Accuracy of diagnoses in patients with spinal cord injury referred to hospital rehabilitation departments

Tederko, Piotr; Krasuski, Marek; Dobies, Barbara

doi:10.5604/15093492.992297

Cited by 6 publications

(9 citation statements)

References 10 publications

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“…The condition has a male preponderance. This is a mesodermal disorder with defect in reparative process [2,3] causing heterotopic ossification which usually begin in 5-7 years of life [4]. Our case however, has history of ossifications from first year of life.…”

Section: Discussionmentioning

confidence: 68%

“…This is sometimes associated with stiffness and decreased mobility at joint site resulting in progressive contractures [2]. This case also had this characteristic pattern.…”

Section: Discussionmentioning

confidence: 77%

“…Associated skeletal features of great diagnostic significance include short hallux with synostosis, hallux valgus (75-90%), and short thumbs [2]. Kyphoscoliosis, with restricted shoulder and pelvic girdle movements and restrictive pulmonary disease, can occur.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of myositis ossificans progressiva presenting as multiple progressive contracture

Mehtani¹,

Prakash²,

Chand³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.

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Section: Discussionmentioning

confidence: 68%

“…This is sometimes associated with stiffness and decreased mobility at joint site resulting in progressive contractures [2]. This case also had this characteristic pattern.…”

Section: Discussionmentioning

confidence: 77%

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A rare case of myositis ossificans progressiva presenting as multiple progressive contracture

Mehtani¹,

Prakash²,

Chand³

et al. 2014

IJCRI

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“…Previous studies have already shown inconsistent results in terms of interrater reliability and test-retest reli ability of MAS in SCI, limiting its validity. 25,41,[50][51][52][53] Although the measurements were taken in a standardized manner by the same clinician, different factors already reported in previous studies hindered the assessment of spasticity in the iSCI population, such as the difficulty to distinguish spasticity from passive viscoelastic changes, the presence of clonus, and ROM limitation. 50 Despite the fact that the MAS is the most widely used tool to assess the effectiveness of rehabilitation interventions for the treat ment and management of spasticity in the SCI population, 54 other tools like the Spinal Cord Assessment Tool for Spastic reflexes, 55 which has been shown to be a valid measure of 3 different types of spastic motor behaviors in SCI, could be considered an alternative to the MAS for assessing the con struct validity of the SCIGDI.…”

Section: Discussionmentioning

confidence: 99%

Construct Validity of the Gait Deviation Index for People With Incomplete Spinal Cord Injury (GDI-SCI)

Sinovas-Alonso,

Herrera-Valenzuela,

de-los-Reyes-Guzmán

et al. 2023

Neurorehabil Neural Repair

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Background The Gait Deviation Index for Spinal Cord Injury (SCI-GDI) was recently proposed as a dimensionless multivariate kinematic measure based on 21 gait features derived from 3-dimensional kinematic data which quantifies gait impairment of adult population with incomplete spinal cord injury (iSCI) relative to the normative gait of a healthy group. Nevertheless, no validity studies of the SCI-GDI have been published to date. Objective To assess the construct validity of the SCI-GDI in adult population following iSCI. Methods. SCI-GDI data were obtained from a sample of 50 healthy volunteers and 35 adults with iSCI. iSCI group was also assessed with the following measures: 10-Meter Walk Test (10MWT) at both self-selected (SS) and maximum speeds, Timed Up and Go Test (TUGT), SS and maximum levels of the Walking Index for Spinal Cord Injury (WISCI) II, mobility items of the Spinal Cord Independence Measure III (SCIM IIIIOMob), Lower Extremity Motor Score (LEMS), and Modified Ashworth Scale (MAS). Spearman’s correlation coefficient was used to investigate the relationship with the SCI-GDI. Results SCI-GDI shows strong correlation with the 10MWT ( r ≥ −.716) and good correlation with LEMS ( r = .638), TUGT ( r = −.582), SS WISCI II levels ( r = .521), and SCIM IIIIOMob ( r = .501). No significant correlations were found with maximum WISCI II levels and MAS ( P > .006). Conclusions Construct validity of the SCI-GDI was demonstrated with the 10MWT, TUGT, LEMS, SCIM IIIIOMob, and SS WISCI II levels for independently walking adults with iSCI. Future work will include assessing the psychometric characteristics with a more heterogeneous sample, also considering the pediatric population.

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“…These diagnostic skeletal manifestations include ectopic calcifications, short hallux with either monophalangism or synphalangism, bilateral halluces valgus (75-90%), short 1st thumbs secondary to short first metacarpals, restricted range of motion of shoulders, kyphoscoliosis with lumps over the back, intellectual disability, alopecia and cardiac conduction defect are other rare finding. 10,11 It is important to remember that these features may not always accompany the condition, and besides, there are many genetic conditions in differential diagnosis with overlapping skeletal features.…”

Section: Discussionmentioning

confidence: 99%

Fibrodysplasia ossificans progressiva - can we diagnose it right at the outset?

et al. 2019

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ossificans progressiva-can we diagnose it right at the outset? Turk J Pediatr 2019; 61: 958-962. Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disorder with no definitive treatment options available yet, except for physiotherapy and bisphosphonates. Due to its initial presentation with multiple lumps in the body, it is often misdiagnosed as a benign tumour most commonly being an osteochondroma or Olliers syndrome. Delay in diagnosis not only delays the management but can also expose the patient to unnecessary interventions. Moreover, earlier diagnosis can also make the patient aware of the precautions to be taken. So our remark is "can we diagnose this disease right at the outset"? We present a case of a 10 year old boy, who had all the classical features of FOP yet was misdiagnosed. Therefore, classical hallmark features of this disease are highlighted in this case report which can be picked up easily by any clinician to reach to a definitive diagnosis as early as possible avoiding unnecessary iatrogenic insult.

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Accuracy of diagnoses in patients with spinal cord injury referred to hospital rehabilitation departments

Abstract: Risk factors for IDRD in SINC patients include complete neurological deficit, short time elapsing from SINC, referral from a hospital, referral from a surgical department, thoracic spinal lesion, and multiple co-morbidities.

Cited by 6 publications

References 10 publications

A rare case of myositis ossificans progressiva presenting as multiple progressive contracture

A rare case of myositis ossificans progressiva presenting as multiple progressive contracture

Construct Validity of the Gait Deviation Index for People With Incomplete Spinal Cord Injury (GDI-SCI)

Fibrodysplasia ossificans progressiva - can we diagnose it right at the outset?

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