Injury wisci102104 it measures ability to walk 10 m and need for physical assistance, orthoses. Spinal cord injury subjects who are capable of standing and walking in the parallel bars will be eligible for assessment. Manual for use of walking index for spinal cord injury ii wisci ii. Evaluation of the walking index for spinal cord injury ii wisciii in children with.
Reliability and reproducibility article pdf available in spinal cord 521 october 20 with 196 reads. Individuals with motorincomplete sci misci remain limited community ambulators, partly because they have difficulty with the skilled walking requirements of everyday life that require adaptations in interjoint. A large rehabilitation hospital in the center of italy. Review the walking index for spinal cord injury wisciwisci ii. Walking index for spinal cord injury wisci and wisci ii. Walking index for spinal cord injury version 2 wisciii. Walking index for spinal cord injury version 2 wisciii with repeatability of the 10m walk time inter and intrarater reliabilities abstract marino rj, scivoletto g, patrick m, tamburella f, read ms, burns as, hauck w, ditunno j. In this reliability study, 26 subjects from the united states and italy with spinal cord injury disorder were tested by two blinded raters on two separate days to determine selfselected and maximum walking index for spinal cord injury levels and the time to complete a 10m walk. The walking index for spinal cord injury wisci, which was developed as a 21level functional capacity scale, integrates the level of physical assistance with the need for braces and walking aids. Spinal cord injury functional ambulation inventory.
Validation of the walking index for spinal cord injury in. Manual for use of walking index for spinal cord injury ii. Subjects were progressed from selfselected to maximum walking index for spinal cord injury incremen. Walking index for spinal cord injury wisci ii descriptors.
Appendix walking index for spinal cord injury wisci ii physical limitation for walking secondary to impairment is defined at the person level and indicates the ability of a person to walk after. Original article walking index for spinal cord injury wisci. Pdf the assessment of walking capacity using the walking. The wisci ii has good face validity, concurrent validity, and reliability following acute sci. Ii in children and adolescents with spinal cord injury.
To compare the walking index for spinal cord injury wisci and current scales for their sensitivity to walking changes in subjects with a spinal cord. The walking index for spinal cord injury wisci is a functional capacity scale designed to. Basic facts spinal cord injury occurs when there is any damage to the spinal cord that blocks communication between the brain and the body. It broadly categorises the ability to walk 10 m using a 21item hierarchical scale which takes into account need for physical assistance, braces, and walking. A framework for physiotherapy management section 1 39 table 2.
To compare the walking index for spinal cord injury wisci and current scales for their sensitivity to walking changes in subjects. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Pdf the walking index for spinal cord injury wisci. Walking after spinal cord injury physiotherapy treatment. Rank orders the ability of a person to walk 10m after a spinal cord. The reproducibility and convergent validity of the walking. Walking index for spinal cord injury spinal cord injury. To demonstrate the prospective construct validity of the walking index for spinal cord injury wisci in useuropean clinical population. The reproducibility and convergent validity of the walking index for spinal cord injury wisci in chronic spinal cord injury anthony s.
Outcome measures for gait and ambulation in the spinal. The walking index for spinal cord injury ii wisci ii is a hierarchical scale that measures improvements in walking following spinal cord injury sci. Quality of life index qli spinal cord injury research. The walking index for spinal cord injury wisci, which was developed as a 21 level functional capacity scale, integrates the level of physical assistance with. Walking index for spinal cord injury wisci and wisci ii spinal. Appendix walking index for spinal cord injury wisci ii physical limitation for walking secondary to impairment is defined at the person level and indicates the ability of a person to walk. The walking index for spinal cord injury wisci is a gait assessment for people with spinal cord injury sci developed primarily for clinical trials. The spinal cord injury version is available in english, lithuanian and french. Walking index for spinal cord injury wisci ii descriptors physical limitation for walking secondary to impairment is defined at the person level and indicates the ability of a person to walk after spinal cord injury. The first and the foremost, being the level of lesion. Validity of the walking scale for spinal cord injury and.
But there are many physical factors which determine whether a patient can achieve functional walking after spinal cord injury or not. Short communication walking index for spinal cord injury wisci ii. In addition, they evaluate multiple functional outcomes including the 6min walk test, 10m walk test, the walking index for spinal cord injury version ii wisci ii 58, the spinal cord. There are many variations of this test in the literature although the 10 meter walk test 10mwt is the most common. To compare the walking index for spinal cord injury wisci and current scales for their sensitivity to walking changes in subjects with a spinal cord lesion scl and further validate the wisci for use in clinical trails. The 2 trials, for each speed, are averaged and the 2 gait speeds are. Walking index for spinal cord injury version 2 wisciii with repeatability of the 10m walk time. The assessment of walking capacity using the walking index for spinal cord injury. Validation of the walking index for spinal cord injury in a us and european clinical population. They are designed to be a more precise measure of improvement in walking ability specific to sci. Recommendations for use of the instrument from the neurology section of the american physical therapy associations multiple sclerosis taskforce msedge, parkinsons taskforce pd edge, spinal cord injury taskforce pd edge, stroke taskforce strokedge, traumatic brain injury taskforce tbi edge, and vestibular taskforce vestibular edge. Improvements in skilled walking associated with kinematic.
The walking index for spinal cord injury wisci, which was developed as a 21level functional capacity scale, integrates the level of physical assistance with. Mr enjoyed exercising 4 days per week at the rehabilitation hospital central gym, accessing the community with public transportation bus service, and visiting with friends and family. Two trials are administered at the patients comfortable walking speed, followed by 2 trials at hisher fast walking speed, per the below instructions. Walking index for spinal cord injury rehabmeasures database. To compare the walking index for spinal cord injury wisci and current scales for their sensitivity to walking changes in subjects with a spinal cord lesion scl and further validate the wisci. Walking index for spinal cord injury version ii in acute spinal cord injury. Walking index for spinal cord injury version 2 wisciii with repeatability of the 10m walk. The wisci is a 21level hierarchical scale which incorporates gradations of physical assistance and devices required for walking. The walking index for spinal cord injury wisciwisci ii. For other versions arthritis, cancer, cardiac, etc. Walking index for spinal cord injury version 2 wisciii with.
Validity of the walking scale for spinal cord injury and other. Pilot study of reliability and validity of the walking index for spinal cord injury ii wisci. Pdf walking index for spinal cord injury version ii in. The walking index for spinal cord injury wisci is a functional capacity scale designed to measure improvements in ambulation in persons with spinal cord injury, by evaluating the amount of physical assistance, braces or devices required to walk 10 meters. What is the spinal cord injury outcome measures toolkit. A standardized set of outcome measures for use in sci clinical practice consists of 33 measures that have been psychometrically validated with an sci sample.
Evaluation of the walking index for spinal cord injury ii wisciii in. It broadly categorises the ability to walk 10 m using a 21item hierarchical scale which takes into account need for physical assistance, braces, and walking aids. Walking index for spinal cord injury free download as pdf file. At the 2006 national institute on disability and rehabilitation research nidrr sponsored preconference on spinal cord injury sci outcomes, several gait and ambulation measures were evaluated for utility in clinical practice, validity. The main aim of walking after spinal cord injury is to teach functional ambulation to the patient. After a spinal cord injury, a persons sensory, motor and reflex messages are affected and may not be able to get past the damage in the spinal cord. Standing and walking can help to prevent contractures of the lower limb joints, as well as osteoporosis, spasticity, bed sores and edema in patients with spinal cord injury sci. Measurements included neurological evaluation with lower extremity motor scores. To evaluate the psychometric properties of the spinal cord injury functional index scifi short forms basic mobility, selfcare, fine motor, ambulation, manual wheelchair, and power wheelchair based on internal consistency, correlations between short and full item bank forms, and a 10item compute adaptive test version, magnitude of ceiling and floor effects, and test. Pdf validation of the walking index for spinal cord. Short communication walking index for spinal cord injury. The scifai assesses functional walking ability in ambulatory individuals with sci fieldfote et al. Developed through consensus method using a 3round online delphi survey with a pancanadian panel of 63 experts with experience in sci clinical practice. The walking index for spinal cord injury wisci is an ordinal scale that.
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