Association between mobility spinal cord independence measure (MSCIM) and period of walking recovery in spinal tuberculosis

• Main Authors: L.N. Yong, Fatimah Ahmedy, Khin Nyein Yin, S.S. Syah, Tan Soo Fun, N.M. Tuah
• Format: Proceedings
• Language: English; English
• Published: Faculty of Science and Natural Resources 2020
• Subjects: R Medicine (General); RC Internal medicine
• Online Access: https://eprints.ums.edu.my/id/eprint/21612/1/Association%20between%20mobility%20spinal%20cord%20independence%20measure%20%28MSCIM%29%20and%20period%20of%20walking%20recovery%20in%20spinal%20tuberculosis.pdf; https://eprints.ums.edu.my/id/eprint/21612/2/Association%20between%20mobility%20spinal%20cord%20independence%20measure%20%28MSCIM%29%20and%20period%20of%20walking%20recovery%20in%20spinal%20tuberculosis1.pdf; https://eprints.ums.edu.my/id/eprint/21612/; https://www.ums.edu.my/fssa/wp-content/uploads/2020/12/PROCEEDINGS-BOOK-ST-2020-e-ISSN.pdf

This study aimed to identify the association between initial Spinal Cord Independence Measure’s Mobility Sub-score (mSCIM) and the period of walking recovery in Spinal Tuberculosis (STB). This retrospective cohort study divided 36 STB patients into two groups by their initial mSCIM score: ‘mSCIM<13’ and ‘mSCIM≥13’. Both groups were retrospectively followed-up from diagnosis until one year via clinical records. Baseline characteristics, walking outcome and period of walking recovery were recorded. Logical regression tested the association between mSCIM and walking outcome while a timeto-event analysis was done to test the relationship between mSCIM and period of walking recovery. Both ‘mSCIM<13’ and ‘mSCIM≥13’ groups had 18 patients each. Logical regression showed the mSCIM≥13 group had higher probability of recovering their walking ability (p=0.021). Time-to-event analysis showed both groups had significantly different period of walking recovery (p=0.001), averaging 10.44 and 4.94 months in those with mSCIM<13 and mSCIM≥13 respectively. In conclusion, patients with mSCIM≥13 require significantly shorter period of walking recovery.