Factors Influencing Gait Independence in Patients with Spinal Compression Fractures

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  • 脊椎圧迫骨折患者の歩行自立に影響を及ぼす因子
  • ―A retrospective study of patients over 75 years of age―
  • ―75歳以上の高齢者を対象とした後ろ向き研究―

Abstract

<p>[Objective] The purpose of this study was to examine the factors that influence the ability of patients with spinal compression fractures to walk at discharge. The subjects were 123 spinal compression fracture patients aged 75 years or older who were ambulatory and independent before hospitalization. The assessment items included age, gender, HDS-R, skeletal muscle mass index (SMI), activity coefficient (METs), FIM motor items (FIM-M), grip strength, and ability to walk before injury. Factors affecting walking independence at hospital discharge were analyzed by logistic regression, and cutoff values for determining whether walking independence was possible or not were examined based on ROC curves. It was found that the HDS-R and FIM-M were related to the availability of walking independence at discharge. The cutoff values of the HDS-R and FIM-M were 17.5 and 32.5 points, respectively. Conclusions] The results of this study indicate that spinal compression tracture patients with good cognitive function and ADL at admission are able to walk at discharge.</p>

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