Using the Spinal Cord Independence Measure III to measure functional recovery in a post-acute spinal cord injury program

Abstract

Methods: Participants were included if they had a motor complete spinal cord injury (SCI), were within 12 months from the date of injury and completed the recommended length of stay. Median SCIM-III changes between admission and discharge were calculated by subgroups (C1-4, C5, C6, C7-8, T1-6 and T7-12) based on the American Spinal Injury Association motor injury levels. Ceiling and floor effects were examined by item and the percentage of participants showing change between admission and discharge were calculated. Results: In all, 114 participants were included in the analysis. The median total SCIM-III score at admission was 42 (range 13-68), whereas the median total SCIM-III score at discharge was 50 (range 16-72). The median improvement of 5 points in total SCIM-III score between admission and discharge was statistically significant. Significant improvements were also observed between admission and discharge across all subgroups except C1-4. Ceiling and floor effects were noted in some subgroups. Conclusions: The SCIM-III seems to be an effective measure for functional assessment of persons with SCI in a post-acute rehabilitation program. There are some ceiling and floor effects noted; however, the SCIM-III seems to be sensitive enough to capture functional changes during a post-acute rehabilitation program.

Translation into Greek and initial validity and reliability testing of a modified version of the SCIM III, in both English and Greek, for self-use

“…There have been other studies in the literature reporting similarly high ceiling effects of measurements [45] including the SF-36 [46], SCIM III [47] and the SCIM II [48], which may flag up concerns about the suitability of a tool for usage with certain patient groups. The high percentage of ceiling effects found here could be attributed to the fact that the respondents were less impaired as they all had incomplete SCI.…”

Development and validation of a self-report version of the Spinal Cord Independence Measure (SCIM III)

“…3,20 In the current study, many participants were hospitalized due to health conditions such as pressure sores that reduced independence temporarily independent from the spinal cord lesion. Therefore, the design of our study did not allow assessing the sensitivity of SCIM-SR to improvement in functional level.…”

Aplicabilidade, validação e reprodutibilidade do <i>Spinal Cord Independence Measure</i> <i>version III</i> (SCIM III) nos pacientes com paraparesia espástica

“…É consenso que tarefas que envolvam autocuidado e mobilidade são básicas para níveis mais altos de funcionalidade e a melhora destas habilidades levam a um impacto considerável no nível de incapacidade e de saúde relacionado à qualidade de vida. Portanto, torna-se de suma importância o desenvolvimento e refinamento de instrumentos padronizados que mensurem a capacidade para realização das AVDS e que sejam confiáveis, validados e de fácil aplicação para validar a recuperação funcional do indivíduo (ITZKOVITCH et al, 2007;ACKERMAN et al, 2010).…”

“…O Spinal Cord Independence Measure (SCIM) foi criado por Amiran Catz e Malka Itzkovitch em 1994, tendo a primeira versão publicada em 1997 e foi desenvolvido no Departamento de Reabilitação da Coluna do Hospital de Lowenstein (CATZ et al, 1997;ACKERMAN et al, 2010;DANTAS et al, 2012).…”

“…Este instrumento foi criado especificamente para pacientes com lesão na medula espinhal e é o único que mede a capacidade para realização de AVDS (ITZKOVITCH et al, 2007;CATZ et al, 2007;ACKERMAN et al, 2010). Trata-se de um instrumento para avaliar e quantificar a habilidade para a realização das tarefas de vida diária, segundo uma pontuação definida para cada tarefa, assim como as mudanças funcionais significativas em pacientes com lesão medular (CATZ et al, 2001;ITZKOVITCH et al, 2007;DANTAS et al, 2012).…”