Visit the Synapse Education Center

Clinical Practice Guideline to Improve Locomotor Function

following Chronic Stroke, Incomplete Spinal Cord Injury and Brain Injury

The scope of this Clinical Practice Guideline (CPG) is to evaluate available evidence of the efficacy of various physical interventions to improve walking function of patients with a history of a stroke, motor incomplete SCI, or TBI of > 6 months duration. The full article is accessible in the Journal of Neurologic Physical Therapy

CPG Resources

Clinical Tools for Implementation of Recommended Action Statements

Clinician Resources
Click to find resources for clinicians to address barriers with implementing the actions statements of the CPG to Improve Locomotor Function. These include resources designed to reduce barriers in these areas:

  • Knowledge - Improving knowledge in the areas of gait training and cardiovascular intensity can help to reduce barriers to implementing the recommended actions statements. Here you'll find resources to improve your knowledge in these areas.
  • Equipment - Having the right kinds of equipment can help you implement the recommended actions statements. Here you'll find resources to help you safely and effectively deliver evidence based interventions to your patients and to make the case for why this equipment is necessary to deliver these interventions. 
  • Implementation - Implementation of the recommended action statements of the CPG to Improve Locomotor Function takes knowledge, time, dedication, and skill. Here you will find some practice resources that may enhance translation of the recommended action statements into clinical practice.

Patient Education Resources
Click to find resources to provide to patients to help them understand how high intensity gait training can benefit them.

Physician Education Resources
Click to find resources to provide to physicians to help them understand how high intensity gait training can benefit their patients.

National Campaign: Intensity Matters

The Locomotor CPG addresses cardiovascular intensity as an important parameter in improving locomotor function in patients with chronic stroke, TBI, and SCI. The Intensity Matters campaign includes research supporting training at high intensity level at all stages of recovery.  

 

Feedback

About Us

Locomotion CPG Work Group

Contact Person

Employer/Clinical background and expertise

George Hornby PT PhD
(Group Lead)

Professor, Physical Medicine and Rehabilitation
Indiana University School of Medicine

Patty Scheets PT DPT NCS

Director of Clinical Quality and Outcomes
Infinity Rehabilitation, Effingham, IL

Irene Ward PT, DPT, NCS

Brain injury clinical research coordinator
Kessler Institute for Rehabilitation
1199 Pleasant Valley Way
West Orange, NJ

Darcy Reisman PT, PhD

Associate Chair, Associate Professor
Department of Physical Therapy
University of Delaware
Newark, DE

 

Locomotion Knowledge Translation Task Force

Carey Holleran (Co-Chair) PT, MPT, DHS
Lisa Goodwin (Co-Chair) PT, DPT 
Meredith Banhos PT, DPT
Maghan Bretz PT, MPT 
Estelle Gallo PT, DPT 
Lauren Szot PT, DPT
Ryan Gorecki, PT, DPT
Jon Robinson, PT, DPT

*Of Note, All Task Force members are a Board Certified Clinical Specialist in Neurologic Physical Therapy


Client Logo
Client Logo
Client Logo
Client Logo
Client Logo
Client Logo
Client Logo
Client Logo