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首页> 外文学位 >Effect of obesity on motor functional outcome of rehabilitating traumatic brain injury patients.
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Effect of obesity on motor functional outcome of rehabilitating traumatic brain injury patients.

机译：肥胖对脑外伤患者康复功能的影响。

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摘要

Obese patients have been marginalized in the clinical setting due to multiple complications. This has been proven to be true in rehabilitation. There has not been studies on obesity's effect on patients that are rehabilitating from traumatic brain injury (TBI). This study was designed to test obesity's effect on functional motor outcome of patients rehabilitating after a TBI. Subjects recruited into the North Texas Traumatic Brain Injury Model Systems (TBIMS) were used to obtain necessary height and weight. Five hundred seventy three subjects recruited from January 2010 to September 2013 were used. Patients who are 16 years of age or older and have an abnormal functional independence measure (FIM) motor score at admission to inpatient rehabilitation. Excluded patients were those in inpatient rehabilitation exceeding 90 days and whose time from injury to arrival to rehabilitation were 30 days or more. Subjects with concomitant non-traumatic neurologic deficits or who died during their stay were excluded. A t-test was used to compare FIM motor in both groups, and a linear regression model was fit to the data using motor FIM at discharge as the dependent variable. The recycled prediction method was used to determine the marginal impact of obesity. Of the 431 patients that had extractable data, 54 were obese. The percentage of FIM motor change was 70.2 for the non-obese and 100.2 for obese (p-value = .0639). The FIM motor at discharge for obese and non-obese was 63.1+/- 12.5 and 62.5+/-10.1, respectively. Both groups were matched for all demographic data except marital status. The proposed practicum project was designed to test the hypothesis that obesity has a negative effect on functional outcome of patients that are rehabilitating after suffering TBI, resulting in smaller gains in FIM scores than their lean counterparts from admission to discharge. It was found that, this was not the case and obese patients make just as much functional gains as non-obese patients.
机译：肥胖患者由于多种并发症而在临床中处于边缘地位。在康复中，这已被证明是正确的。尚未有肥胖对脑外伤（TBI）康复患者的影响的研究。这项研究旨在测试肥胖对TBI后康复患者功能性运动结局的影响。招募到北德克萨斯创伤性脑损伤模型系统（TBIMS）中的受试者用于获得必要的身高和体重。使用了2010年1月至2013年9月招募的573个主题。年满16周岁且在住院康复期间具有异常的功能独立性测量（FIM）运动评分的患者。排除的患者是住院康复期超过90天且从受伤到到达再到康复时间为30天或更长时间的患者。患有非创伤性神经功能缺损或在住院期间死亡的受试者被排除在外。使用t检验比较两组中的FIM马达，并使用放电时的马达FIM作为因变量对数据进行线性回归模型拟合。循环预测方法用于确定肥胖的边际影响。在431名具有可提取数据的患者中，有54名肥胖。非肥胖者的FIM运动改变百分比为70.2，肥胖者为100.2（p值= .0639）。肥胖和非肥胖者在出院时的FIM马达分别为63.1 +/- 12.5和62.5 +/- 10.1。两组都匹配除婚姻状况以外的所有人口统计数据。拟议的实习项目旨在测试以下假设：肥胖对患有TBI后康复的患者的功能结局具有负面影响，从入院到出院，肥胖患者的FIM得分要比其瘦弱者小。发现情况并非如此，肥胖患者的功能获得与非肥胖患者一样多。

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  • 作者

    Le, David.;

  • 作者单位

    University of North Texas Health Science Center at Fort Worth.;

  • 授予单位 University of North Texas Health Science Center at Fort Worth.;
  • 学科 Health Sciences Medicine and Surgery.;Biology Neuroscience.;Health Sciences Nutrition.
  • 学位 M.S.
  • 年度 2013
  • 页码 62 p.
  • 总页数 62
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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