ArticleArchives of physical medicine and rehabilitation2024
A Single Dermatome Clinical Prediction Rule for Independent Walking 1 Year After Spinal Cord Injury.
Article in Archives of physical medicine and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Functional outcome prediction after traumatic cervical spinal cord injury using ensemble machine learning: a three‑center validation study.Acta neurologica Belgica · 2026Article
- Linking neurological status to functional outcomes in spinal cord injury: a multi-class, task-specific approach.BMC biomedical engineering · 2026Article
- Gait recovery in patients with late assessment of incomplete spinal cord injury: A retrospective study in Argentina.The journal of spinal cord medicine · 2025Article
- Predictive modeling of ambulatory outcomes after spinal cord injury using machine learning.Spinal cord · 2024Article
- Spinal cord lesion MRI and behavioral outcomes in a miniature pig model of spinal cord injury: exploring preclinical potential through an ad hoc comparison with human SCI.Spinal cord series and cases · 2024Article
- Response to Letter to the Editor on "A Single Dermatome Clinical Prediction Rule for Independent Walking One Year After Spinal Cord Injury".Archives of physical medicine and rehabilitation · 2024Article
- Sensory Information Modulates Voluntary Movement in an Individual with a Clinically Motor- and Sensory-Complete Spinal Cord Injury: A Case Report.Journal of clinical medicine · 2023Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo derive and validate a simple, accurate CPR to predict future independent walking ability after SCI at the bedside that does not rely on motor scores and is predictive for those initially classified in the middle of the SCI severity spectrum.
designRetrospective cohort study. Binary variables were derived, indicating degrees of sensation to evaluate predictive value of pinprick and light touch variables across dermatomes. The optimal single sensory modality and dermatome was used to derive our CPR, which was validated on an independent dataset.
settingAnalysis of SCI Model Systems dataset.
participantsIndividuals with traumatic SCI. The data of 3679 participants (N=3679) were included with 623 participants comprising the derivation dataset and 3056 comprising the validation dataset.
interventionsNot applicable.
main outcome measuresSelf-reported ability to walk both indoors and outdoors.
resultsPinprick testing at S1 over lateral heels, within 31 days of SCI, accurately identified future independent walkers 1 year after SCI. Normal pinprick in both lateral heels provided good prognosis, any pinprick sensation in either lateral heel provided fair prognosis, and no sensation provided poor prognosis. This CPR performed satisfactorily in the middle SCI severity subgroup.
conclusionsIn this large multi-site study, we derived and validated a simple, accurate CPR using only pinprick sensory testing at lateral heels that predicts future independent walking after SCI.
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