Poster 519 Acute Cervical Myelopathy Caused By Chiropractic Manipulation in a Young Person With a Cervical Osteochondroma: A Case Report

Abstract

diagnoses. Design: Prospective cohort study. Setting: Acute inpatient rehabilitation facility. Participants: 78 inpatients. Interventions: Weekly calorie and protein intake calculations by registered dieticians. Main Outcome Measures: Mean calorie and protein intake. Results: Mean calorie intake (kcal) for the SCI, traumatic brain injury (TBI), Stroke, and Parkinson’s groups was 1967.9 611.6, 1546.8 352.3, 1459.7 443.2, and 1459.4 434.6, respectively. ANOVA revealed a significant overall group difference [F(3,74) 4.74, P .004]. Pairwise comparisons showed significant differences between SCI and Stroke (P .003) and SCI and Parkinson’s (P .045). Mean calorie intake per body weight (kcal/kg) for the SCI, TBI, stroke, and Parkinson’s groups was 24.4 9.8, 20.4 5.3, 17.4 8.4, and 19.2 6.6, respectively. ANOVA again revealed a significant overall group difference [F(3,74) 2.84, P .044]; however, pairwise comparison only found a significant difference between SCI and Stroke (P .025). Mean protein intake (g) for the SCI, TBI, Stroke, and Parkinson’s groups was 71.5 25.0, 61.1 12.8, 57.6 16.6, and 55.1 19.1, respectively. ANOVA revealed a marginally significant overall group difference [F(3,74) 2.50, P .066]. Pairwise comparisons only found a marginally significant difference between SCI and Stroke (P .060). Mean protein intake per body weight (g/kg) for the SCI, TBI, Stroke, and Parkinson’s groups was 0.89 0.39, 0.81 0.18, 0.68 0.29, and 0.73 0.28, respectively. ANOVA did not reveal a significant difference between the groups [F(3,74) 1.97, P .126]. Conclusions: Given the diet-related comorbidities and decreased resting metabolic rate associated with SCI patients in combination with the intake levels demonstrated in this study, education with regard to appropriate calorie and protein intake in patients with SCI should be employed in the acute inpatient rehabilitation setting.