Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Linking the Klein-Bell Activities of Daily Living Scale to the International Classification of Functioning, Disability and Health

“…the KB Scale has been used in earlier studies, including in persons with SCI (7,19). the reliability (7,20,21) and validity (7,8,21), as well as sensitivity toward small changes in ADL (20,22) have been studied elsewhere. the KB Scale has been translated into Swedish, and this version was used during the linking procedure (23,24).…”

“…It is questionable whether it is important to assess all these functions for persons with cervical SCI. However, an earlier study (8,34) showed that urination and elimination of faeces are issues because these impairments have a major impact on independence in these persons, which makes it important to assess them.…”

“…today the use of standardized instruments (4) has become increasingly important for analysing how different interventions can affect different areas of life and environmental factors and improve performance (5). Over time, several ADL instruments have been developed, including the Klein-Bell ADL (KB) Scale (6,7), a generic instrument that measures ADL, with a wealth of detail that other established instruments lack (8). However, the variety of content among ADL instruments requires the ability to judge which is the most appropriate in studying a particular clinical research question.…”