Turning-While-Walking

Turning while walking is biomechanically more demanding than linear walking and is under-represented in SCI rehabilitation research. The Turning-While-Walking Test, as measured in this trial, showed high intrarater test-retest reliability with ICC values of 0.92 for steps per turn and 0.98 for turn duration. Turning requires coordinated movement of the head, trunk, pelvis, and lower limbs, and depends on asymmetrical limb action with the inner leg bearing more load. The turning test requires participants to walk a 2-metre straight line, perform a 180-degree turn, and return to the start as quickly and safely as possible, repeated three times on each side. Turning while walking is essential for community mobility and environmental navigation but is under-represented in SCI rehabilitation research.