Rambulate is clearly a major concern after a spinal cord injury (SCI), not only for the client but also for the clinician. [1][2][3] Although the question of ambulation is a concern, it also represents a conflict for the clinician. The conflict is due to research and experiences showing that clients who have complete SCIs are very likely to abandon walking after a very short time. Rehabilitation clinicians are faced with the task of assisting the SCI client with understanding what level of ambulation is realistic without taking away hope. [1][2][3][4] Clients who are considered for ambulation and/or ambulation trials generally fall into two categories. The first category is clients with the American Spinal Injury Association (ASIA) classification A and B. The second category is clients with ASIA classification C and D. 4 While research shows that a large percentage of the ASIA C and D clients recover some degree of functional
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