Convergent validity and responsiveness of The Standing and Walking Assessment Tool (SWAT) among individuals with non-traumatic spinal cord injury

Bibliographic Details
Title: Convergent validity and responsiveness of The Standing and Walking Assessment Tool (SWAT) among individuals with non-traumatic spinal cord injury
Authors: Mohammad Alavinia, Farnoosh Farahani, Kristin Musselman, Kristina Plourde, Maryam Omidvar, Molly C. Verrier, Saina Aliabadi, B. Catharine Craven
Source: Frontiers in Neurology, Vol 14 (2024)
Publisher Information: Frontiers Media S.A., 2024.
Publication Year: 2024
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: spinal cord injuries, walking, psychometric properties, outcome assessment, walking speed, Neurology. Diseases of the nervous system, RC346-429
More Details: AimThis study aimed to (1) describe the use of the Standing and Walking Assessment Tool (SWAT) among individuals with non-traumatic spinal cord injury or disease (NT-SCI/D); (2) evaluate the convergent validity of SWAT for use among inpatients with NT-SCI/D; (3) describe SWAT responsiveness; and (4) explore the relationship between hours of walking therapy and SWAT change.MethodsA quality improvement project was conducted at the University Health Network between 2019 and 2022. Participants’ demographics and impairments data, rehabilitation length of stay, and FIM scores were obtained from the National Rehabilitation Reporting System. The walking measure data were collected by therapists as part of routine practice. Hours of part- or whole-gait practice were abstracted from medical records. To determine convergent validity, Spearman’s correlation coefficients were calculated between SWAT stages (admission and discharge) and the walking measures. The change in SWAT levels was calculated to determine responsiveness. Spearman’s correlation coefficient was calculated between SWAT change and hours of walking therapy.ResultsAmong adult NT-SCI/D participants with potential walking capacity (SWAT≥1B), the majority were classified as American Spinal Injury Association (ASIA) Impairment Scale D (AIS D) at admission. The SWAT category of 1C (N = 100, 18%) was the most frequent at admission. The most frequent SWAT stage at discharge was 3C among participants with NT-SCI/D, with positive conversions in SWAT stages from admission to discharge (N = 276, 33%). The mean change in SWAT score was 3 for participants with T-SCI and NT-SCI/D. Moderate correlations between SWAT stages and walking measures were observed. The correlation of hours of gait therapy with the SWAT change (admission to discharge) was 0.44 (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2295
Relation: https://www.frontiersin.org/articles/10.3389/fneur.2023.1280225/full; https://doaj.org/toc/1664-2295
DOI: 10.3389/fneur.2023.1280225
Access URL: https://doaj.org/article/38cecd4f0c10498780d7a0ca7c74550a
Accession Number: edsdoj.38cecd4f0c10498780d7a0ca7c74550a
Database: Directory of Open Access Journals
More Details
ISSN:16642295
DOI:10.3389/fneur.2023.1280225
Published in:Frontiers in Neurology
Language:English