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  4. Walking Ability Outcome Measures in Individuals with Spinal Cord Injury: A Systematic Review

Walking Ability Outcome Measures in Individuals with Spinal Cord Injury: A Systematic Review

International Journal of Environmental Research and Public Health, 2021 · DOI: 10.3390/ijerph18189517 · Published: September 9, 2021

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

This review examines how walking ability is measured in people with spinal cord injuries (SCI). It looks at different tests and scales used by doctors and therapists. The goal is to understand which measurement tools are best for accurately assessing walking function after an SCI. By understanding the strengths and weaknesses of each measure, clinicians can choose the most appropriate tools for evaluating patients and tracking their progress during rehabilitation.

Study Duration
Not specified
Participants
Seventeen articles reviewed
Evidence Level
Systematic Review

Key Findings

  • 1
    Thirteen different walking ability outcome measures were identified and grouped into categories, including multivariate walking metrics, spatiotemporal-related walking/balance measures, categorical measures of ambulation and balance measures.
  • 2
    The Walking Index for Spinal Cord Injury (WISCI) is the walking ability outcome measure which has psychometric properties that are the most assessed, while the Gait Profile Score (GPS) is the least.
  • 3
    The authors suggest combining several metrics, without redundancy, to provide a global assessment of walking function.

Research Summary

This systematic review provides an updated qualitative review of walking ability outcome measures in SCI, considering diverse factors involving walking function and their limitations. Thirteen walking ability outcome measures were identified and grouped into different categories. The WISCI is the walking ability outcome measure which has psychometric properties that are the most assessed, while the GPS is the least. The authors suggest combining several metrics, without redundancy, to provide a global assessment of walking function and future work is required to integrate a more realistic environment for walking assessment.

Practical Implications

Clinical Practice

Clinicians can use this review to choose the most appropriate walking ability outcome measures based on the assessment goals, patient's walking function, and available resources.

Research

Researchers can use this review to inform the selection of outcome measures for clinical trials and other studies evaluating interventions for improving walking ability in individuals with SCI.

Future Directions

Future research should focus on validating multivariate walking metrics and integrating SCI-FAP tasks in the 3DGA protocol for a more realistic walking assessment.

Study Limitations

  • 1
    Articles included were not classified according to the levels of evidence
  • 2
    Meta-analysis of the data was not conducted
  • 3
    Some outcome data may have been missed during collection

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