دورية أكاديمية

Using the Standing and Walking Assessment Tool at Discharge Predicts Community Outdoor Walking Capacity in Persons With Traumatic Spinal Cord Injury

التفاصيل البيبلوغرافية
العنوان: Using the Standing and Walking Assessment Tool at Discharge Predicts Community Outdoor Walking Capacity in Persons With Traumatic Spinal Cord Injury
المؤلفون: Hong, Heather A, Walden, Kristen, Laskin, James J, Wang, Di, Kurban, Dilnur, Cheng, Christiana L, Guilbault, Lindsey, Dagley, Erica, Wong, Chelsea, McCullum, Shane, Gagnon, Dany H, Lemay, Jean-François, Noonan, Vanessa K, Musselman, Kristin E
المساهمون: Praxis Spinal Cord Institute, Health Canada, Pacific Economic Development Canada, Governments of Alberta, British Columbia, Manitoba, and Ontario
المصدر: Physical Therapy ; volume 103, issue 11 ; ISSN 0031-9023 1538-6724
بيانات النشر: Oxford University Press (OUP)
سنة النشر: 2023
مصطلحات موضوعية: Physical Therapy, Sports Therapy and Rehabilitation
الوصف: Objective The Standing and Walking Assessment Tool (SWAT) standardizes the timing and content of walking assessments during inpatient rehabilitation by combining 12 stages ranging from lowest to highest function (0, 0.5, 1A, 1B, 1C, 2A, 2B, 2C, 3A, 3B, 3C, and 4) with 5 standard measures: the Berg Balance Scale, the modified Timed “Up & Go” test, the Activities-specific Balance Confidence Scale, the modified 6-Minute Walk Test, and the 10-Meter Walk Test (10MWT). This study aimed to determine if the SWAT at rehabilitation discharge could predict outdoor walking capacity 1-year after discharge in people with traumatic spinal cord injury. Methods This retrospective study used data obtained from the Rick Hansen Spinal Cord Injury Registry from 2014 to 2020. Community outdoor walking capacity was measured using the Spinal Cord Independence Measure III (SCIM III) outdoor mobility score obtained 12 (±4) months after discharge. Of 206 study participants, 90 were community nonwalkers (ie, SCIM III score 0–3), 41 were community walkers with aids (ie, SCIM III score 4–6), and 75 were independent community walkers (ie, SCIM III score 7–8). Bivariate, multivariable regression, and an area under the receiver operating characteristic curve analyses were performed. Results At rehabilitation discharge, 3 significant SWAT associations were confirmed: 0–3A with community nonwalkers, 3B/higher with community walkers with and without an aid, and 4 with independent community walkers. Moreover, at discharge, a higher (Berg Balance Scale, Activities-specific Balance Confidence Scale), faster (modified Timed “Up & Go,” 10MWT), or further (10MWT) SWAT measure was significantly associated with independent community walking. Multivariable analysis indicated that all SWAT measures, except the 10MWT were significant predictors of independent community walking. Furthermore, the Activities-Specific Balance Confidence Scale had the highest area under the receiver operating characteristic score (0.91), demonstrating an ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1093/ptj/pzad106
DOI: 10.1093/ptj/pzad106/51089317/pzad106.pdf
الإتاحة: https://doi.org/10.1093/ptj/pzad106Test
https://academic.oup.com/ptj/article-pdf/103/11/pzad106/56245418/pzad106.pdfTest
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.7034CEB5
قاعدة البيانات: BASE