Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 6 , Pages 762-767 , June 2007

The Assessment of Walking Capacity Using the Walking Index for Spinal Cord Injury: Self-Selected Versus Maximal Levels

  • Myeong Ok Kim, MD

      Affiliations

    • Department of Rehabilitation Medicine, Inha University Hospital, Incheon, Korea
    • ,
  • Anthony S. Burns, MD

      Affiliations

    • Department of Rehabilitation Medicine, the Regional SCI Center of the Delaware Valley, Thomas Jefferson University, Philadelphia, PA.
    • Corresponding Author InformationCorrespondence to Anthony S. Burns, MD, Thomas Jefferson University, 132 S 10th St, Ste 375, Main Bldg, Philadelphia, PA 19107
    • ,
  • John F. Ditunno Jr, MD

      Affiliations

    • Department of Rehabilitation Medicine, the Regional SCI Center of the Delaware Valley, Thomas Jefferson University, Philadelphia, PA.
    • ,
  • Ralph J. Marino, MD

      Affiliations

    • Department of Rehabilitation Medicine, the Regional SCI Center of the Delaware Valley, Thomas Jefferson University, Philadelphia, PA.

References 

  1. Sanofi-Aventis. HP184 in chronic spinal cord injury subjects. Clinicaltrials.gov no. NCT00093275.
  2. Dobkin B, Apple D, Barbeau H, et al. Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI. Neurology. 2006;66:484–493
  3. Fouad K, Pearson K. Restoring walking after spinal cord injury. Prog Neurobiol. 2004;73:107–126
  4. Kwon BK, Fisher CG, Dvorak MF, Tetzlaff W. Strategies to promote neural repair and regeneration after spinal cord injury. Spine. 2005;30:S3–S13
  5. McDonald JW. Repairing the damaged spinal cord: from stem cells to activity-based restoration therapies. Clin Neurosurg. 2004;51:207–227
  6. Myckatyn TM, Mackinnon SE, McDonald JW. Stem cell transplantation and other novel techniques for promoting recovery from spinal cord injury. Transpl Immunol. 2004;12:343–358
  7. Steeves JD, Lammertse D, Curt A, et al. Guidelines for the conduct of clinical trials for spinal cord injury (SCI) as developed by the ICCP panel: clinical trial outcome measures. Spinal Cord. 2007;45:206–221
  8. Ditunno JF, Ditunno PL, Graziani V, et al. Walking index for spinal cord injury (WISCI): an international multicenter validity and reliability study. Spinal Cord. 2000;38:234–243
  9. Ditunno PL, Ditunno JF. Walking index for spinal cord injury (WISCI II): scale revision. Spinal Cord. 2001;39:654–656
  10. Morganti B, Scivoletto G, Ditunno P, Ditunno JF, Molinari M. Walking index for spinal cord injury (WISCI): criterion validation. Spinal Cord. 2005;43:27–33
  11. van Hedel HJ, Wirz M, Curt A. Improving walking assessment in subjects with an incomplete spinal cord injury: responsiveness. Spinal Cord. 2006;44:352–356
  12. van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Arch Phys Med Rehabil. 2005;86:190–196
  13. Ditunno JF, Burns AS, Marino RJ. Neurological and functional capacity outcome measures: essential to spinal cord injury clinical trials. J Rehabil Res Dev. 2005;42(3 Suppl 1):35–41
  14. Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60:145–154
  15. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–65
  16. Yarkony GM, Roth EJ, Heinemann AW, Wu YC, Katz RT, Lovell L. Benefits of rehabilitation for traumatic spinal cord injury (Multivariate analysis in 711 patients). Arch Neurol. 1987;44:93–96
  17. Granger CV, Cotter AC, Hamilton BB, Fiedler RC, Hens MM. Functional assessment scales: a study of persons with multiple sclerosis. Arch Phys Med Rehabil. 1990;71:870–875
  18. Hamilton BB, Granger CV, Sherwin FS. A uniform national data system for medical rehabilitation. In:  Fuhrer MJ editors. Rehabilitation outcomes: analysis and measurement. Baltimore: Brookes; 1987;p. 137–147
  19. Catz A, Itzkovich M, Agranov E, Ring H, Tamir A. SCIM—spinal cord independence measure: a new disability scale for patients with spinal cord lesions. Spinal Cord. 1997;35:850–856
  20. Marino RJ, Barros T, Biering-Sorensen F, et al. International standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2003;26(Suppl 1):50–56
  21. MacGregor J. The objective measurement of physical performance with long-term ambulatory physiological surveillance equipment (LAPSE). In:  Stott FD,  Raftery EB,  Goulding L editor. Proceedings of 3rd International Symposium on Ambulatory Monitoring. London: Academic Pr; 1979;p. 29–39
  22. IJzerman MJ, Baardman G, ’t Hof MA, Boom HB, Hermens HJ, Veltink PH. Validity and reproducibility of crutch force and heart rate measurements to assess energy expenditure of paraplegic gait. Arch Phys Med Rehabil. 1999;80:1017–1023
  23. Hood VL, Granat MH, Maxwell DJ, Hasler JP. A new method of using heart rate to represent energy expenditure: the Total Heart Beat Index. Arch Phys Med Rehabil. 2002;83:1266–1273
  24. IJzerman MJ, Nene AV. Feasibility of the physiological cost index as an outcome measure for the assessment of energy expenditure during walking. Arch Phys Med Rehabil. 2002;83:1777–1782
  25. National Spinal Cord Injury Statistical Center. Facts and figures at a glance—June 2006. Available at: http://www.spinalcord.uab.edu/show.asp?durki=21446. Accessed March 2, 2007.
  26. Winchester P, Carollo JJ, Habasevich R. Physiologic costs of reciprocal gait in FES assisted walking. Paraplegia. 1994;32:680–686

 Supported by the National Institute on Disability and Rehabilitation Research, Office of Special Education and Rehabilitative Services, U.S. Department of Education (grant no. H133N000023).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.Reprints are not available from the author.

PII: S0003-9993(07)00230-4

doi: 10.1016/j.apmr.2007.03.021

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 6 , Pages 762-767 , June 2007

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