Elaboration of methods of numerical analysis of dynamics of the spinal cord functional activity in patients, suffering complicated spinal trauma

Keywords: neurological status; spinal trauma; numerical analysis; dynamics of restoration

Abstract

Objective. Elaboration of methods of numerical analysis, concerning estimation of  neurological status in patients, suffering consequences of vertebra-spinal trauma (ПСМП).

Маterials and methods. Basing on clinical observations, possible variants of mathematical interpretation of the restoration dynamics of neurological status and the neurological disorders regress were considered.

Results. The methods of the parameters calculation «Dynamics of the neural status restoration» and «Dynamics restoration in neurological disorders», which characterizes various spheres of the functional deficiency regress in patients, suffering traumatic affection of spinal cord, were elaborated.

Conclusion. The proposed methods of numerical analysis may be used for determination of expediency and efficacy of various methods of surgical and medicinal correction in patients with traumatic vertebro-spinal affection.

Author Biographies

Yu. Е. Pedachenko, Romodanov Institute of Neurosurgery, Kyiv

Yuriy Ye. Pedachenko, DrSci, PhD,
Romodanov Neurosurgery Institute of National Academy of Medical Sciences of Ukraine
Adress: P. Mayborody str. 32., 04050, Kiev, Ukraine, tel. 044-213-96-73;
email: yupedachenko@gmail.com
ORCID: http://orcid.org/0000-0003-0609-424X

А. S. Nekhlopochin, Romodanov Institute of Neurosurgery, Kyiv

Alexey S. Nekhlopochin, MD
Romodanov Neurosurgery Institute of National Academy of Medical Sciences of Ukraine
Adress: P. Mayborody str. 32., 04050, Kiev, Ukraine, tel. 044-213-96-73;
email: AlexeyNS@gmail.com ORCID: http://orcid.org/0000-0002-1180-6881

References

1. Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med. 2011 Nov;34(6):535-46.

2. Kalsi-Ryan S, Beaton D, Curt A, Duff S, Popovic MR, Rudhe C, et al. The Graded Redefined Assessment of Strength Sensibility and Prehension: Reliability and Validity. J Neurotrauma. 2012 Mar 20;29(5):905-14.

3. Krassioukov A, Biering-Sørensen F, Donovan W, Kennelly M, Kirshblum S, Krogh K, et al. International standards to document remaining autonomic function after spinal cord injury. J Spinal Cord Med. 2012 Jul 19;35(4):201-10.

4. Kramer JLK, Taylor P, Haefeli J, Blum J, Zariffa J, Curt A, et al. Test-Retest Reliability of Contact Heat-Evoked Potentials From Cervical Dermatomes. J Clin Neurophysiol. 2012 Feb;29(1):70-5.

5. McKay WB, Ovechkin A V, Vitaz TW, Terson de Paleville DGL, Harkema SJ. Neurophysiological characterization of motor recovery in acute spinal cord injury. Spinal Cord. 2011 Mar 16;49(3):421-9.

6. King NKK, Savic G, Frankel H, Jamous A, Ellaway PH. Reliability of Cutaneous Electrical Perceptual Threshold in the Assessment of Sensory Perception in Patients with Spinal Cord Injury. J Neurotrauma. 2009 Jul;26(7):1061-8.

7. Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology. 2007 Jun;243(3):820-7.

8. Martin AR, Aleksanderek I, Cohen-Adad J, Tarmohamed Z, Tetreault L, Smith N, et al. Translating state-of-the-art spinal cord MRI techniques to clinical use: A systematic review of clinical studies utilizing DTI, MT, MWF, MRS, and fMRI. NeuroImage Clin. 2016;10:192-238.

9. Wilson JR, Grossman RG, Frankowski RF, Kiss A, Davis AM, Kulkarni AV, et al. A clinical prediction model for long-term functional outcome after traumatic spinal cord injury based on acute clinical and imaging factors. J Neurotrauma. 2012 Sep;29(13):2263-71.

10. van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: Validity and reliability of 3 walking tests. Arch Phys Med Rehabil. 2005 Feb;86(2):190-6.

11. van Hedel HJA, Wirz M, Curt A. Improving walking assessment in subjects with an incomplete spinal cord injury: responsiveness. Spinal Cord. 2006 Jun 22;44(6):352-6.

12. Wirz M, Müller R, Bastiaenen C. Falls in persons with spinal cord injury: validity and reliability of the Berg Balance Scale. Neurorehabil Neural Repair. 2010 Jan 12;24(1):70-7.

13. Paternostro-Sluga T, Grim-Stieger M, Posch M, Schuhfried O, Vacariu G, Mittermaier C, et al. Reliability and validity of the Medical Research Council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy. J Rehabil Med. 2008 Aug;40(8):665-71.

14. Fehlings MG, Tetreault LA, Wilson JR, Kwon BK, Burns AS, Martin AR, et al. A Clinical Practice Guideline for the Management of Acute Spinal Cord Injury: Introduction, Rationale, and Scope. Glob Spine J. 2017 Sep 5;7(3_suppl):84S-94S.
Published
2018-03-03
How to Cite
PedachenkoY. Е., & NekhlopochinА. S. (2018). Elaboration of methods of numerical analysis of dynamics of the spinal cord functional activity in patients, suffering complicated spinal trauma. Klinicheskaia Khirurgiia, 85(3), 43-47. https://doi.org/10.26779/2522-1396.2018.03.43
Section
General Problems of Surgery