Evidence map›Paper›PMID 19086706›Full record

ReviewThe journal of spinal cord medicine2008

Outcome measures for gait and ambulation in the spinal cord injury population.

Amie B Jackson, Charles T Carnel, John F Ditunno, Mary Schmidt Read, Michael L Boninger, Mark R Schmeler, Steve R Williams, William H Donovan, Gait and Ambulation Subcommittee

5 registry-linked trialsAbstract readReview
In one paragraph

Review in The journal of spinal cord medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03254797 nacompletednot on this mapstarted 2017, after this paper: background citation

Effects of Stepping Training With External Feedback on Walking and Functional Ability in Ambulatory Patients With Spinal Cord Injury

TypeinterventionalSponsorKhon Kaen UniversityRan2017 to 2020Enrolled44ConditionsSpinal Cord InjuriesArmsStepping training with feedback, Stepping training without feedback
NCT03477123 nacompletednot on this mapstarted 2016, after this paper: background citation

Evaluation of Robotic Exoskeletons Therapy for Gait Rehabilitation in Patients With Incomplete Spinal Cord Injury

TypeinterventionalSponsorHospital Nacional de Parapléjicos de ToledoRan2016 to 2020Enrolled20ConditionsSpinal Cord Injury, Incomplete Spinal Cord InjuryArmsWalking therapy with Exo-H2 exoskeleton
NCT03875066 nacompletednot on this mapstarted 2017, after this paper: background citation

Immediate Effects of Stepping Training With or Without External Feedback on Walking and Functional Ability in Ambulatory Patients With Spinal Cord Injury

TypeinterventionalSponsorKhon Kaen UniversityRan2017 to 2019Enrolled30ConditionsSpinal Cord InjuriesArmsStepping training without feedback, Stepping training with feedback
NCT06137456 nacompletednot on this mapstarted 2022, after this paper: background citation

First Report of a New Exoskeleton in Incomplete Spinal Cord Injury: FreeGait®

TypeinterventionalSponsorAnkara City Hospital BilkentRan2022 to 2023Enrolled14ConditionsSpinal Cord Injuries, Walking, DifficultyArmsExoskeletal robotic therapy for walking., Conventional exercise therapy
NCT06827119 completednot on this mapstarted 2023, after this paper: background citation

Investigation of the Relationship Between Lower Limb Prosthesis Usage Skills and Adaptation Level with Functional Mobility and Activities of Daily Living

TypeobservationalSponsorAnkara City Hospital BilkentRan2023 to 2024Enrolled18ConditionsAmputees / Rehabilitation
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Walking Ability Outcome Measures in Individuals with Spinal Cord Injury: A Systematic Review.International journal of environmental research and public health · 2021
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Amie B JacksonDepartment of Physical Medicine and Rehabilitation, University of Alabama, Birmingham, AL 35213, USA.
Charles T Carnel
John F Ditunno
Mary Schmidt Read
Michael L Boninger
Mark R Schmeler
Steve R Williams
William H Donovan
Gait and Ambulation Subcommittee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAt the 2006 National Institute on Disability and Rehabilitation Research (NIDRR) sponsored pre-conference on spinal cord injury (SCI) outcomes, several gait and ambulation measures were evaluated for utility in clinical practice, validity, and reliability as research measurement tools. The Conference Subcommittee on Gait and Ambulation chose to review the Walking Index for Spinal Cord Injury II (WISCI II), 50-Foot Walk Test (50FTWT), 6-Minute Walk Test (6MWT), 10-Meter Walk Test (10MWT), and Functional Independence Measure-Locomotor (FIM-L).

methodsA subcommittee of international experts evaluated each instrument for test construct, administration, population applicability, reliability, sensitivity to change, and validity. Evaluations for each outcome measure were compiled, distributed to the whole committee, and then further reviewed with addition of comments and recommendations for consensus. An audience of experts voted on the validity and usefulness of each measure.

resultsWISCI II and 10MWT were found to be the most valid and clinically useful tests to measure improvement in gait for patients with SCI. FIM-L had little utility and validity for research in SCI. 6MWT and 50FTWT were found to be useful but in need of further validation or changes for the SCI population.

conclusionA combination of the 10MWT and WISCI II would provide the most valid measure of improvement in gait and ambulation in as much as objective changes of speed, and functional capacity allow for interval measurement. To provide the most comprehensive battery, however, it will be important to include a measure of endurance such as the 6MWT. Further validation and study should be devoted to WISCI II, 10MWT, and 6MWT as primary outcome measures for gait in SCI.

Indexed as

Outcome Assessment, Health CareSpinal Cord InjuriesDisability EvaluationGaitHumansReproducibility of ResultsSensitivity and SpecificitySeverity of Illness IndexWalking

Identifiers

PMID19086706
PMCPMC2607121

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.