title: NeuroRecovery Network provides standardization of locomotor training for persons with incomplete spinal cord injury.
abstract: OBJECTIVE
  To illustrate the continuity of care afforded by a standardized locomotor training program across a multisite network setting within the Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN).
  
  
  METHODS
  Single patient case study.
  
  
  METHODS
  Two geographically different hospital-based outpatient facilities.
  
  
  METHODS
  This case highlights a 25-year-old man diagnosed with C4 motor incomplete spinal cord injury with American Spinal Injury Association Impairment Scale grade D.
  
  
  METHODS
  Standardized locomotor training program 5 sessions per week for 1.5 hours per session, for a total of 100 treatment sessions, with 40 sessions at 1 center and 60 at another.
  
  
  METHODS
  Ten-meter walk test and 6-minute walk test were assessed at admission and discharge across both facilities. For each of the 100 treatment sessions percent body weight support, average, and maximum treadmill speed were evaluated.
  
  
  RESULTS
  Locomotor endurance, as measured by the 6-minute walk test, and overground gait speed showed consistent improvement from admission to discharge. Throughout training, the patient decreased the need for body weight support and was able to tolerate faster treadmill speeds.
  
  
  CONCLUSIONS
  Data indicate that the patient continued to improve on both treatment parameters and walking function. Standardization across the NRN centers provided a mechanism for delivering consistent and reproducible locomotor training programs across 2 facilities without disrupting training or recovery progression.
authors.affiliation: Shepherd Center, Atlanta, GA, USA. Sarah_morrison@shepherd.org
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Morrison
authors.forename: Gail F
authors.initials: GF
authors.lastname: Forrest
authors.forename: Leslie R
authors.initials: LR
authors.lastname: VanHiel
authors.forename: Michele
authors.initials: M
authors.lastname: Davé
authors.forename: Denise
authors.initials: D
authors.lastname: D'Urso
mesh_terms: D000328:Adult; D002985:Clinical Protocols; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D020127:Recovery of Function; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D016138:Walking