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Final Program


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Oral Presentation

Clinical Practice

Spinal Cord Injury

Predicting Functional Walking at Discharge from Inpatient Rehabilitation After Traumatic Spinal Cord Injury: A Single-site Retrospective Validation Study 4229

Tuesday, October 28, 2025
5:15 PM - 5:30 PM  
Location:  ROOM: Continental A Ballroom DIRECTIONS Lobby Level: From the Main Elevator Bank, proceed right toward the Fed Ex office. At the Fed Ex Office, turn right and proceed past the ACRM registration desk to the Continental Foyer and Ballroom.
This session will describe the validation of two previously established clinical prediction rules (CPR) for prognosticating walking function in people with subacute traumatic spinal cord injury (SCI). Walking continues to be a top priority for people during the early phase of recovery following SCI. This validation developed new thresholds and scoring interpretations of two recent CPRs for prediction of walking function in people with SCI at discharge from inpatient rehabilitation. We will discuss our validation process and implications on patient care and clinical practice with recommended interpretation of our results across the healthcare continuum of management in SCI.

Learning Objectives:

  • Paraphrase current spinal cord injury literature regarding ambulation prognosis, including clinical prediction rules.
  • Describe current clinical prediction rules, data used in clinical prediction rules, and limitations of current clinical prediction rules in spinal cord injury ambulation prediction.
  • Apply a new clinical prediction rule threshold score to assist clinicians with subacute walking prognosis by discharge from inpatient rehabilitation.
  • Discuss implications of ability to subacutely predict ambulatory function on inpatient rehabilitation plans of care and lengths of stay.