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Quantitative Evaluation of Walking in Paraplegic Persons, pp. 713-719 $100.00
Authors:  Jůzef Opara
Abstract:
Clinical gait analysis is a laboratory-based, i.e., stationary procedure that enables a
qualitative assessment, or quantitative, i.e., it describes how well patients are able to
move or how much they are limited in their movement capabilities. Activity assessment
in daily life, ADL-monitoring is not confined to a lab environment and assesses the
quantity of movement or the activity level by describing how much patients are using
their individual capabilities and which level of mobility is being used. Both approaches
have their specific advantages and disadvantages, which have to be considered before
application of either one. However, they may be complementary for a full description of
an individualís movement characteristics. In the future, marker-less motion capturing
systems might offer an alternative approach halfway between the existing one, i.e., these
systems might provide detailed motion analysis in home-based environments.
This is the review report on the contemporary possibilities of objective evaluation of
walking ability in patients with paraplegia following a spinal cord injury. Current
methods of evaluation of walking function, i.e. the ASIA Classification, Functional
Independence Measure (FIM), Barthel Index and Spinal Cord Independence Measure
(SCIM) are described. The latest classification, known as the WISCI (Walking Index for
Spinal Cord Injury) is described in details. WISCI seems to be the most detailed scale
that is also sensitive to changes in the patientís walking ability compared to the other
scales. 


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Quantitative Evaluation of Walking in Paraplegic Persons, pp. 713-719