J Neurol Phys Ther, 2023 · DOI: 10.1097/NPT.0000000000000428 · Published: July 1, 2023
This study validates a tool (a clinical prediction rule or CPR) that helps predict if someone with a spinal cord injury (SCI) will be able to walk outside one year after their injury. The CPR uses scores from a neurological exam (ISNCSCI) taken shortly after the injury to estimate the likelihood of outdoor walking ability. The study found that the CPR is accurate in predicting outdoor walking ability and can help clinicians make better decisions about rehabilitation and care.
Clinicians can use the CPR (L3/L5 myotome, S1 sensory testing) to estimate the likelihood of a patient recovering outdoor walking ability, informing rehabilitation strategies.
CPR results can help prioritize rehabilitation strategies (intensive locomotor training vs. compensatory strategies like wheelchair skills).
The CPR can be used to stratify research participant subgroups for future clinical trials.