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Comparison of Speeds Used for the 15.2-Meter and 6-Minute Walks Over the Year After an Incomplete Spinal Cord Injury: The SCILT Trial

McGill University/Institut de Readaptation de Montreal, Montreal, Quebec, Canada

R. Elashoff, PhD

UCLA Department of Biomathematics, Los Angeles, CA

D. Deforge, MD

University of Ottawa Rehabilitation Hospital, Ottawa, Ontario, Canada

J. Ditunno, MD

Magee Rehabilitation Center/Jefferson University, Philadelphia, PA

M. Saulino, MD

Magee Rehabilitation Center/Jefferson University, Philadelphia, PA

B.H. Dobkin, MD

UCLA Department of Neurology, Los Angeles, CA, bdobkin{at}mednet.ucla.edu

Background. Timed walking speed for 6 to 15 m and the distance walked in 2 to 12 minutes are frequently used outcome measures in rehabilitation trials, presumably reflecting different aspects of walking ability. The database from the Spinal Cord Injury Locomotor Trial (SCILT), which tested 2 interventions for mobility upon admission for initial rehabilitation of an incomplete traumatic spinal cord injury (SCI), was used to compare the walking speed employed for each test. Methods. From 66 to 70 patients with upper motor neuron lesions from C-5 to T-10 performed a 15.2-m and a 6-minute walk as fast as the patient deemed safe at 3 months (end of the trial intervention) and 6 and 12 months after entry. The means, standard errors, and quartiles were calculated for the speed used for each task. Results. The mean speed for the 15.2-m walk did not differ from that used for the 6-minute walk at 3 and 6 months but was significantly faster at 12 months. Differences became apparent at each assessment in patients in the highest quartiles (>1.0 m/s) for the 15.2-m walk. Their speed was from 14% to 24% higher than the speed used for the 6-minute walk. Conclusion. The speed of the 15.2-m walk as a measure of walking ability compared to the distance walked in 6 minutes may not represent separable domains of mobility. Differences were apparent only in the most highly functional patients, who could ambulate in the community. Any difference in the walking speed used for these 2 tasks does not make enough of a clinical distinction to encourage including both a 6-minute walk and a 15.2-m walk as outcome measures in clinical trials of locomotor interventions for SCI.

Key Words: Walking speed • Rehabilitation • Stroke • Spinal cord injury • Multiple sclerosis • Fatigue • Randomized clinical trial.

This version was published on July 1, 2007

Neurorehabilitation and Neural Repair, Vol. 21, No. 4, 302-306 (2007)
DOI: 10.1177/1545968306298937


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