Article

The purpose of this study was to illustrate the continuity of care afforded by a standardized
locomotor training program across a multisite network setting within the
Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN). DESIGN:
Single patient case study.
SETTING: Two geographically different hospital-based
outpatient facilities. PARTICIPANTS: This case highlights a 25-year-old man
diagnosed with C4 motor incomplete spinal cord injury with American Spinal Injury
Association Impairment Scale grade D. INTERVENTION: Standardized locomotor
training program 5 sessions per week for 1.5 hours per session, for a total of
100 treatment sessions, with 40 sessions at 1 center and 60 at another. MAIN
OUTCOME MEASURES: Ten-meter walk test and 6-minute walk test were assessed at
admission and discharge across both facilities. For each of the 100 treatment
sessions percent body weight support, average, and maximum treadmill speed were
evaluated. RESULTS: Locomotor endurance, as measured by the 6-minute walk test,
and overground gait speed showed consistent improvement from admission to
discharge. Throughout training, the patient decreased the need for body weight
support and was able to tolerate faster treadmill speeds. CONCLUSIONS: Data
indicate that the patient continued to improve on both treatment parameters and
walking function. Standardization across the NRN centers provided a mechanism for
delivering consistent and reproducible locomotor training programs across 2
facilities without disrupting training or recovery progression.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS