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Balance and Ambulation Improvements in Individuals With Chronic Incomplete Spinal Cord Injury Using Locomotor Training–Based Rehabilitation  Susan J.

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Presentation on theme: "Balance and Ambulation Improvements in Individuals With Chronic Incomplete Spinal Cord Injury Using Locomotor Training–Based Rehabilitation  Susan J."— Presentation transcript:

1 Balance and Ambulation Improvements in Individuals With Chronic Incomplete Spinal Cord Injury Using Locomotor Training–Based Rehabilitation  Susan J. Harkema, PhD, Mary Schmidt-Read, MS, DPT, Douglas J. Lorenz, PhD, V. Reggie Edgerton, PhD, Andrea L. Behrman, PhD, PT  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 9, Pages (September 2012) DOI: /j.apmr Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 Plots of the Berg Balance Scale for NRN patients: Line plot of individual patient progress in patients with (A) AIS grade C (n=66) and (B) AIS grade D (n=130). (C) Box plot of initial and final evaluations for the full sample and by AIS grade. *Significant improvement from initial to final evaluation (Wilcoxon rank-sum test, P<.001). (D) Cumulative distribution functions (smoothed by a cubic spline) of initial and final evaluations for the full sample and patients with AIS grades C and D. Dash-dotted vertical line at Berg score of 45 indicates the threshold for fall risk, and dash-dotted horizontal lines provide the empirical cumulative distribution functions at 45. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 Plots of the Six-Minute Walk Test for NRN patients. Line plots of individual patient progress in patients with (A) AIS grade C (n=66) and (B) AIS grade D (n=130). (C) Box plot of initial and final evaluations for the full sample and by AIS grade. *Significant improvement from initial to final evaluation (Wilcoxon rank-sum test, P<.001). (D) Cumulative distribution functions (smoothed by a cubic spline) of initial and final evaluations for the full sample and patients with AIS grades C and D. Dash-dotted vertical line at distance of 158.4m indicates a threshold equivalent to a safe speed for community ambulation (0.44m/s), and dash-dotted horizontal lines provide the empirical cumulative distribution functions at 158.4m. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 Plots of the 10-Meter Walk Test for NRN patients. Line plots of individual patient progress in patients with (A) AIS grade C (n=66) and (B) AIS grade D (n=130). (C) Box plot of initial and final evaluations for the full sample and by AIS grade. *Significant improvement from initial to final evaluation (Wilcoxon rank-sum test, P<.001). (D) Cumulative distribution functions (smoothed by a cubic spline) of initial and final evaluations for the full sample and patients with AIS grades C and D. Dash-dotted vertical line at speed of 0.44m/s indicates a threshold equivalent to a safe speed for community ambulation, and dash-dotted horizontal lines provide the empirical cumulative distribution functions at 0.44m/s. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

5 Fig 4 Initial versus final performance. Scatterplot of final evaluation (y-axis) against initial evaluation (x-axis) for the (A) Berg Balance Scale, (B) Six-Minute Walk Test, and (C) 10-Meter Walk Test for patients with AIS grades C (n=66) and D (n=130) enrolled in the NRN. Significant improvement from initial to final evaluation occurred for each measure (P<.001), reflected in the plot as points lying in the left upper half of the plane. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions


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