Advancing measurement of locomotor rehabilitation outcomes to optimize interventions and differentiate between recovery versus compensation.

Journal of Neurologic Physical Therapy : JNPT
Mark G BowdenSteven A Kautz

Abstract

Progress in locomotor rehabilitation has created an increasing need to understand the factors that contribute to motor behavior, to determine whether these factors are modifiable, and if so, to determine how best to modify them in a way that promotes improved function. Currently available clinical measures do not have the capacity to distinguish between neuromotor recovery and compensation for impaired underlying body structure/functions. This Special Interest article examines the state of outcomes measurement in physical therapy in regard to locomotor rehabilitation, and suggests approaches that may improve assessment of recovery and clinical decision-making capabilities. We examine historical approaches to measurement of locomotor rehabilitation outcomes, including rating scales, timed movement tasks, and laboratory-based outcome measures, and we discuss the emerging use of portable technology to assess walking in a free-living environment. The ability to accurately measure outcomes of rehabilitation, both in and away from the clinical/laboratory setting, allows assessment of skill acquisition, retention, and long-term carryover in a variety of environments. Accurate measurement allows behavioral changes to be observed, and a...Continue Reading

Associated Clinical Trials

References

Jun 1, 1995·Stroke; a Journal of Cerebral Circulation·J PerryS J Mulroy
Oct 20, 1999·Archives of Physical Medicine and Rehabilitation·L F Teixeira-SalmelaB Brouwer
Nov 24, 1999·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·E F ShepherdT P Schmalzried
Mar 7, 2002·Medicine and Science in Sports and Exercise·Richard F MackoKenneth H Silver
May 8, 2002·Archives of Physical Medicine and Rehabilitation·Katherine J SullivanBruce H Dobkin
Feb 18, 2003·Journal of the American Geriatrics Society·Stephanie StudenskiJack M Guralnik
Jul 8, 2005·Journal of Neurophysiology·Sarah L Thomas, Monica A Gorassini
Oct 29, 2005·Journal of Biomechanics·Justin J KavanaghRod Barrett
Jan 18, 2006·Stroke; a Journal of Cerebral Circulation·Sandra J OlneyKrishna Parvataneni
Feb 4, 2006·Stroke; a Journal of Cerebral Circulation·Mark G BowdenSteven A Kautz
Mar 1, 2006·Neurology·B DobkinUNKNOWN Spinal Cord Injury Locomotor Trial Group
Oct 13, 2006·Journal of Neurologic Physical Therapy : JNPT·Katherine SullivanSara Mulroy
Nov 30, 2006·Langmuir : the ACS Journal of Surfaces and Colloids·Nuria Garcia-AraezJacek Lipkowski
Jan 9, 2007·Archives of Physical Medicine and Rehabilitation·Chitralakshmi K BalasubramanianSteven A Kautz
Jan 20, 2007·Journal of the American Geriatrics Society·James T CavanaughMiriam C Morey
Jan 30, 2007·Gait & Posture·Gunes YavuzerHenk J Stam
May 19, 2007·Stroke; a Journal of Cerebral Circulation·Arlene SchmidSamuel S Wu
May 22, 2007·Clinical Biomechanics·Krishnaji ParvataneniBrenda Brouwer
Sep 11, 2007·Archives of Physical Medicine and Rehabilitation·Lindsey J TurnsSteven A Kautz
Sep 27, 2007·Physical Therapy·Katherine J SullivanUNKNOWN Physical Therapy Clinical Research Network (PTClinResNet)
Sep 28, 2007·Gait & Posture·Caroline Hodt-BillingtonRolf Moe-Nilssen
Oct 20, 2007·Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society·A L BetkerZ Moussavi
Nov 13, 2007·BMC Neurology·Pamela W DuncanUNKNOWN LEAPS Investigative Team
Jan 8, 2008·Gait & Posture·Justin J Kavanagh, Hylton B Menz
Jan 31, 2008·Journal of Speech, Language, and Hearing Research : JSLHR·Jeffrey A Kleim, Theresa A Jones
Feb 6, 2008·Journal of Rehabilitation Research and Development·Mark G Bowden, Andrea L Behrman
Apr 1, 2008·Archives of Physical Medicine and Rehabilitation·Karen J McCainPatricia S Smith
Oct 2, 2008·Spine·Jan MehrholzMarcus Pohl
Oct 2, 2008·Spine·Hofmeyr Viljoen, Jason Crane
Oct 31, 2008·Neurorehabilitation and Neural Repair·Ruth Dickstein
Dec 26, 2008·Neurorehabilitation and Neural Repair·Joseph HidlerT George Hornby
Jan 21, 2010·Journal of Neuroengineering and Rehabilitation·Andrea TuraLorenzo Chiari
Feb 18, 2010·Archives of Physical Medicine and Rehabilitation·Nick GebruersPeter P De Deyn
Mar 3, 2010·Clinical Biomechanics·Chitralakshmi K BalasubramanianSteven A Kautz
Jun 3, 2010·Neurorehabilitation and Neural Repair·Annette SterrKatherine A Herron
Oct 7, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Jennifer S BrachStephanie Studenski
Jun 4, 2011·Neurorehabilitation and Neural Repair·Steven A KautzRichard R Neptune

❮ Previous
Next ❯

Citations

Jul 3, 2013·Archives of Physical Medicine and Rehabilitation·Peter A AltenburgerArlene A Schmid
Jan 1, 2014·Archives of Physical Medicine and Rehabilitation·Louis N AwadStuart A Binder-Macleod
Dec 12, 2012·Archives of Physical Medicine and Rehabilitation·Mark G BowdenSteven A Kautz
Jul 31, 2013·Topics in Stroke Rehabilitation·Pierce BoyneBrett Kissela
Nov 12, 2014·Neurorehabilitation and Neural Repair·Louis N AwadDarcy S Reisman
Jan 28, 2017·Disability and Rehabilitation·Delphine LabbéBonnie Swaine
Feb 22, 2017·Topics in Stroke Rehabilitation·Elizabeth C Wonsetler, Mark G Bowden
Jun 15, 2013·Neurorehabilitation and Neural Repair·Charalambos C CharalambousMark G Bowden
Jan 2, 2016·Neurorehabilitation and Neural Repair·HaoYuan HsiaoStuart A Binder-Macleod
Feb 12, 2014·Neurorehabilitation and Neural Repair·Marc B RietbergGert Kwakkel
Sep 25, 2016·Journal of Neuroengineering and Rehabilitation·Louis N AwadStuart A Binder-Macleod
Dec 19, 2018·Neurorehabilitation and Neural Repair·Michael D LewekAmanda Doty
Sep 22, 2020·Disability and Rehabilitation·Megan C KirklandMichelle Ploughman
Jul 28, 2017·Science Translational Medicine·Louis N AwadConor J Walsh
Jun 10, 2020·Journal of Neurologic Physical Therapy : JNPT·Hannah P RyanMichael D Lewek
Oct 23, 2020·Journal of Neuroengineering and Rehabilitation·Louis N AwadMark G Bowden
Aug 17, 2021·Frontiers in Neurorobotics·Franchino PorciunculaLouis N Awad

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.