; however, for a given level and degree of neurologic injury, men tend to do better functionally than women at time of discharge from rehabilitation. Future prospective study of the effects of estrogen on neurologic recovery and the effects of gender on functional potential are recommended.
| Original language | English |
|---|---|
| Pages (from-to) | 1826-1836 |
| Number of pages | 11 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 85 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2004 |
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Keywords
- Gender
- Rehabilitation
- Spinal cord injuries
ASJC Scopus subject areas
- Rehabilitation
Cite this
Effects of gender on neurologic and functional recovery after spinal cord injury. / Sipski, Marca L.; Jackson, Amie B.; Gomez-Marin, Orlando W; Estores, Irene; Stein, Adam.
In: Archives of Physical Medicine and Rehabilitation, Vol. 85, No. 11, 01.11.2004, p. 1826-1836.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effects of gender on neurologic and functional recovery after spinal cord injury
AU - Sipski, Marca L.
AU - Jackson, Amie B.
AU - Gomez-Marin, Orlando W
AU - Estores, Irene
AU - Stein, Adam
PY - 2004/11/1
Y1 - 2004/11/1
N2 - Sipski ML, Jackson AB, Gómez-Marín O, Estores I, Stein A. Effects of gender on neurologic and functional recovery after spinal cord injury. Arch Phys Med Rehabil 2004;85:1826-36. To assess gender differences in neurologic and functional outcome measures in persons with spinal cord injury (SCI). Case series. Model Spinal Cord Injury Systems (MSCIS) throughout the United States. People (N=14,433) admitted to an MSCIS within 30 days of injury. Not applicable. Improvement in American Spinal Injury Association (ASIA) motor index score, ASIA Impairment Scale, level of injury, and FIM instrument scores after SCI. When examining subjects grouped by severity of injury, changes in ASIA motor index total scores, from system admission to 1-year anniversary, were significantly greater for women than men with either complete (P=.035) or incomplete (P=.031) injuries. Functional comparison of men and women, using the FIM motor subscale, revealed that men had higher FIM motor scores at rehabilitation discharge among those with motor-complete injuries, except for those with C1-4 and C6 neurologic levels. Women with motor-incomplete high tetraplegia (C1-4 levels) had higher discharge FIM motor scores than did similarly afflicted men. There were no significant differences in FIM motor scores among men and women with other levels of motor incomplete SCI. Gender differences in SCI were seen in several areas. Women may have more natural neurologic recovery than men; however, for a given level and degree of neurologic injury, men tend to do better functionally than women at time of discharge from rehabilitation. Future prospective study of the effects of estrogen on neurologic recovery and the effects of gender on functional potential are recommended.
AB - Sipski ML, Jackson AB, Gómez-Marín O, Estores I, Stein A. Effects of gender on neurologic and functional recovery after spinal cord injury. Arch Phys Med Rehabil 2004;85:1826-36. To assess gender differences in neurologic and functional outcome measures in persons with spinal cord injury (SCI). Case series. Model Spinal Cord Injury Systems (MSCIS) throughout the United States. People (N=14,433) admitted to an MSCIS within 30 days of injury. Not applicable. Improvement in American Spinal Injury Association (ASIA) motor index score, ASIA Impairment Scale, level of injury, and FIM instrument scores after SCI. When examining subjects grouped by severity of injury, changes in ASIA motor index total scores, from system admission to 1-year anniversary, were significantly greater for women than men with either complete (P=.035) or incomplete (P=.031) injuries. Functional comparison of men and women, using the FIM motor subscale, revealed that men had higher FIM motor scores at rehabilitation discharge among those with motor-complete injuries, except for those with C1-4 and C6 neurologic levels. Women with motor-incomplete high tetraplegia (C1-4 levels) had higher discharge FIM motor scores than did similarly afflicted men. There were no significant differences in FIM motor scores among men and women with other levels of motor incomplete SCI. Gender differences in SCI were seen in several areas. Women may have more natural neurologic recovery than men; however, for a given level and degree of neurologic injury, men tend to do better functionally than women at time of discharge from rehabilitation. Future prospective study of the effects of estrogen on neurologic recovery and the effects of gender on functional potential are recommended.
KW - Gender
KW - Rehabilitation
KW - Spinal cord injuries
UR - http://www.scopus.com/inward/record.url?scp=7444230422&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=7444230422&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2004.04.031
DO - 10.1016/j.apmr.2004.04.031
M3 - Article
C2 - 15520978
AN - SCOPUS:7444230422
VL - 85
SP - 1826
EP - 1836
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 11
ER -