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Purpose
The NRS is used to measure quality of movement without compensatory movement patterns using a body weight support system and a treadmill.
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The NRS is used to measure quality of movement without compensatory movement patterns using a body weight support system and a treadmill.
11
30-50 minutes
Adult
18 - 64
yearsInstrument reviewed in 2019 by:
NINDS CDE Status as of 9/29/19:
Adult Spinal Cord Injury: (Behrman et al, 2012; n=95,Mean age=43(17) Mean time post SCI 1 year (0.1,25.8) Severity: AIS level D=64 C= 31), Phases listed below indicate progression of motor function and are not cutoff scores.
Adult Spinal Cord injury: (Behrman, Velozo, Suter, Lorenz, & Basso, 2015; n = 69; mean age = 36(15); AIS level: A = 18, B = 17, C = 13, D = 21; time since injury = 3.3 years (7 years); 13 raters: PT = 1, MPT = 2, DPT = 10)
Interrater Reliability:
Adult Spinal Cord Injury: (Basso, Velozo, Lorenz, Suter, & Behrman, 2015; n = 10; mean age = 43(18); AIS level: A = 1, B = 1, C = 2, D = 6; time since injury = 36 months(3-119); 15 raters: PT = 1; MPT = 2, DPT = 11, PhD = 1)
Construct Validity:
Adult Spinal Cord Injury: (Velozo et al., 2015; n = 188; mean age = 39.3; AIS level: A = 20, B = 19, C = 49, D = 98; time since injury = 1.2 years))
Acceptable overall construct validity for this study. Areas of opportunity are described below.
(1) dimensionality;
(2) item rating structure;
(3) fit of items and patients to the Rasch model;
(4) item difficulty hierarchy; and
(5) person ability-item difficulty match (Velozo et al., 2015).
Adult Spinal Cord Injury: (Behrman et al, 2012)
Adult Spinal Cord Injury: (Velozo et al., 2015)
Adult Spinal Cord Injury: (Tester et al., 2015; n = 72; mean age = 36 (15); AIS level: A = 17, B = 10, C = 20, D = 25; time since injury = 1.2 yrs (0.1-53.1))
Basso, D. M., Velozo, C., Lorenz, D., Suter, S., & Behrman, A. L. (2015). Interrater reliability of the Neuromuscular Recovery Scale for spinal cord injury. Archives of Physical Medicine and Rehabilitation, 96(8), 1397–1403. https://doi.org/10.1016/j.apmr.2014.11.026
Behrman, A. L., Ardolino, E., Vanhiel, L. R., Kern, M., Atkinson, D., Lorenz, D. J., & Harkema, S. J. (2012). Assessment of functional improvement without compensation reduces variability of outcome measures after human spinal cord injury. Archives of Physical Medicine and Rehabilitation, 93(9), 1518–1529. https://doi.org/10.1016/j.apmr.2011.04.027
Behrman, A. L., Trimble, S. A., Argetsinger, L. C., Roberts, M. T., Mulcahey, M. J., Clayton, L., . . . Ardolino, E. M. (2019). Interrater Reliability of the Pediatric Neuromuscular Recovery Scale for Spinal Cord Injury. Topics in Spinal Cord Injury Rehabilitation, 25(2), 121-131. doi:10.1310/sci2502-121
Behrman, A. L., Velozo, C., Suter, S., Lorenz, D., & Basso, D. M. (2015). Test-retest reliability of the Neuromuscular Recovery Scale. Archives of Physical Medicine and Rehabilitation, 96(8), 1375–1384. https://doi.org/10.1016/j.apmr.2015.03.022
Harkema, S. J., Shogren, C., Ardolino, E., & Lorenz, D. J. (2016). Assessment of functional improvement without compensation for human spinal cord injury: Extending the neuromuscular recovery scale to the upper extremities. Journal of Neurotrauma, 33(24), 2181-2190. doi:10.1089/neu.2015.4213
Jones, M. L., Evans, N., Tefertiller, C., Backus, D., Sweatman, M., Tansey, K., & Morrison, S. (2014). Activity-based therapy for recovery of walking in chronic spinal cord injury: Results from a secondary analysis to determine responsiveness to therapy. Archives of Physical Medicine and Rehabilitation, 95(12), 2247–2252. https://doi.org/10.1016/j.apmr.2014.07.401
Lorenz DJ, Datta S, Harkema SJ. Longitudinal patterns of functional recovery in patients with incomplete spinal cord injury receiving activity-based rehabilitation. Arch Phys Med Rehabil. 2012 Sep;93(9):1541–52. doi: 10.1016/j.apmr.2012.01.027. [PubMed] [CrossRef] [Google Scholar]
Tester, N. J., Lorenz, D. J., Suter, S. P., Buehner, J. J., Falanga, D., Watson, E., … Michele Basso, D. (2016). Responsiveness of the Neuromuscular Recovery Scale during Outpatient Activity-Dependent Rehabilitation for Spinal Cord Injury. Neurorehabilitation and Neural Repair, 30(6), 1–11.
Velozo, C., Moorhouse, M., Ardolino, E., Lorenz, D., Suter, S., Basso, D. M., & Behrman, A. L. (2015). Validity of the Neuromuscular Recovery Scale: A measurement model approach. Archives of Physical Medicine and Rehabilitation, 96(8), 1385–1396. https://doi.org/10.1016/j.apmr.2015.04.004
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.