Level of recom-mendation | ReMoS recommendation, Item response | never n (%) | sometimes n (%) | often n (%) | always n (%) | Level of guideline adherence (%) |
---|---|---|---|---|---|---|
Overall ReMoS guideline adherence | 34.8 | |||||
Achieving ability to walk in non-ambulant patients | 18.9 | |||||
B | Intensive walking training; n = 168 | 13 (7.7) | 31 (18.5) | 83 (49.4) | 41 (24.4) | 73.8 |
B | Intensive walking training using end-effector-based device; n = 161 | 82 (50.9) | 39 (24.2) | 27 (16.8) | 13 (8.1) | 24.8 |
0 | Intensive walking training using treadmill or exoskeleton; n = 161 | 74 (46) | 57 (35.4) | 24 (14.9) | 6 (3.7) | 18.6 |
0 | Functional electric stimulation in supine position; n = 161 | 116 (72) | 33 (20.5) | 10 (6.2) | 2 (1.2) | 7.5 |
Improving ability to walk in (partially) ambulant patients | 42.3 | |||||
B | Intensive walking training (conventionally); n = 146 | 8 (5.5) | 25 (17.1) | 61 (41.8) | 52 (35.6) | 77.4 |
B | Intensive progressive walking training using treadmill; n = 144 | 45 (31.2) | 56 (38.9) | 31 (21.5) | 12 (8.3) | 29.9 |
0 | Task-specific training with motor imagery; n = 146 | 18 (12.3) | 65 (44.5) | 42 (28.8) | 21 (14.4) | 43.2 |
0 | Walking aids; n = 149 | 1 (0.7) | 36 (24.2) | 85 (57.0) | 27 (18.1) | 75.2 |
0 | Walking training with functional electrical stimulation; n = 145 | 123 (84.8) | 14 (9.7) | 6 (4.1) | 2 (1.4) | 5.5 |
Improving walking speed | 34.6 | |||||
A | Task-specific endurance training using treadmill; n = 128 | 41 (32.0) | 45 (35.2) | 31 (24.2) | 11 (8.6) | 32.8 |
A | Task-specific endurance training using progressive circuit training; n = 124 | 45 (36.3) | 42 (33.9) | 26 (21) | 11 (8.9) | 29.8 |
B | Intensive walking training without treadmill; n = 130 | 6 (4.6) | 29 (22.3) | 70 (53.8) | 25 (19.2) | 73.1 |
B | Intensive walking training using treadmill; n = 125 | 42 (33.6) | 44 (35.2) | 35 (28) | 4 (3.2) | 31.2 |
B | Home exercise program; n = 123 | 19 (15.4) | 26 (21.1) | 55 (44.7) | 23 (18.7) | 63.4 |
B | Walking training with functional electrical stimulation; n = 121 | 99 (81.8) | 15 (12.4) | 5 (4.1) | 2 (1.7) | 5.8 |
B | Additional training for lower extremity functions; n = 128 | 6 (4.7) | 40 (31.3) | 59 (46.1) | 23 (18) | 64.1 |
0 | Intensive progressive task-specific training; n = 125 | 2 (1.6) | 33 (26.4) | 61 (48.8) | 29 (23.2) | 72 |
0 | Task-specific training with motor imagery; n = 129 | 25 (19.4) | 56 (43.4) | 35 (27.1) | 13 (10.1) | 37.2 |
0 | Walking training using end-effector devices; n = 96 | 59 (96.4) | 20 (22) | 16 (13.8) | 1 (0.8) | 17.7 |
0 | Muscular endurance training; n = 130 | 0 (0) | 46 (35.4) | 60 (46.2) | 24 (18.5) | 64.6 |
0 | Isokinetic strength training; n = 128 | 48 (37.5) | 51 (39.8) | 25 (19.5) | 4 (3.1) | 22.7 |
0 | Walking training with acoustic stimulation; n = 129 | 33 (25.6) | 75 (58.1) | 17 (13.2) | 4 (3.1) | 16.3 |
0 | Acoustic feedback while walking; n = 129 | 43 (33.3) | 49 (38) | 27 (20.9) | 10 (7.8) | 28.7 |
0 | Feedback/ Reinforcement; n = 124 | 57 (46) | 46 (37.1) | 19 (15.3) | 2 (1.6) | 16.9 |
0 | Combination of end-effector-based devices with functional electric stimulation; n = 124 | 107 (86.3) | 14 (11.3) | 3 (2.4) | 0 (0) | 2.4 |
0 | Early use of ankle-foot-orthosis; n = 130 | 11 (8.5) | 77 (59. 2) | 39 (30) | 3 (2.3) | 32.3 |
0 | Early use of orthopedic shoes; n = 127 | 39 (30.7) | 65 (51.2) | 21 (15.7) | 3 (2.4) | 18.9 |
0 | Arm slings; n = 125 | 22 (17.6) | 65 (52 | 30 (24) | 8 (6.4) | 30.4 |
Improving walking distance | 37.2 | |||||
A | Task-specific endurance training; n = 118 | 1 (0.8) | 38 (32.2) | 58 (49.2) | 21 (17.8) | 67 |
B | Home exercise program; n = 115 | 14 (12.2) | 34 (29.6) | 47 (40.9) | 20 (17.4) | 58.3 |
B | Intensive walking training using treadmill; n = 113 | 54 (47.8) | 37 (32.7) | 14 (12.4) | 8 (7.1) | 19.5 |
0 | Task-specific training with motor imagery; n = 116 | 33 (28.4) | 50 (43.1) | 27 (23.3) | 6 (5.2) | 28.5 |
0 | Walking training with end-effector-based device; n = 109 | 74 (67.9) | 21 (19.3) | 13 (11.2) | 1 (0.9) | 12.8 |
0 | Muscular endurance training; n = 116 | 2 (1.7) | 44 (37.9) | 51 (44) | 19 (16.4) | 60.3 |
0 | Walking training with functional electrical stimulation; n = 108 | 92 (85.2) | 14 (13) | 1 (0.9) | 1 (0.9) | 1.9 |
0 | High frequent physical therapy at home; n = 98 | 57 (58.1) | 17 (17.3) | 15 (15.3) | 9 (9.3) | 24.6 |
0 | Additional training for lower extremity functions; n = 115 | 9 (7.8) | 51 (44.3) | 42 (36.5) | 13 (11.3) | 47.8 |
0 | Additional muscular endurance training; n = 112 | 12 (10.7) | 49 (43.7) | 38 (33.9) | 13 (11.6) | 45.5 |
Improving balance and reducing risk of falls | 39.1 | |||||
B | Intensive walking training without treadmill; n = 102 | 3 (2.9) | 13 (12.7) | 53 (52) | 33 (32.4) | 84.3 |
B | Intensive walking training using treadmill; n = 100 | 34 (34) | 37 (37) | 27 (27) | 2 (2) | 29 |
B | Home exercise program; n = 98 | 14 (14.3) | 34 (34.7) | 34 (34.7) | 16 (16.3) | 51 |
B | Motor relearning program; n = 97 | 18 (18.6) | 27 (27.8) | 36 (37.1) | 16 (16.5) | 53.6 |
0 | Walking training using end-effector-based device, exoskeleton or treadmill; n = 96 | 59 (61.5) | 20 (20.8) | 16 (16.7) | 1 (1) | 17.7 |
0 | Muscular endurance training; n = 99 | 18 (18.2) | 33 (33.3) | 35 (35.4) | 13 (13.1) | 48.5 |
0 | Trunk control training on unstable surface; n = 100 | 4 (4) | 43 (43) | 34 (34) | 19 (19) | 53 |
0 | Acoustic feedback while walking; n = 98 | 4 (4.1) | 23 (23.5) | 47 (48) | 24 (24.5) | 72.5 |
0 | Early use of orthopedic shoes; n = 96 | 63 (65.6) | 22 (22.9) | 7 (7.3) | 4 (4.2) | 11.5 |
0 | Additional ergometer training; n = 95 | 33 (34.7) | 40 (42.1) | 15 (15.8) | 7 (7.4) | 23.2 |
0 | Additional training on a biofeedback platform; n = 98 | 35 (35.7) | 46 (46.9) | 15 (15.3) | 2 (2) | 17.4 |