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Department of Physical Therapy >
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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25245

Title: Spinal cord injury walking measures: charting consistency and community ambulation capacity
Authors: Carere, Megan
Johnson, Rachel
McCurdy, Shayda
Ormiston, Jane
Peterson, Alissa
Advisor: Verrier, Molly
Flett, Heather
Craven, Cathy
Department: Physical Therapy
Keywords: spinal cord injury
Issue Date: 2009
Abstract: Objectives: (1) Determine if physiotherapists are administering walking competency measures during and at discharge from inpatient rehabilitation; (2) assess the walking competency of patients with incomplete spinal cord injury (iSCI) through comparisons with community ambulation requirements. Methods: 180 health records of patients with iSCI were abstracted and analyzed. Data included the frequencies of 7 outcome measures taken and recorded until discharge and the frequency of administration by physiotherapists. The mean score at discharge for each outcome measure was analyzed to determine walking competency. Frequencies of scores attaining community ambulation requirements were analyzed. Results: Manual muscle tests were documented in 89.40%, the timed up and go (TUG) in 23.89%, and the 10-metre walk test (10mWT) in 16.67% of health records. Outcome measures were calculated 97.22% of the time for the assistive device score and 100% of the time for the walking index for spinal cord injury. Community ambulation requirements were met in 37.14% of TUG tests, 48% of 10mWTs, and 40.28% of modified 6-Minute Walk Tests. Conclusion: Physiotherapists are inconsistently administering walking competency outcome measures and do not have a standardized way of assessing safe community ambulation. Missing data could assist the advancement of best practice guidelines and future research.
Description: Affiliated institutions include: Toronto Rehabilitation Institute (C. Craven, H. Flett), University of Toronto (M. Verrier)
URI: http://hdl.handle.net/1807/25245
Appears in Collections:Student Research and Publications

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