Patients |
Adults with acute or subacute traumatic spinal cord injury at any level
Undergoing rehabilitation therapy
ASIA grade A-D (or comparable)
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Pediatric patients
Pregnancy
Cord compression due to tumor, hematoma, or degenerative disease
ASIA E (or comparable)
Nontraumatic etiology >40%
Follow-up <70%
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Intervention (KQ1 and 2) |
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KQ2: neural prosthetics, cell therapy, spinal cord stimulators, speech/language therapy only, pharmacological therapy only, respiration/breathing therapy only |
Comparison |
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Predictive Factors (KQ3) |
Patient characteristics (eg, age, sex, race, body mass index, marital status, education level, vocational status)
Injury characteristics (eg, level, cause, and/or severity of injury; neurologic and functional status at admission; surgical stabilization)
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Outcomes |
Efficacy/effectiveness
Neurologic outcomes (eg, ASIA, ASIA Impairment Scale)
Functional outcome: patient- or physician-reported outcome (eg, Functional Independence Measure, functional performance)
Muscle strength
Safety
Complications
Mortality
Rehospitalization
Cost data
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Muscle/nerve activity (electromyography)
Muscle/skeletal composition
Physiological outcomes (VO2max, peak work, etc)
KQ4: costs only, utilities only, differences in outcomes only
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Study design |
KQ1: Comparative studies comparing early with delayed initiation of rehabilitation therapy, controlling for injury severity
KQ2: Comparative studies comparing different rehabilitation therapies, controlling for injury severity
KQ3: Cohort studies assessing important predictors of outcomes following rehabilitation, while controlling for injury severity
KQ4: full economic studies
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Publication |
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Abstracts, editorials, letters
Duplicate publications of the same study which do not report on different outcomes
Single reports from multicenter trials
White papers
Narrative reviews
Proceedings/abstracts from meetings
Articles identified as preliminary reports when results are published in later versions
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