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REPORT CARD: Walking KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Walking is a critical function for all individuals – essential for health status, quality of life and wellbeing. Individuals with SCI in Canada have challenges obtaining access to rehabilitation services – for assistance, with enhancing and maintaining their walking ability, particularly over the first year, post injury. As a collective rehabilitation community, it is imperative this is addressed in health policy and service, at both provincial and federal levels. The Rick Hansen Spinal Cord Injury Registry (RHSCIR) could compile a team of PT practitioners from across the country, tasked to align routine assessment and data elements with clinical decision- making rules, in order to customize therapy delivery and advocate for appropriate resources. Resources Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 3 2020 PRIORITY 1 2020 PRIORITY 2 1. Anderson KD. Targeting recovery: Priorities of the spinal cord-injured population. J Neurotrauma. 2004;21(10):1371-83. 2. Lam T, Noonan VK, Eng JJ, et al. A systematic review of functional ambulation outcome measures in spinal cord injury. Spinal Cord. 2008;46(4):246-54. 3. Musselman KE, Brunton K, Lam T, Yang JF. Spinal cord injury functional ambulation profile: A new measure of walking ability. Neurorehabil Neural Repair. 2011; 25(3):285-93. 4. Ness LL, Field-Fote EC. Whole-body vibration improves walking function in individuals with spinal cord Injury: A pilot study. Gait Posture. 2009;30(4):436-40. 5. Chu J, Harvey LA, Ben M, Batty J, Avis A, Adams R. Physical therapists’ ability to predict future mobility after spinal cord injury. J Neurol Phys Ther. 2012;36(1):3-7. 6. Nadeau S, Duclos C, Bouyer L, Richards C. Guiding task-oriented gait training after stroke or spinal cord injury by means of a biomechanical gait analysis. Prog Brain Res. 2012;192:161-80. 7. Datta S, Lorenz DJ, Morrison S, Ardolino E, Harkema SJ. A multivariate examination of temporal changes in Berg Balance Scale items for patients with ASIA Impairment Scale C and D spinal cord injuries. Arch PhysMed Rehabil. 2009;90(7):1208-17. 52 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


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