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

International journal of environmental research and public health
January 1, 1970
Isabel Sinovas-Alonso et al. (4 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to review and analyze the psychometric properties of various walking ability outcome measures in spinal cord injury (SCI) to guide clinicians in selecting appropriate metrics.

Results Summary

The study identified multiple walking assessment tools used in SCI, with the Walking Index for SCI, 10-meter walk test, and six-minute walk test being the most frequently studied. The authors recommend a combination of outcome measures for comprehensive walking ability assessment and highlight the need for more realistic environments in future evaluations.

Population

Individuals with spinal cord injury (SCI).

Effective Dosage

Not available

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
walking index for SCI
neutral
walking ability
spinal cord injury
-
studied
#1
10 meter walk test
neutral
walking ability
spinal cord injury
-
studied
#2
six-minute walk test
neutral
walking ability
spinal cord injury
-
studied
#3
timed Up and go test
neutral
walking ability
spinal cord injury
-
studied
#4
Berg balance scale
neutral
walking ability
spinal cord injury
-
studied
#5
gait profile score
neutral
walking ability
spinal cord injury
-
studied
#6
spinal cord injury functional ambulation profile
neutral
walking ability
spinal cord injury
-
studied
#7
five times sit-to-stand test
neutral
walking ability
spinal cord injury
-
studied
#8
spinal cord injury functional ambulation inventory
neutral
walking ability
spinal cord injury
-
studied
#9
spinal cord independence measure (indoors and outdoors mobility items)
neutral
walking ability
spinal cord injury
-
studied
#10
locomotor stages in spinal cord injury
neutral
walking ability
spinal cord injury
-
studied
#11
community balance and mobility scale
neutral
walking ability
spinal cord injury
-
studied
#12
activity-based balance level evaluation scale
neutral
walking ability
spinal cord injury
-
studied
#13
Abstract

Walking function recovery in spinal cord injury (SCI) is tackled through several therapeutic approaches in which precise evaluation is essential. A systematic review was performed to provide an updated qualitative review of walking ability outcome measures in SCI and to analyze their psychometric properties. PubMed, Cochrane, and PEDro databases were consulted until 1 April 2020. Seventeen articles written in English were included. Five of them studied the walking index for SCI, four studied the 10 meter walk test, and two studied the six-minute walk test, the timed Up and go test, and the Berg balance scale. The rest of the articles studied the following metrics: gait profile score, spinal cord injury functional ambulation profile, five times sit-to-stand test, spinal cord injury functional ambulation inventory, spinal cord independence measure (indoors and outdoors mobility items), locomotor stages in spinal cord injury, community balance and mobility scale, and activity-based balance level evaluation scale. The choice of a single or a set of metrics should be determined by the clinician. Based on the results obtained in this review, a combination of outcome measures is proposed to assess walking ability. Future work is required to integrate a more realistic environment for walking assessment.

Medical Subject Headings (MeSH)
HumansOutcome Assessment, Health CarePostural BalanceSpinal Cord InjuriesTime and Motion StudiesWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations13
Citations/Year3.3
Relative Citation Ratio2.24
NIH Percentile77.8%
Research Impact Scores
APT Score0.75
Weight Score1.69
Normalized Score0.66
Related Supplements
Walking Ability Outcome Measures in Individuals with Spinal ... | Panacea Index