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Nutech functional score: A novel scoring system to assess spinal cord injury patients

AIM: To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI). METHODS: The conventional scale, American Spinal Injury Association’s (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has...

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Autores principales: Shroff, Geeta, Barthakur, Jitendra Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5489425/
https://www.ncbi.nlm.nih.gov/pubmed/28706861
http://dx.doi.org/10.5662/wjm.v7.i2.68
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author Shroff, Geeta
Barthakur, Jitendra Kumar
author_facet Shroff, Geeta
Barthakur, Jitendra Kumar
author_sort Shroff, Geeta
collection PubMed
description AIM: To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI). METHODS: The conventional scale, American Spinal Injury Association’s (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has various limitations which lead to incomplete assessment of SCI patients. We have developed a 63 point scoring system, i.e., NFS for patients suffering with SCI. A list of symptoms either common or rare that were found to be associated with SCI was recorded for each patient. On the basis of these lists, we have developed NFS. RESULTS: These lists served as a base to prepare NFS, a 63 point positional (each symptom is sub-graded and get points based on position) and directional (moves in direction BAD → GOOD) scoring system. For non-progressive diseases, 1, 2, 3, 4, 5 denote worst, bad, moderate, good and best (normal), respectively. NFS for SCI has been divided into different groups based on the affected part of the body being assessed, i.e., motor assessment (shoulders, elbow, wrist, fingers-grasp, fingers-release, hip, knee, ankle and toe), sensory assessment, autonomic assessment, bed sore assessment and general assessment. As probability based studies required a range of (-1, 1) or at least the range of (0, 1) to be useful for real world analysis, the grades were converted to respective numeric values. CONCLUSION: NFS can be considered as a unique tool to assess the improvement in patients with SCI as it overcomes the limitations of ASIA impairment scale.
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spelling pubmed-54894252017-07-13 Nutech functional score: A novel scoring system to assess spinal cord injury patients Shroff, Geeta Barthakur, Jitendra Kumar World J Methodol Basic Study AIM: To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI). METHODS: The conventional scale, American Spinal Injury Association’s (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has various limitations which lead to incomplete assessment of SCI patients. We have developed a 63 point scoring system, i.e., NFS for patients suffering with SCI. A list of symptoms either common or rare that were found to be associated with SCI was recorded for each patient. On the basis of these lists, we have developed NFS. RESULTS: These lists served as a base to prepare NFS, a 63 point positional (each symptom is sub-graded and get points based on position) and directional (moves in direction BAD → GOOD) scoring system. For non-progressive diseases, 1, 2, 3, 4, 5 denote worst, bad, moderate, good and best (normal), respectively. NFS for SCI has been divided into different groups based on the affected part of the body being assessed, i.e., motor assessment (shoulders, elbow, wrist, fingers-grasp, fingers-release, hip, knee, ankle and toe), sensory assessment, autonomic assessment, bed sore assessment and general assessment. As probability based studies required a range of (-1, 1) or at least the range of (0, 1) to be useful for real world analysis, the grades were converted to respective numeric values. CONCLUSION: NFS can be considered as a unique tool to assess the improvement in patients with SCI as it overcomes the limitations of ASIA impairment scale. Baishideng Publishing Group Inc 2017-06-26 /pmc/articles/PMC5489425/ /pubmed/28706861 http://dx.doi.org/10.5662/wjm.v7.i2.68 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Basic Study
Shroff, Geeta
Barthakur, Jitendra Kumar
Nutech functional score: A novel scoring system to assess spinal cord injury patients
title Nutech functional score: A novel scoring system to assess spinal cord injury patients
title_full Nutech functional score: A novel scoring system to assess spinal cord injury patients
title_fullStr Nutech functional score: A novel scoring system to assess spinal cord injury patients
title_full_unstemmed Nutech functional score: A novel scoring system to assess spinal cord injury patients
title_short Nutech functional score: A novel scoring system to assess spinal cord injury patients
title_sort nutech functional score: a novel scoring system to assess spinal cord injury patients
topic Basic Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5489425/
https://www.ncbi.nlm.nih.gov/pubmed/28706861
http://dx.doi.org/10.5662/wjm.v7.i2.68
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