Erratum: Walking index for spinal cord injury (WISCI II): scale revision

Ditunno, P L; Ditunno, John F.

doi:10.1038/sc.2008.129

Cited by 22 publications

(33 citation statements)

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“…17 MS, BI, RMI and WISCI score changes were calculated on the basis of the difference in scores between discharge and admission. MS, BI, RMI and WISCI efficiency scores were calculated as the ratio between the difference in score and the duration of treatment.…”

Section: Methodsmentioning

confidence: 99%

Neoplastic myelopathies and traumatic spinal cord lesions: an Italian comparison of functional and neurological outcomes

et al. 2011

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Background: Although neoplastic spinal cord injuries (NSCIs) constitute B25% of all non-traumatic spinal cord lesions, patients with such pathologies are seldom, if ever, admitted to specialized centers; further, their rehabilitation typically is short because of the perception that rehabilitation prolongs hospital stays unnecessarily and is reserved only for patients with very good prognoses. Study design: This study is a retrospective analysis. Objective: The objective of this study is to evaluate the neurological and functional outcomes of patients with NSCIs compared with those of patients with traumatic spinal cord injury (TSCI). Methods: We evaluated 208 patients with TSCIs and 63 with NSCIs; using a matching cohorts procedure, 43 comparable couples were selected from each group. The measures used to assess these patients were the American Spinal Injury Association standards, the Barthel Index (BI), the Rivermead Mobility Index and the Walking Index for Spinal Cord Injury. Results: In the general population, NSCI patients are older and have longer lesion-to-admission times and more incomplete lesions than TSCI patients. Therefore, the functional status at admission and outcomes differed between the groups. In the matching cohorts, TSCI patients had lower BI scores at admission than NSCI subjects. At discharge, the two groups had comparable functional outcomes. Neurological status was similar at admission and at discharge. Conclusions: Although they had slightly disparate functional levels at admission, NSCI and TSCI patients had the same outcomes at discharge. Our data suggest that in a selected cohort of NSCI patients, rehabilitation is as successful as that in TSCI subjects and allows most patients to be discharged instead of being institutionalized.

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Section: Methodsmentioning

confidence: 99%

Neoplastic myelopathies and traumatic spinal cord lesions: an Italian comparison of functional and neurological outcomes

et al. 2011

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“…The ranking is based on an individual's use of physical assistance from one or more persons, braces, and other devices. The WISCI-II ranking is based only on the severity of impairment and cannot be used as an indicator of functional independence [53][54]. A study found that the WISCI-II is sensitive to recovery of walking ability [55].…”

Section: Motor Activity Measuresmentioning

confidence: 99%

Activity and participation after spinal cord injury: State-of-the-art report

Ullrich¹,

Spungen²,

Atkinson³

et al. 2012

JRRD

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Abstract-The importance of activities and community participation for persons with spinal cord injury (SCI) has been recognized for decades and yet theoretical and empirical advances have been limited. This report summarizes the recommendations for researchers on the topic of measuring activity and participation among persons with SCI formulated by the Spinal Cord Injury workgroup at the State-of-the-Art Conference on Outcome Measures in Rehabilitation held in January 2010. Activity and participation were defined as independent constructs ideally measured in reference to personal values and environmental influences. Measures of activity, participation, and factors influencing activity and participation are reviewed and critiqued. Gaps in available measures are described, measures in development are discussed, and suggestions for future research are made.

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“…Although several walking measures have been suggested for assessment of walking function in patients with SCI, over the past 5 years most studies have focused on the 10-m walk test (10MWT), 5-14 the 6-min walk test (6MWT) [5][6][7][8][9][10]13,15 and the Walking Index for Spinal Cord Injury (WIS-CI). 5,7,9,12,14,[16][17][18][19][20] This set of measures allows a comprehensive assessment of walking function, which includes the use of walking aids, braces, physical assistance, and speed and endurance. Both the 10MWT and the 6MWT have been utilized in studies of SCI patients.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the 10-m walk test and the 6-min walk test in spinal cord injury patients

et al. 2011

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Study design: The 10-m walk test (10MWT) and the 6-min walk test (6MWT) have been recommended for assessment of walking in spinal cord injury (SCI) patients. The study was designed on test-retest analysis of the 10MWT and 6MWT. Objectives: The objective of this study was to assess validity/reliability of different methods of performing the tests. Setting: The study was set at an SCI unit of a rehabilitation hospital. Patients and methods: A total of 37 patients; whose median age was 58.5 years (interquartile range 40-66, full range 19-77); median time since onset of SCI was 24 months (interquartile range 16.25-70.5, full range 6-109). Non-traumatic etiology in 20 out of 37 patients; level: 12C, 14T and 11L; American Spinal Injury Association Impairment Scale grade: 35D/2C. Assessment with the 10MWT (with or without dynamic start) and the 6MWT (short or long track) by two blinded raters to evaluate inter/intra-rater reliabilities. Results: The 10MWT was performed in a median of 19 s (25th-75th interquartile range 13-28) with the dynamic start and of 18.4 s (25th-75th interquartile range 12.6-29.9) with the static start (P ¼ 0.092). The correlation between the results of the two methods was between 0.98 and 0.99. The inter-and intra-rater reliabilities were between 0.95 and 0.99 for both the methods. The 6MWT showed significant differences according to the track length: patients walked a median of 226.7 m (25th-75th interquartile range 123.2-319) on the longer track and of 187.6 m (25th-75th interquartile range 69.7-240.6) on the short one (Po0.001). The correlation between the results of the two methods was between 0.91 and 0.93. The inter-and intra-rater reliabilities were between 0.98 and 0.99. Conclusion: The 10MWT shows high inter/intra-rater reliability and shows comparable results with both dynamic and static start. The different testing conditions of the 6MWT (track/turns) results in significant differences that need standardization for use in future trials.

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Erratum: Walking index for spinal cord injury (WISCI II): scale revision

Cited by 22 publications

References 0 publications

Neoplastic myelopathies and traumatic spinal cord lesions: an Italian comparison of functional and neurological outcomes

Neoplastic myelopathies and traumatic spinal cord lesions: an Italian comparison of functional and neurological outcomes

Activity and participation after spinal cord injury: State-of-the-art report

Validity and reliability of the 10-m walk test and the 6-min walk test in spinal cord injury patients

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