Strong Against Recommendation
Gait training (orthotics) should not be provided to improve functional walking in people with SCI that have no motor function in the lower limbs.
| Gait training (Orthotics) (v no intervention) on functional walking ability in people with no motor function in the lower limbs | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI that have no motor function in the lower limbs. | Evidence recommendation No evidence recommendation Reason: No recommendation due to insufficient or inconclusive evidence. | Strong opinion statement AGAINST Gait training (orthotics) should not be provided to improve functional walking in people with SCI that have no motor function in the lower limbs. |
||||
| I | Gait training | ||||||
| C | No intervention | Consensus-based opinion statement Strong Against (89%) |
|||||
| O | Ability to walk | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends against gait training with orthotics to improve functional walking in people with SCI that have no motor function in their legs. This recommendation is based on opinion only and is not supported by evidence from randomised controlled trials. The guideline states:
Gait training (orthotics) should not be provided to improve functional walking in people with SCI that have no motor function in the lower limbs.
This statement was formed by considering the balance between benefits and harms, values and preferences, resource use, equity, accessibility, feasibility and personal experience.
This is a consensus-based opinion statement. Opinion statements are less robust than evidence-based recommendations. They can be strong or weak. This is a strong statement which means that the guideline panel is confident they can not recommend gait training with orthotics to improve functional walking (in people with SCI that have no motor function in the lower limbs) based on opinion.
To learn more about the this intervention go to the research summary.