{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T09:52:37Z","timestamp":1791453157956,"version":"4.3.3"},"reference-count":47,"publisher":"American Spinal Injury Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Predicting walking ability after spinal cord injury (SCI) is important to patients. Clinical prediction rules (CPR) have been developed to aid in predicting walking ability by 1 year but not by inpatient rehabilitation facility (IRF) discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The purpose of this study was to identify a new threshold from the Canadian Outdoor Walking CPR (Jean-CPR) to determine accuracy in predicting household walking ability by discharge from IRF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a single-site retrospective analysis conducted at an IRF in the United States. The main predictor variables for walking ability were lumbar spinal level 3 and 5 motor and sacral level 1 light touch (LT) scores. We used train-test split modeling for the Jean-CPR to determine an optimal predictive threshold for household walking at discharge. The optimal threshold was applied to an independent testing group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      From a total of 573 patient records, a Jean-CPR score \u226550 predicted household walking by discharge from IRF with an area under the curve of 0.945 (95% CI 0.91-0.98,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). For those with American Spinal Injury Association Impairment Scale (AIS) B\/C injuries, a Jean-CPR score \u226550 demonstrated an AUC of 0.847 and a sensitivity of 86.36%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study is the first to validate a walking CPR in the early phases of SCI recovery. Future research may benefit from assessing the external validity of our results and assessing against clinician decision-making. Our results support the use of the Jean-CPR for predicting walking ability by discharge from an IRF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci26-00019","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T09:23:29Z","timestamp":1791451409000},"page":"20-31","source":"Crossref","is-referenced-by-count":0,"title":["Predicting Functional Walking at Discharge from Inpatient Rehabilitation After Traumatic Spinal Cord Injury: A Single-Site Retrospective Study"],"prefix":"10.46292","volume":"32","author":[{"given":"Jonathan E.","family":"Ripic","sequence":"first","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily C.","family":"Workman","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Gray","sequence":"additional","affiliation":[{"name":"Biostatistics Collaboration Center, Northwestern University, Chicago, Illinois"},{"name":"Northwestern University Clinical and Translational Sciences Institute, Northwestern University, Chicago, Illinois"},{"name":"Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang-Youn A.","family":"Kim","sequence":"additional","affiliation":[{"name":"Biostatistics Collaboration Center, Northwestern University, Chicago, Illinois"},{"name":"Northwestern University Clinical and Translational Sciences Institute, Northwestern University, Chicago, Illinois"},{"name":"Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Farley","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, Illinois"},{"name":"Edward Hines Jr. VA Hospital, Hines, Illinois"},{"name":"Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Chen","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, Illinois"},{"name":"Edward Hines Jr. VA Hospital, Hines, Illinois"},{"name":"Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois"},{"name":"Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica A.","family":"Perez","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, Illinois"},{"name":"Edward Hines Jr. VA Hospital, Hines, Illinois"},{"name":"Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois"},{"name":"Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"key":"b1","series-title":"Traumatic Spinal Cord Injury Facts and Figures at a Glance","author":"National Spinal Cord Injury Statistical Center","year":"2024","unstructured":"National Spinal Cord Injury Statistical Center. 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