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  4. Ability of walking without a walking device in patients with spinal cord injury as determined using data from functional tests

Ability of walking without a walking device in patients with spinal cord injury as determined using data from functional tests

The Journal of Spinal Cord Medicine, 2014 · DOI: 10.1179/2045772313Y.0000000160 · Published: July 1, 2014

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study investigates how well three common physical tests can determine if someone with a spinal cord injury (SCI) can walk without needing a walking aid. The tests are the five times sit-to-stand test (FTSST), timed up and go test (TUGT), and 10-meter walk test (10MWT). The researchers also looked at how consistently different testers got the same results when using these tests. This helps to know if the tests are reliable for tracking a patient's progress over time. The findings provide clear, measurable goals for patients with SCI to work toward, helping them reduce their reliance on walking devices and increase their independence.

Study Duration
Not specified
Participants
60 independent ambulatory patients with SCI
Evidence Level
Not specified

Key Findings

  • 1
    The study found specific time thresholds for each test that indicate a good ability to walk without a walking device: less than 14 seconds for FTSST, less than 18 seconds for TUGT, and less than 6 seconds for 10MWT.
  • 2
    The 10-meter walk test (10MWT) was the most effective at distinguishing between patients who could walk without a device and those who needed one.
  • 3
    All three tests showed excellent inter-tester reliability, meaning different therapists using the tests on the same patient are likely to get similar results.

Research Summary

This study evaluated the ability of three functional tests (FTSST, TUGT, 10MWT) to determine if patients with SCI could walk without a walking device. Sixty independent ambulatory patients with SCI were assessed. The results showed that specific time thresholds on each test could effectively indicate the ability to walk without a walking device. The 10MWT was the most effective test. The study concludes that these tests can offer a quantitative criterion for monitoring progress and promoting independence in patients with SCI, both during rehabilitation and after discharge.

Practical Implications

Clinical Monitoring

The identified time thresholds can be used by therapists to set measurable goals for patients with SCI during rehabilitation.

Independence Promotion

By using these tests, clinicians can better determine when a patient is ready to reduce or eliminate the use of a walking device, promoting greater independence.

Standardized Assessment

The high inter-tester reliability of the tests means that different therapists can confidently use these measures to track patient progress consistently.

Study Limitations

  • 1
    The study only included patients with relatively good walking ability (able to walk at least 50 meters independently).
  • 2
    The study used a 10-meter walkway due to area limitations, which might affect the generalizability of the 10MWT results.
  • 3
    The study did not consider the risk of falls when determining the ability to walk without a walking device.

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