Walking ability at discharge from inpatient rehabilitation in a cohort of non-traumatic spinal cord injury patients

Sturt, Rodney; Holland, Anne E; New, Peter W

doi:10.1038/sc.2009.36

Cited by 16 publications

(16 citation statements)

References 30 publications

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“…284 Following nontraumatic SCI, although inpatient rehabilitation may improve walking abilities, gait speed often remains impaired and insufficient to safely negotiate community environments. 285 Table 11 describes concepts and strategies in managing mobility following TM.…”

Section: Long-term Mobilitymentioning

confidence: 99%

Transverse Myelitis

et al. 2013

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Transverse myelitis (TM) includes a pathobiologically heterogeneous syndrome characterized by acute or subacute spinal cord dysfunction resulting in paresis, a sensory level, and autonomic (bladder, bowel, and sexual) impairment below the level of the lesion. Etiologies for TM can be broadly classified as parainfectious, paraneoplastic, drug/toxin-induced, systemic autoimmune disorders, and acquired demyelinating diseases. We discuss the clinical evaluation, workup, and acute and long-term management of patients with TM. Additionally, we briefly discuss various disease entities that may cause TM and their salient distinguishing features, as well as disorders that may mimic TM.

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Section: Long-term Mobilitymentioning

confidence: 99%

Transverse Myelitis

et al. 2013

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“…Longer track distances between 50 and 60 m had been utilized in recent studies of SCI subjects. 10,13 Patients were asked to walk at a self-selected speed, but without resting. They were asked to walk at the WISCI level they used in the community (usual WISCI level) in regard to the use of devices (braces/walking aids) and physical assistance.…”

Section: Methodsmentioning

confidence: 99%

“…Both the 10MWT and the 6MWT have been utilized in studies of SCI patients. [5][6][7][8][9][10][11][12][13][14][15][16] Both tests showed good inter-and intra-rater reliabilities, 5 a good relationship with lower limbs strength 17 and with other walking tests (the WISCI and the 'timed up and go'). 5 Furthermore, both tests seem to have a greater sensitivity to detect changes of performance in less severely injured SCI patients if compared with the WISCI, which has a ceiling effect.…”

Section: Introductionmentioning

confidence: 99%

“…[25][26][27][28] The distance of the track varied from 85 m, 25 39 m 26 to 20-m corridors with 1801 turns 28 for several studies on stroke subjects. A few studies of SCI defined distances and turns, which varied from non-standardized hallways of 50 feet or more with 901 turns 8 to 53 (reviewed in Olmos et al 10 ) and 60 m, 13 with 901 turns and different surfaces. Several other studies in SCI by the same authors did not identify either the shape of the track or the frequency of turns.…”

Section: Introductionmentioning

confidence: 99%

“…3 Therefore, the recovery of ambulation has become the target of several pharmacological and rehabilitative approaches 4 and a precise evaluation of ambulation in these patients has become mandatory. 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.…”

Section: Introductionmentioning

confidence: 99%

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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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