Publication: Failures on Obstacle Crossing Task in Independent
Ambulatory Patients With Spinal Cord Injury and
Associated Factors
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Issued Date
2015
Resource Type
Language
eng
File Type
application/pdf
Access Rights
open access
Rights
ผลงานนี้เผยแพร่ภายใต้ สัญญาอนุญาตครีเอทีฟคอมมอนส์แบบ แสดงที่มา-ไม่ใช้เพื่อการค้า-ไม่ดัดแปลง 4.0 (CC BY-NC-ND 4.0)
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Archives of Physical Medicine and Rehabilitation, 2015-01-01, Volume 96, Issue 1, Pages 43-48,
Suggested Citation
Sugalya Amatachaya, Weeraya Pramodhyakul, Kittiyawadee Srisim Failures on Obstacle Crossing Task in Independent
Ambulatory Patients With Spinal Cord Injury and
Associated Factors. Archives of Physical Medicine and Rehabilitation, 2015-01-01, Volume 96, Issue 1, Pages 43-48,. doi:https://doi.org/10.1016/j.apmr.2014.07.411 Retrieved from: https://hdl.handle.net/20.500.14740/11794
Organization
Abstract
Objectives
To primarily explore the proportion and factors relating to failure on an obstacle crossing task in ambulatory participants with incomplete spinal cord injury (iSCI); and to compare balance ability between participants who passed and failed on an obstacle crossing task.
Design
Cross-sectional design.
Setting
Tertiary rehabilitation center.
Participants
Independent ambulatory participants with an iSCI (N=113).
Interventions
Not applicable.
Main Outcome Measures
Primary outcomes were the ability to walk over small obstacles of sizes that are commonly found in homes and communities and factors relating to failure on an obstacle crossing task. The secondary outcome was the data from the timed Up and Go (TUG) test.
Results
Of the participants, 33 failed to walk over an obstacle. Using a walker significantly increased chance of failure, whereas having incomplete paraplegia and American Spinal Injury Association Impairment Scale grade D were the protective factors for the event ( P ≤.01). The number of failures was also significantly increased because of leg contact with a wide or relative large obstacle (4 and 8cm, P <.001). Furthermore, participants who failed required significantly longer time to complete the TUG test than those who passed an obstacle crossing task ( P <.001).
Conclusions
Apart from the ability of independent walking, rehabilitation professionals may need to emphasize the ability of movement modification of the lower extremities and balance control to improve safety issues for the patients.