Despite limitations in content range, the SCIM-III is reproducible and a valid indicator of physical function in youths with spinal cord injury and dysfunction

Abstract

The study was funded by the Craig H. Neilsen Foundation, Spinal Cord Injury Research on the Translation Spectrum, Senior Research Award Grant #282592 (Mulcahey, PI).

Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas

“…Studies confirmed that in a large and heterogeneous sample, SCIM III is a valid and reliable measure of functional recovery of the individual with SCI [31][32][33][34][35][36] . Mulcahey et al 37 assessed the psychometric properties of SCIM-III in a population with acute and chronic SCI and, through the analysis of the total scores of the self-care subscale, confirmed that there were differences between the neurological level and internal and external mobility, even though they have observed a ceiling effect. We conjecture that this has occurred due to the high functional level shown by the sample studied.…”

“…The study by Kuo et al 38 was conducted with patients with traumatic brain injury (TBI) and SCI, observing that patients with TBI presented higher difficulties in cognition, Interaction and participation, while patients with SCI showed difficulties in mobility and self-care. Studies comparing the efficiency of WHODAS 2.0 with other scales, linking quality of life, activity and participation affirmed that WHODAS 2.0 is ideal, as it contains objective and subjective information and presents minimum floor and ceiling effects 37,39 .…”

Functional Outcomes in Spinal Tuberculosis: A Review of the Literature

“…As discussed earlier, ODI and JOA are commonly used functional outcome assessments. However, ODI has limitations, whereby it only assesses functional disability secondary to low back pain and is used for various low back conditions, including degenerative etiologies [27,28]. Although the use of ODI and JOA is related to the likelihood of developing pain in spinal tuberculosis, they do not truly reflect the functional limitations caused by the neurological deficits.…”

“…Thus far, we have not found studies that used spinal a cord-specific functional assessment tool such as the Spinal Cord Independence Measure-III (SCIM-III). This outcome measure is designed to assess patients with spinal cord-related disorders and has excellent reliability (internal consistency of >0.84) and validity (r=0.92) [28]. It would be worthwhile to consider SCIM-III as a specific measure for functional outcomes and a prognostication tool for future studies evaluating certain treatment and rehabilitation interventions for spinal tuberculosis.…”

Evaluation of the graded redefined assessment of strength, sensibility and prehension (GRASSP) in children with tetraplegia

“…The SCIM-III generates a total score between 0 and 100, where higher scores reflect greater level of physical function, and scores for three subscales are obtained: self care (score range between 0 and 20), respiration and sphincter (score range between 0-40), and mobility (inroom mobility score range between 0 and 10; indooroutdoor mobility score range between 0 and 30). Psychometric properties of the SCIM-III in children are strong [22]. We administered the SCIM-III to children using a combination of observation and interview; if needed, parents assisted in the interview.…”