Jacquelin Perry Special Issue: Stepping Forward With Gait Rehabilitation |
M.G. Bowden, PT, PhD, is Research Physical Therapist, Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida.
A.L. Behrman, PT, PhD, FAPTA, is Associate Professor, Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, PO Box 100154, Gainesville, FL 32610-0154 (USA), and Research Scientist, Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida.
Address allcorrespondence to Dr Behrman at: abehrman@phhp.ufl.edu.
| Because this article has no abstract, we have provided an extract of the full text and any section headings. |
Saraf et al1 address a critical need in locomotor rehabilitation, the exploration of participation-level measurement in the form of daily step counts and the impairment-based contributions to daily step activity after spinal cord injury (SCI). Although a patient's actual home and community ambulatory behavior often is unknown to clinicians and researchers, in reality optimization of home and community ambulation is the ultimate clinical goal. In the use of receiver operating characteristic curves, the authors have provided a threshold for differentiating between community and household ambulators using quantitative measures such as daily step counts that previously had been used only in case report format.2–4 Similarly, in a recently published article specific to the stroke population, we found that stepping activity was 1 of only 2 factors that differentiated groups into household, limited community, and community ambulators.5 We concluded that this was a logical relationship, as both walking speed and step activity
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P. Saraf, M. R. Rafferty, J. L. Moore, J. H. Kahn, K. Hendron, K. Leech, and T. G. Hornby Author Response Physical Therapy, February 1, 2010; 90(2): 237 - 239. [Full Text] [PDF] |
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