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SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions
Study design: A multi-center international cohort study. Objective: To evaluate the reliability and validity of the third version of the Spinal Cord Independence Measure (SCIM III), separately for patients with traumatic spinal cord lesions (SCLs). Setting: A total of 13 spinal cord units in six cou...
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Published in: | Spinal cord 2011-02, Vol.49 (2), p.292-296 |
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creator | Bluvshtein, V Front, L Itzkovich, M Aidinoff, E Gelernter, I Hart, J Biering-Soerensen, F Weeks, C Laramee, M T Craven, C Hitzig, S L Glaser, E Zeilig, G Aito, S Scivoletto, G Mecci, M Chadwick, R J Masry, W S El Osman, A Glass, C A Silva, P Soni, B M Gardner, B P Savic, G Bergström, E M Catz, A |
description | Study design:
A multi-center international cohort study.
Objective:
To evaluate the reliability and validity of the third version of the Spinal Cord Independence Measure (SCIM III), separately for patients with traumatic spinal cord lesions (SCLs).
Setting:
A total of 13 spinal cord units in six countries from North America, Europe and the Middle-East.
Methods:
SCIM III and Functional Independence Measure (FIM) were assessed for 261 patients with traumatic SCLs, on admission to rehabilitation and before discharge, by two raters. Conventional statistical measures were used to evaluate the SCIM III reliability and validity.
Results:
In almost all SCIM III tasks, the total agreement between the paired raters was >80%. The κ coefficients were all >0.6 and statistically significant. Pearson's coefficients of the correlations between the paired raters were >0.9, the mean differences between raters were nonsignificant and the intraclass correlation coefficients (ICCs) were ⩾0.95. Cronbach's α values for the entire SCIM III scale were 0.833–0.835. FIM and SCIM III total scores were correlated (
r
=0.84,
P |
doi_str_mv | 10.1038/sc.2010.111 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_954602904</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2257589481</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-785345ad01de0bcc3aa86f3ce1e373722d29a4f8f37a3373461d0af28b9416503</originalsourceid><addsrcrecordid>eNqF0c1L5DAUAPAgu_i1nryvQRAPazVfbZOjDLoWFA-74rG8SdMlkmln89qF-e9Nd0YFEYRAkvd-eUl4hBxyds6Z1BdozwWbNpxvkV2uyiLLC6G-pLUsRKakkTtkD_GJMWa40dtkRzCdjpR6lzz-mlV3tKoq6pFGFzzMg6PQNfQfBN9Q31Gg6JYQYZjiEFaYZNtHOkQYFzB4S3HpU4LaPjY0OPR9h9_I1xYCuoPNvE8erq9-z26y2_uf1ezyNrOqzIes1LlUOTSMN47NrZUAumilddzJUpZCNMKAanUrS5ApogreMGiFnhvFi5zJfXK6rruM_d_R4VAvPFoXAnSuH7E2uSqYMEx9KrUySnIheJLH7-RTP8b0w_9IpGGmcj_WyMYeMbq2Xka_gLiqOaunvtRo66kvdepL0t83Jcf5wjWv9qURCZxsAKCF0EborMc3J7XMeSGSO1s7TKnuj4tvb_v43qM172AYo3uth3Yik3gGoPKrPQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>849249294</pqid></control><display><type>article</type><title>SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions</title><source>SPORTDiscus with Full Text</source><creator>Bluvshtein, V ; Front, L ; Itzkovich, M ; Aidinoff, E ; Gelernter, I ; Hart, J ; Biering-Soerensen, F ; Weeks, C ; Laramee, M T ; Craven, C ; Hitzig, S L ; Glaser, E ; Zeilig, G ; Aito, S ; Scivoletto, G ; Mecci, M ; Chadwick, R J ; Masry, W S El ; Osman, A ; Glass, C A ; Silva, P ; Soni, B M ; Gardner, B P ; Savic, G ; Bergström, E M ; Catz, A</creator><creatorcontrib>Bluvshtein, V ; Front, L ; Itzkovich, M ; Aidinoff, E ; Gelernter, I ; Hart, J ; Biering-Soerensen, F ; Weeks, C ; Laramee, M T ; Craven, C ; Hitzig, S L ; Glaser, E ; Zeilig, G ; Aito, S ; Scivoletto, G ; Mecci, M ; Chadwick, R J ; Masry, W S El ; Osman, A ; Glass, C A ; Silva, P ; Soni, B M ; Gardner, B P ; Savic, G ; Bergström, E M ; Catz, A</creatorcontrib><description>Study design:
A multi-center international cohort study.
Objective:
To evaluate the reliability and validity of the third version of the Spinal Cord Independence Measure (SCIM III), separately for patients with traumatic spinal cord lesions (SCLs).
Setting:
A total of 13 spinal cord units in six countries from North America, Europe and the Middle-East.
Methods:
SCIM III and Functional Independence Measure (FIM) were assessed for 261 patients with traumatic SCLs, on admission to rehabilitation and before discharge, by two raters. Conventional statistical measures were used to evaluate the SCIM III reliability and validity.
Results:
In almost all SCIM III tasks, the total agreement between the paired raters was >80%. The κ coefficients were all >0.6 and statistically significant. Pearson's coefficients of the correlations between the paired raters were >0.9, the mean differences between raters were nonsignificant and the intraclass correlation coefficients (ICCs) were ⩾0.95. Cronbach's α values for the entire SCIM III scale were 0.833–0.835. FIM and SCIM III total scores were correlated (
r
=0.84,
P
<0.001). SCIM III was more responsive to changes than FIM. In all subscales, SCIM III identified more changes in function than FIM, and in 3 of the 4 subscales, differences in responsiveness were statistically significant (
P
<0.02).
Conclusion:
The results confirm the reliability and validity of SCIM III for patients with traumatic SCLs in a number of countries.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2010.111</identifier><identifier>PMID: 20820178</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378/1687/1825 ; 706/689/477 ; Activities of Daily Living - classification ; Adult ; Anatomy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Cerebrospinal fluid. Meninges. Spinal cord ; Cohort Studies ; Disability Evaluation ; Female ; Human Physiology ; Humans ; Independent Living - standards ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Outcome Assessment (Health Care) - methods ; Spinal Cord Injuries - diagnosis ; Spinal Cord Injuries - rehabilitation ; Surveys and Questionnaires - standards ; Traumas. Diseases due to physical agents ; Young Adult</subject><ispartof>Spinal cord, 2011-02, Vol.49 (2), p.292-296</ispartof><rights>International Spinal Cord Society 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Feb 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-785345ad01de0bcc3aa86f3ce1e373722d29a4f8f37a3373461d0af28b9416503</citedby><cites>FETCH-LOGICAL-c475t-785345ad01de0bcc3aa86f3ce1e373722d29a4f8f37a3373461d0af28b9416503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23835162$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20820178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bluvshtein, V</creatorcontrib><creatorcontrib>Front, L</creatorcontrib><creatorcontrib>Itzkovich, M</creatorcontrib><creatorcontrib>Aidinoff, E</creatorcontrib><creatorcontrib>Gelernter, I</creatorcontrib><creatorcontrib>Hart, J</creatorcontrib><creatorcontrib>Biering-Soerensen, F</creatorcontrib><creatorcontrib>Weeks, C</creatorcontrib><creatorcontrib>Laramee, M T</creatorcontrib><creatorcontrib>Craven, C</creatorcontrib><creatorcontrib>Hitzig, S L</creatorcontrib><creatorcontrib>Glaser, E</creatorcontrib><creatorcontrib>Zeilig, G</creatorcontrib><creatorcontrib>Aito, S</creatorcontrib><creatorcontrib>Scivoletto, G</creatorcontrib><creatorcontrib>Mecci, M</creatorcontrib><creatorcontrib>Chadwick, R J</creatorcontrib><creatorcontrib>Masry, W S El</creatorcontrib><creatorcontrib>Osman, A</creatorcontrib><creatorcontrib>Glass, C A</creatorcontrib><creatorcontrib>Silva, P</creatorcontrib><creatorcontrib>Soni, B M</creatorcontrib><creatorcontrib>Gardner, B P</creatorcontrib><creatorcontrib>Savic, G</creatorcontrib><creatorcontrib>Bergström, E M</creatorcontrib><creatorcontrib>Catz, A</creatorcontrib><title>SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
A multi-center international cohort study.
Objective:
To evaluate the reliability and validity of the third version of the Spinal Cord Independence Measure (SCIM III), separately for patients with traumatic spinal cord lesions (SCLs).
Setting:
A total of 13 spinal cord units in six countries from North America, Europe and the Middle-East.
Methods:
SCIM III and Functional Independence Measure (FIM) were assessed for 261 patients with traumatic SCLs, on admission to rehabilitation and before discharge, by two raters. Conventional statistical measures were used to evaluate the SCIM III reliability and validity.
Results:
In almost all SCIM III tasks, the total agreement between the paired raters was >80%. The κ coefficients were all >0.6 and statistically significant. Pearson's coefficients of the correlations between the paired raters were >0.9, the mean differences between raters were nonsignificant and the intraclass correlation coefficients (ICCs) were ⩾0.95. Cronbach's α values for the entire SCIM III scale were 0.833–0.835. FIM and SCIM III total scores were correlated (
r
=0.84,
P
<0.001). SCIM III was more responsive to changes than FIM. In all subscales, SCIM III identified more changes in function than FIM, and in 3 of the 4 subscales, differences in responsiveness were statistically significant (
P
<0.02).
Conclusion:
The results confirm the reliability and validity of SCIM III for patients with traumatic SCLs in a number of countries.</description><subject>631/378/1687/1825</subject><subject>706/689/477</subject><subject>Activities of Daily Living - classification</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cohort Studies</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Independent Living - standards</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Surveys and Questionnaires - standards</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Young Adult</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqF0c1L5DAUAPAgu_i1nryvQRAPazVfbZOjDLoWFA-74rG8SdMlkmln89qF-e9Nd0YFEYRAkvd-eUl4hBxyds6Z1BdozwWbNpxvkV2uyiLLC6G-pLUsRKakkTtkD_GJMWa40dtkRzCdjpR6lzz-mlV3tKoq6pFGFzzMg6PQNfQfBN9Q31Gg6JYQYZjiEFaYZNtHOkQYFzB4S3HpU4LaPjY0OPR9h9_I1xYCuoPNvE8erq9-z26y2_uf1ezyNrOqzIes1LlUOTSMN47NrZUAumilddzJUpZCNMKAanUrS5ApogreMGiFnhvFi5zJfXK6rruM_d_R4VAvPFoXAnSuH7E2uSqYMEx9KrUySnIheJLH7-RTP8b0w_9IpGGmcj_WyMYeMbq2Xka_gLiqOaunvtRo66kvdepL0t83Jcf5wjWv9qURCZxsAKCF0EborMc3J7XMeSGSO1s7TKnuj4tvb_v43qM172AYo3uth3Yik3gGoPKrPQ</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Bluvshtein, V</creator><creator>Front, L</creator><creator>Itzkovich, M</creator><creator>Aidinoff, E</creator><creator>Gelernter, I</creator><creator>Hart, J</creator><creator>Biering-Soerensen, F</creator><creator>Weeks, C</creator><creator>Laramee, M T</creator><creator>Craven, C</creator><creator>Hitzig, S L</creator><creator>Glaser, E</creator><creator>Zeilig, G</creator><creator>Aito, S</creator><creator>Scivoletto, G</creator><creator>Mecci, M</creator><creator>Chadwick, R J</creator><creator>Masry, W S El</creator><creator>Osman, A</creator><creator>Glass, C A</creator><creator>Silva, P</creator><creator>Soni, B M</creator><creator>Gardner, B P</creator><creator>Savic, G</creator><creator>Bergström, E M</creator><creator>Catz, A</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions</title><author>Bluvshtein, V ; Front, L ; Itzkovich, M ; Aidinoff, E ; Gelernter, I ; Hart, J ; Biering-Soerensen, F ; Weeks, C ; Laramee, M T ; Craven, C ; Hitzig, S L ; Glaser, E ; Zeilig, G ; Aito, S ; Scivoletto, G ; Mecci, M ; Chadwick, R J ; Masry, W S El ; Osman, A ; Glass, C A ; Silva, P ; Soni, B M ; Gardner, B P ; Savic, G ; Bergström, E M ; Catz, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-785345ad01de0bcc3aa86f3ce1e373722d29a4f8f37a3373461d0af28b9416503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>631/378/1687/1825</topic><topic>706/689/477</topic><topic>Activities of Daily Living - classification</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Cohort Studies</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Independent Living - standards</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Spinal Cord Injuries - diagnosis</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Surveys and Questionnaires - standards</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bluvshtein, V</creatorcontrib><creatorcontrib>Front, L</creatorcontrib><creatorcontrib>Itzkovich, M</creatorcontrib><creatorcontrib>Aidinoff, E</creatorcontrib><creatorcontrib>Gelernter, I</creatorcontrib><creatorcontrib>Hart, J</creatorcontrib><creatorcontrib>Biering-Soerensen, F</creatorcontrib><creatorcontrib>Weeks, C</creatorcontrib><creatorcontrib>Laramee, M T</creatorcontrib><creatorcontrib>Craven, C</creatorcontrib><creatorcontrib>Hitzig, S L</creatorcontrib><creatorcontrib>Glaser, E</creatorcontrib><creatorcontrib>Zeilig, G</creatorcontrib><creatorcontrib>Aito, S</creatorcontrib><creatorcontrib>Scivoletto, G</creatorcontrib><creatorcontrib>Mecci, M</creatorcontrib><creatorcontrib>Chadwick, R J</creatorcontrib><creatorcontrib>Masry, W S El</creatorcontrib><creatorcontrib>Osman, A</creatorcontrib><creatorcontrib>Glass, C A</creatorcontrib><creatorcontrib>Silva, P</creatorcontrib><creatorcontrib>Soni, B M</creatorcontrib><creatorcontrib>Gardner, B P</creatorcontrib><creatorcontrib>Savic, G</creatorcontrib><creatorcontrib>Bergström, E M</creatorcontrib><creatorcontrib>Catz, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bluvshtein, V</au><au>Front, L</au><au>Itzkovich, M</au><au>Aidinoff, E</au><au>Gelernter, I</au><au>Hart, J</au><au>Biering-Soerensen, F</au><au>Weeks, C</au><au>Laramee, M T</au><au>Craven, C</au><au>Hitzig, S L</au><au>Glaser, E</au><au>Zeilig, G</au><au>Aito, S</au><au>Scivoletto, G</au><au>Mecci, M</au><au>Chadwick, R J</au><au>Masry, W S El</au><au>Osman, A</au><au>Glass, C A</au><au>Silva, P</au><au>Soni, B M</au><au>Gardner, B P</au><au>Savic, G</au><au>Bergström, E M</au><au>Catz, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>49</volume><issue>2</issue><spage>292</spage><epage>296</epage><pages>292-296</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
A multi-center international cohort study.
Objective:
To evaluate the reliability and validity of the third version of the Spinal Cord Independence Measure (SCIM III), separately for patients with traumatic spinal cord lesions (SCLs).
Setting:
A total of 13 spinal cord units in six countries from North America, Europe and the Middle-East.
Methods:
SCIM III and Functional Independence Measure (FIM) were assessed for 261 patients with traumatic SCLs, on admission to rehabilitation and before discharge, by two raters. Conventional statistical measures were used to evaluate the SCIM III reliability and validity.
Results:
In almost all SCIM III tasks, the total agreement between the paired raters was >80%. The κ coefficients were all >0.6 and statistically significant. Pearson's coefficients of the correlations between the paired raters were >0.9, the mean differences between raters were nonsignificant and the intraclass correlation coefficients (ICCs) were ⩾0.95. Cronbach's α values for the entire SCIM III scale were 0.833–0.835. FIM and SCIM III total scores were correlated (
r
=0.84,
P
<0.001). SCIM III was more responsive to changes than FIM. In all subscales, SCIM III identified more changes in function than FIM, and in 3 of the 4 subscales, differences in responsiveness were statistically significant (
P
<0.02).
Conclusion:
The results confirm the reliability and validity of SCIM III for patients with traumatic SCLs in a number of countries.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20820178</pmid><doi>10.1038/sc.2010.111</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | SPORTDiscus with Full Text |
subjects | 631/378/1687/1825 706/689/477 Activities of Daily Living - classification Adult Anatomy Biological and medical sciences Biomedical and Life Sciences Biomedicine Cerebrospinal fluid. Meninges. Spinal cord Cohort Studies Disability Evaluation Female Human Physiology Humans Independent Living - standards Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences original-article Outcome Assessment (Health Care) - methods Spinal Cord Injuries - diagnosis Spinal Cord Injuries - rehabilitation Surveys and Questionnaires - standards Traumas. Diseases due to physical agents Young Adult |
title | SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions |
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