The Functional Impact of the Absence of a Bulbocavernosus Reflex in the Postoperative Period After a Motor-Complete Traumatic Spinal Cord Injury
| Résumé | Objective: The aim of the study was to investigate the impact of the absence of a bulbocavernosus reflex in the postoperative period onthe neurological and functional recovery 6–12 mos after a motor- complete traumatic spinal cord injury. Design: A retrospective review of a prospective database was completed among 66 patients. The functional and neurological statuses between individuals with and without a bulbocavernosus reflex were compared. A general linear model was used to investigate the association between the postoperative bulbocavernosus reflex status and the functional outcome, using the Spinal Cord Independence Measure. Results: Forty percent of the cohort had no bulbocavernosus reflex 5 days after trauma. Individuals with a bulbocavernosus reflex showed a higher rate of American Spinal Injury Association Impairment Scale grade conversion, improvement of the level of injury, and higher functional scores; however, it did not reach a significant level. The bulbocavernosus reflex status in the postoperative period was not significantly associated with the functional status 6–12 mos after injury. Conclusions: Late recovery of the bulbocavernosus reflex in the post- operative period may be associated with poorer neurological and functional outcome for individuals sustaining a motor-complete traumatic spinal cord injury, for which the prognosis estimation is limited. A prospective study including a larger number of patients is necessary to confirm results of this study. |
| Auteurs | Nicolas Greciet, Jean-Marc Mac-Thiong, Bich-Han Nguyen, and Andréane Richard-Denis |
| Titre de revue/journal, volume et numéro | The American Journal of Physical Medicine & Rehabilitation, volume 99. |
| Langue de la publication et/ou de traduction | Anglais (langue d’origine) |
| Année de parution | 2020 |
| Pays | Québec, Canada. |
| Institutions affiliées | Hopital Sacré Coeur, Université de Montréal, Hopital Ste Justine, Institut de réadaptation Gingras-Lindsay de Montréal |
| Lien vers la publication | Voir le lien ci-dessous. |
| Type d’accès à la publication | Gratuit |
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