Topics in spinal cord injury rehabilitation · 2026
Predicting Functional Walking at Discharge from Inpatient Rehabilitation After Traumatic Spinal Cord Injury: A Single-Site Retrospective Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ripic Jonathan E, Workman Emily C, Gray Elizabeth, Kim Kwang-Youn A, Farley Matthew T, Chen Bing, Perez Monica A
Аннотация
BACKGROUND: Predicting walking ability after spinal cord injury (SCI) is important to patients. Clinical prediction rules (CPR) have been developed to aid in predicting walking ability by 1 year but not by inpatient rehabilitation facility (IRF) discharge.
OBJECTIVES: The purpose of this study was to identify a new threshold from the Canadian Outdoor Walking CPR (Jean-CPR) to determine accuracy in predicting household walking ability by discharge from IRF.
METHODS: This was a single-site retrospective analysis conducted at an IRF in the United States. The main predictor variables for walking ability were lumbar spinal level 3 and 5 motor and sacral level 1 light touch (LT) scores. We used train-test split modeling for the Jean-CPR to determine an optimal predictive threshold for household walking at discharge. The optimal threshold was applied to an independent testing group.
RESULTS: From a total of 573 patient records, a Jean-CPR score ≥50 predicted household walking by discharge from IRF with an area under the curve of 0.945 (95% CI 0.91-0.98, P < .0001). For those with American Spinal Injury Association Impairment Scale (AIS) B/C injuries, a Jean-CPR score ≥50 demonstrated an AUC of 0.847 and a sensitivity of 86.36%.
CONCLUSION: This study is the first to validate a walking CPR in the early phases of SCI recovery. Future research may benefit from assessing the external validity of our results and assessing against clinician decision-making. Our results support the use of the Jean-CPR for predicting walking ability by discharge from an IRF.
OBJECTIVES: The purpose of this study was to identify a new threshold from the Canadian Outdoor Walking CPR (Jean-CPR) to determine accuracy in predicting household walking ability by discharge from IRF.
METHODS: This was a single-site retrospective analysis conducted at an IRF in the United States. The main predictor variables for walking ability were lumbar spinal level 3 and 5 motor and sacral level 1 light touch (LT) scores. We used train-test split modeling for the Jean-CPR to determine an optimal predictive threshold for household walking at discharge. The optimal threshold was applied to an independent testing group.
RESULTS: From a total of 573 patient records, a Jean-CPR score ≥50 predicted household walking by discharge from IRF with an area under the curve of 0.945 (95% CI 0.91-0.98, P < .0001). For those with American Spinal Injury Association Impairment Scale (AIS) B/C injuries, a Jean-CPR score ≥50 demonstrated an AUC of 0.847 and a sensitivity of 86.36%.
CONCLUSION: This study is the first to validate a walking CPR in the early phases of SCI recovery. Future research may benefit from assessing the external validity of our results and assessing against clinician decision-making. Our results support the use of the Jean-CPR for predicting walking ability by discharge from an IRF.