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Related Concept Videos

Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

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Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
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The spinal cord, a critical component of the central nervous system, extends from the base of the brainstem to the lumbar region of the vertebral column. It is essential for maintaining physical stability and facilitating communication between the brain and peripheral parts of the body.
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Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton
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Published on: June 16, 2016

Walking index for spinal cord injury.

Józef Opara1, Krzysztof Mehlich, Aleksander Bielecki

  • 1Katedra Fizjoterapii Układu Nerwowego i Narzadu Ruchu AWF, Katowice. jozefopara@wp.pl

Ortopedia, Traumatologia, Rehabilitacja
|June 1, 2007
PubMed
Summary

This review examines objective walking evaluation for paraplegia patients after spinal cord injury. The Walking Index for Spinal Cord Injury (WISCI) scale offers the most sensitive and detailed assessment of walking ability.

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Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Biomedical Engineering

Background:

  • Patients with paraplegia following spinal cord injury face challenges in objective walking ability evaluation.
  • Existing assessment scales like ASIA, FIM, Barthel Index, and SCIM have limitations in sensitivity and detail.
  • There is a need for refined methods to accurately track functional recovery in walking post-injury.

Purpose of the Study:

  • To review contemporary methods for objectively evaluating walking ability in patients with paraplegia.
  • To describe current evaluation scales and introduce the Walking Index for Spinal Cord Injury (WISCI) in detail.
  • To compare the sensitivity and detail of WISCI against other established scales.

Main Methods:

  • Literature review of current objective evaluation methods for walking ability.
  • Description and analysis of established scales: ASIA Classification, Functional Independence Measure (FIM), Barthel Index, and Spinal Cord Independence Measure (SCIM).
  • Detailed examination of the Walking Index for Spinal Cord Injury (WISCI) scale.

Main Results:

  • Established scales (ASIA, FIM, Barthel, SCIM) provide a baseline but lack granular detail.
  • The WISCI scale is presented as a comprehensive tool for assessing walking function.
  • WISCI demonstrates superior sensitivity to changes in walking ability compared to other reviewed scales.

Conclusions:

  • The Walking Index for Spinal Cord Injury (WISCI) is the most detailed and sensitive scale for evaluating walking ability in paraplegic patients.
  • Objective and sensitive evaluation is crucial for monitoring rehabilitation progress and outcomes in spinal cord injury.
  • Further adoption of WISCI can enhance the precision of clinical assessments and research in spinal cord injury rehabilitation.