Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program
Abstract Buehner JJ, Forrest GF, Schmidt-Read M, White S, Tansey K, Basso DM. Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program. Objective To determine the effects of locomotor training on: (1) the International Standards for Neurol...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2012-09, Vol.93 (9), p.1530-1540 |
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| creator | Buehner, Jeffrey J., PT, MS Forrest, Gail F., PhD Schmidt-Read, Mary, MS, DPT White, Susan, PhD Tansey, Keith, MD, PhD Basso, D. Michele, PT, EdD |
| description | Abstract Buehner JJ, Forrest GF, Schmidt-Read M, White S, Tansey K, Basso DM. Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program. Objective To determine the effects of locomotor training on: (1) the International Standards for Neurological Classification of Spinal Cord Injury examination; (2) locomotion (gait speed, distance); (3) balance; and (4) functional gait speed stratifications after chronic incomplete spinal cord injury (SCI). Design Prospective observational cohort. Setting Outpatient rehabilitation centers in the NeuroRecovery Network (NRN). Participants Individuals (n=225) with American Spinal Injury Association Impairment Scale (AIS) grade C or D chronic motor incomplete SCI having completed locomotor training in the NRN. Intervention The NRN Locomotor Training Program consists of manual-facilitated body weight–supported standing and stepping on a treadmill and overground. Main Outcome Measures AIS classification, lower extremity pin prick, light touch and motor scores, ten-meter walk and six-minute walk tests, and the Berg Balance Scale. Results Significant gains occurred in lower extremity motor scores but not in sensory scores, and these were only weakly related to gait speed and distance. Final Berg Balance Scale scores and initial lower extremity motor scores were positively related. Although 70% of subjects showed significantly improved gait speed after locomotor training, only 8% showed AIS category conversion. Conclusions Locomotor training improves gait speed to levels sufficient for independent in-home or community ambulation after chronic motor incomplete SCI. Changes in lower extremity motor and sensory scores do not capture the full extent of functional recovery, nor predict responsiveness to locomotor training. Functional classification based on gait speed may provide an effective measure of treatment efficacy or functional improvement after incomplete SCI. |
| doi_str_mv | 10.1016/j.apmr.2012.02.035 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837307895</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003999312002857</els_id><sourcerecordid>1035531828</sourcerecordid><originalsourceid>FETCH-LOGICAL-c444t-b1ab283dd85cbb37e1efab6dd2ddeb4769e7aded3309d93f1bc3dc951b1461e93</originalsourceid><addsrcrecordid>eNqFUltrFDEYDaLYdds_4IPk0ZdZc5lbQIS1tFpYrPQCfQu5fNtmO5Nsk5nW_fdm3OqDDwofhEPOOSTnfAi9pWRBCa0_bBZq28cFI5QtSB5evUAzWnFWtIzevEQzQggvhBD8AL1JaZNhXXH6Gh0wJhgpKzJD4wV0anDBpzu3xZ9heALweHl5tsQnP1Tv_K9LrLzFp6M3E1AdPh8HE3pI2Hk83AH-BmMMF2DCI8RdRsNTiPd4FTIpDCHiq6icd_4Wf4_hNqr-EL1aqy7B0fM5R9enJ1fHX4vV-Zez4-WqMGVZDoWmSrOWW9tWRmveAIW10rW1zFrQZVMLaJQFyzkRVvA11YZbIyqqaVlTEHyO3u99tzE8jJAG2btkoOuUhzAmSVvecNK0ovo_Ncebw2vze-aI7akmhpQirOU2ul7FXSbJqRm5kVMzcmpGkjx88n_37D_qHuwfye8qMuHjngA5kEcHUSbjwBuwLoIZpA3u3_6f_pKbLmduVHcPO0ibMMbcXP6HTFkgL6fdmFaDMkJYWzX8J7jwtoU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1035531828</pqid></control><display><type>article</type><title>Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Buehner, Jeffrey J., PT, MS ; Forrest, Gail F., PhD ; Schmidt-Read, Mary, MS, DPT ; White, Susan, PhD ; Tansey, Keith, MD, PhD ; Basso, D. Michele, PT, EdD</creator><creatorcontrib>Buehner, Jeffrey J., PT, MS ; Forrest, Gail F., PhD ; Schmidt-Read, Mary, MS, DPT ; White, Susan, PhD ; Tansey, Keith, MD, PhD ; Basso, D. Michele, PT, EdD</creatorcontrib><description>Abstract Buehner JJ, Forrest GF, Schmidt-Read M, White S, Tansey K, Basso DM. Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program. Objective To determine the effects of locomotor training on: (1) the International Standards for Neurological Classification of Spinal Cord Injury examination; (2) locomotion (gait speed, distance); (3) balance; and (4) functional gait speed stratifications after chronic incomplete spinal cord injury (SCI). Design Prospective observational cohort. Setting Outpatient rehabilitation centers in the NeuroRecovery Network (NRN). Participants Individuals (n=225) with American Spinal Injury Association Impairment Scale (AIS) grade C or D chronic motor incomplete SCI having completed locomotor training in the NRN. Intervention The NRN Locomotor Training Program consists of manual-facilitated body weight–supported standing and stepping on a treadmill and overground. Main Outcome Measures AIS classification, lower extremity pin prick, light touch and motor scores, ten-meter walk and six-minute walk tests, and the Berg Balance Scale. Results Significant gains occurred in lower extremity motor scores but not in sensory scores, and these were only weakly related to gait speed and distance. Final Berg Balance Scale scores and initial lower extremity motor scores were positively related. Although 70% of subjects showed significantly improved gait speed after locomotor training, only 8% showed AIS category conversion. Conclusions Locomotor training improves gait speed to levels sufficient for independent in-home or community ambulation after chronic motor incomplete SCI. Changes in lower extremity motor and sensory scores do not capture the full extent of functional recovery, nor predict responsiveness to locomotor training. Functional classification based on gait speed may provide an effective measure of treatment efficacy or functional improvement after incomplete SCI.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2012.02.035</identifier><identifier>PMID: 22920450</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Exercise Therapy - methods ; Female ; Gait ; Humans ; Locomotion ; Male ; Middle Aged ; Outcome Assessment (Health Care) - methods ; Outpatients ; Physical Medicine and Rehabilitation ; Postural Balance ; Prospective Studies ; Recovery of Function ; Rehabilitation ; Rehabilitation Centers ; Spinal cord injuries ; Spinal Cord Injuries - rehabilitation ; Trauma Severity Indices ; Walking ; Young Adult</subject><ispartof>Archives of physical medicine and rehabilitation, 2012-09, Vol.93 (9), p.1530-1540</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2012 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-b1ab283dd85cbb37e1efab6dd2ddeb4769e7aded3309d93f1bc3dc951b1461e93</citedby><cites>FETCH-LOGICAL-c444t-b1ab283dd85cbb37e1efab6dd2ddeb4769e7aded3309d93f1bc3dc951b1461e93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999312002857$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22920450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buehner, Jeffrey J., PT, MS</creatorcontrib><creatorcontrib>Forrest, Gail F., PhD</creatorcontrib><creatorcontrib>Schmidt-Read, Mary, MS, DPT</creatorcontrib><creatorcontrib>White, Susan, PhD</creatorcontrib><creatorcontrib>Tansey, Keith, MD, PhD</creatorcontrib><creatorcontrib>Basso, D. Michele, PT, EdD</creatorcontrib><title>Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Buehner JJ, Forrest GF, Schmidt-Read M, White S, Tansey K, Basso DM. Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program. Objective To determine the effects of locomotor training on: (1) the International Standards for Neurological Classification of Spinal Cord Injury examination; (2) locomotion (gait speed, distance); (3) balance; and (4) functional gait speed stratifications after chronic incomplete spinal cord injury (SCI). Design Prospective observational cohort. Setting Outpatient rehabilitation centers in the NeuroRecovery Network (NRN). Participants Individuals (n=225) with American Spinal Injury Association Impairment Scale (AIS) grade C or D chronic motor incomplete SCI having completed locomotor training in the NRN. Intervention The NRN Locomotor Training Program consists of manual-facilitated body weight–supported standing and stepping on a treadmill and overground. Main Outcome Measures AIS classification, lower extremity pin prick, light touch and motor scores, ten-meter walk and six-minute walk tests, and the Berg Balance Scale. Results Significant gains occurred in lower extremity motor scores but not in sensory scores, and these were only weakly related to gait speed and distance. Final Berg Balance Scale scores and initial lower extremity motor scores were positively related. Although 70% of subjects showed significantly improved gait speed after locomotor training, only 8% showed AIS category conversion. Conclusions Locomotor training improves gait speed to levels sufficient for independent in-home or community ambulation after chronic motor incomplete SCI. Changes in lower extremity motor and sensory scores do not capture the full extent of functional recovery, nor predict responsiveness to locomotor training. Functional classification based on gait speed may provide an effective measure of treatment efficacy or functional improvement after incomplete SCI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Locomotion</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Outpatients</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Postural Balance</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Trauma Severity Indices</subject><subject>Walking</subject><subject>Young Adult</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUltrFDEYDaLYdds_4IPk0ZdZc5lbQIS1tFpYrPQCfQu5fNtmO5Nsk5nW_fdm3OqDDwofhEPOOSTnfAi9pWRBCa0_bBZq28cFI5QtSB5evUAzWnFWtIzevEQzQggvhBD8AL1JaZNhXXH6Gh0wJhgpKzJD4wV0anDBpzu3xZ9heALweHl5tsQnP1Tv_K9LrLzFp6M3E1AdPh8HE3pI2Hk83AH-BmMMF2DCI8RdRsNTiPd4FTIpDCHiq6icd_4Wf4_hNqr-EL1aqy7B0fM5R9enJ1fHX4vV-Zez4-WqMGVZDoWmSrOWW9tWRmveAIW10rW1zFrQZVMLaJQFyzkRVvA11YZbIyqqaVlTEHyO3u99tzE8jJAG2btkoOuUhzAmSVvecNK0ovo_Ncebw2vze-aI7akmhpQirOU2ul7FXSbJqRm5kVMzcmpGkjx88n_37D_qHuwfye8qMuHjngA5kEcHUSbjwBuwLoIZpA3u3_6f_pKbLmduVHcPO0ibMMbcXP6HTFkgL6fdmFaDMkJYWzX8J7jwtoU</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Buehner, Jeffrey J., PT, MS</creator><creator>Forrest, Gail F., PhD</creator><creator>Schmidt-Read, Mary, MS, DPT</creator><creator>White, Susan, PhD</creator><creator>Tansey, Keith, MD, PhD</creator><creator>Basso, D. Michele, PT, EdD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20120901</creationdate><title>Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program</title><author>Buehner, Jeffrey J., PT, MS ; Forrest, Gail F., PhD ; Schmidt-Read, Mary, MS, DPT ; White, Susan, PhD ; Tansey, Keith, MD, PhD ; Basso, D. Michele, PT, EdD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-b1ab283dd85cbb37e1efab6dd2ddeb4769e7aded3309d93f1bc3dc951b1461e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Locomotion</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Outpatients</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Postural Balance</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Trauma Severity Indices</topic><topic>Walking</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buehner, Jeffrey J., PT, MS</creatorcontrib><creatorcontrib>Forrest, Gail F., PhD</creatorcontrib><creatorcontrib>Schmidt-Read, Mary, MS, DPT</creatorcontrib><creatorcontrib>White, Susan, PhD</creatorcontrib><creatorcontrib>Tansey, Keith, MD, PhD</creatorcontrib><creatorcontrib>Basso, D. 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Michele, PT, EdD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>93</volume><issue>9</issue><spage>1530</spage><epage>1540</epage><pages>1530-1540</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Buehner JJ, Forrest GF, Schmidt-Read M, White S, Tansey K, Basso DM. Relationship between ASIA examination and functional outcomes in the NeuroRecovery Network Locomotor Training Program. Objective To determine the effects of locomotor training on: (1) the International Standards for Neurological Classification of Spinal Cord Injury examination; (2) locomotion (gait speed, distance); (3) balance; and (4) functional gait speed stratifications after chronic incomplete spinal cord injury (SCI). Design Prospective observational cohort. Setting Outpatient rehabilitation centers in the NeuroRecovery Network (NRN). Participants Individuals (n=225) with American Spinal Injury Association Impairment Scale (AIS) grade C or D chronic motor incomplete SCI having completed locomotor training in the NRN. Intervention The NRN Locomotor Training Program consists of manual-facilitated body weight–supported standing and stepping on a treadmill and overground. Main Outcome Measures AIS classification, lower extremity pin prick, light touch and motor scores, ten-meter walk and six-minute walk tests, and the Berg Balance Scale. Results Significant gains occurred in lower extremity motor scores but not in sensory scores, and these were only weakly related to gait speed and distance. Final Berg Balance Scale scores and initial lower extremity motor scores were positively related. Although 70% of subjects showed significantly improved gait speed after locomotor training, only 8% showed AIS category conversion. Conclusions Locomotor training improves gait speed to levels sufficient for independent in-home or community ambulation after chronic motor incomplete SCI. Changes in lower extremity motor and sensory scores do not capture the full extent of functional recovery, nor predict responsiveness to locomotor training. Functional classification based on gait speed may provide an effective measure of treatment efficacy or functional improvement after incomplete SCI.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22920450</pmid><doi>10.1016/j.apmr.2012.02.035</doi><tpages>11</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Exercise Therapy - methods Female Gait Humans Locomotion Male Middle Aged Outcome Assessment (Health Care) - methods Outpatients Physical Medicine and Rehabilitation Postural Balance Prospective Studies Recovery of Function Rehabilitation Rehabilitation Centers Spinal cord injuries Spinal Cord Injuries - rehabilitation Trauma Severity Indices Walking Young Adult |
| title | Relationship Between ASIA Examination and Functional Outcomes in the NeuroRecovery Network Locomotor Training Program |
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