Assessment of Functional Improvement Without Compensation Reduces Variability of Outcome Measures After Human Spinal Cord Injury

Behrman, Andrea L.; Ardolino, Elizabeth; VanHiel, Leslie R.; Kern, Marcie; Atkinson, Darryn A.; Lorenz, D.; Harkema, Susan J.

doi:10.1016/j.apmr.2011.04.027

Cited by 51 publications

(38 citation statements)

References 28 publications

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“…In addition, relatively lower BWS levels are motivated by evidence that ankle plantarflexor muscle activity decreases at BWS levels above about 50% [5]. Despite clinical implementation of these best known practices, some BWSTT participants do not improve as rapidly or as much as others, and this difference in outcomes is only partly explained by factors such as time since injury and functional status of participants at enrollment [10,14,15].…”

Section: Introductionmentioning

confidence: 93%

“…Having been shown to trigger muscle activity in the absence of supraspinal input [4][5][6][7], body weight supported treadmill training (BWSTT) has pioneered a shift in spinal cord injury (SCI) neurorehabilitation, moving beyond compensation into recovery of function [8][9][10][11][12][13][14][15][16]. Current clinical practice of BWSTT provides individuals with incomplete SCI repetitive stepping practice at the highest gait speed and lowest BWS level tolerated by patients [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Training conditions that best reproduce the joint powers of unsupported walking

2015

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Training conditions that best reproduce the joint powers of unsupported walking

2015

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“…6 In response, the Neuromuscular Recovery Scale (NRS) was developed to differentiate function on 11 critical motor tasks for people classified as AIS C and D (motor incomplete), focusing on recovered movement patterns instead of compensatory movements. 7,8 More recently, a pediatric NRS has been developed.…”

Section: Predictionmentioning

confidence: 99%

Stepping Up to Rethink the Future of Rehabilitation: IV STEP Considerations and Inspirations

Kimberley

Novak

Boyd

et al. 2017

Pediatric Physical Therapy

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Background and Purpose The IV STEP conference challenged presenters and participants to consider the state of science in rehabilitation, highlighting key area of progress since the previous STEP conference related to prediction, prevention, plasticity, and participation in rehabilitation. Key Points Emerging from the thought-provoking discussions was recognition of the progress we have made as a profession and a call for future growth. In this summary article, we present a recap of the key points and call for action. We review the information presented and the field at large as it relates to the 4 Ps: prediction, prevention, plasticity, and participation. Recommendations for Practice Given that personalized medicine is an increasingly important approach that was clearly woven throughout the IV STEP presentations, we took the liberty of adding a fifth “P,” Personalized, in our discussion of the future direction of the profession.

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“…13 Rasch analysis of the NRS also showed good construct validity without ceiling or floor effects (see companion article by Velozo 14 ). Despite these positive initial results, other psychometric properties of the instrument such as reliability remain unexamined.…”

mentioning

confidence: 94%

“…Recently, a new SCI-specific instrument was introduced, the Neuromuscular Recovery Scale (NRS), which classifies functional performance during mobility, standing, and walking according to normal preinjury capabilities without compensatory movements or assistance. 13 A description of the NRS is provided in the first article in the series (see companion article by Velozo and colleagues 14 ).…”

mentioning

confidence: 98%