Yes, household ambulation is an important consideration as we know short distances are much less demanding in terms of motor control and muscle strength. Individuals with MM and SCI often use different means of mobility for community vs household ambulation.
AD prescription should be based on motor function level, not lesion level, since lesion levels are not an exact science. It is possible for 2 children with MM with the same lesion level to have some differences in functional motor levels and, therefore, different orthotic and AD needs. We developed our study guides using multiple sources, not just Campbell. We tried to include evidence presented from these different sources.
Hope that helps!
Helen