Applicability, validation and reproducibility of the Spinal Cord Independence Measure version III (SCIM III) in patients with non-traumatic spinal cord lesions

Disability and Rehabilitation
Camila de AlmeidaMarcelo Riberto

Abstract

To verify the applicability, reproducibility and validity of the SCIM III patients with non-traumatic spinal cord injury. The cross-sectional study included 30 patients (66% females; 41.5 ± 14.7 yo) with non-traumatic spinal cord injury of any etiology. Subjects were subjected by computerized gait analysis and answered the Brazilian versions of SCIM III (0-100 points) and FIM™ (18-126 points) by two raters (A and B) at the same day and 1 week later (A). The intraclass correlation coefficient for the use of SCIM III indicated appropriated intra- and inter-evaluator reproducibility (ICC = 0.9). Correlation between the SCIM III and the motor FIM™ was appropriate (r = 0.6; p = 0.0). SCIM III subscales and FIM™ domains correlated strongly for self-care (r = 0.8; p ≤ 0.001), moderately for transfers (r = 0.6; p = 0.0005) and locomotion (r = 0.6; p = 0.0006). SCIM III mobility subscale positively correlated with the cadence (r = 0.8; p ≤ 0.01), gait speed (r = 0.7; p ≤ 0.01) and step length (r = 0.6; p ≤ 0.01). SCIM III is a reproducible functional assessment instrument and capable of evaluating the level of independence of the individual with non-traumatic spinal cord injury. The SCIM III is more sensitive than the MIF™ for non-traum...Continue Reading

References

Dec 1, 1989·Arquivos de neuro-psiquiatria·L H CastroM Scaff
Jun 23, 1999·Archives of Physical Medicine and Rehabilitation·W O McKinleyJ T Hardman
May 5, 2001·Disability and Rehabilitation·A CatzA Tamir
Feb 15, 2002·Lancet·John W McDonald, Cristina Sadowsky
Jun 26, 2014·Arquivos de neuro-psiquiatria·Marcelo RibertoLinamara Rizzo Battistella

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Citations

Oct 2, 2019·The Journal of Spinal Cord Medicine·Kristin E MusselmanB Catharine Craven
Aug 21, 2018·The Journal of Spinal Cord Medicine·Rutger OsterthunMarcel W M Post
Nov 17, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Kenichi YoshikawaYutaka Kohno
Oct 9, 2021·Spinal Cord Series and Cases·Prakriti KhatriChristine C Groves
Oct 24, 2021·Archives of Physical Medicine and Rehabilitation·Amiram CatzVadim Bluvshtein

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