SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions

V. Bluvshtein; L. Front; M. Itzkovich; E. Aidinoff; I. Gelernter; J. Hart; F. Biering-Soerensen; C. Weeks; M. T. Laramee; C. Craven; S. L. Hitzig; E. Glaser; G. Zeilig; S. Aito; G. Scivoletto; M. Mecci; R. J. Chadwick; W. S.E. Masry; A. Osman; C. A. Glass; P. Silva; B. M. Soni; B. P. Gardner; G. Savic; E. M. Bergström; A. Catz

doi:10.1038/sc.2010.111

SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions

V. Bluvshtein, L. Front, M. Itzkovich, E. Aidinoff, I. Gelernter, J. Hart, F. Biering-Soerensen, C. Weeks, M. T. Laramee, C. Craven, S. L. Hitzig, E. Glaser, G. Zeilig, S. Aito, G. Scivoletto, M. Mecci, R. J. Chadwick, W. S.E. Masry, A. Osman, C. A. GlassP. Silva, B. M. Soni, B. P. Gardner, G. Savic, E. M. Bergström, A. Catz^*

^*Corresponding author for this work

Clinical Departments

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66 Scopus citations

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, P0.001). 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.

Original language	English
Pages (from-to)	292-296
Number of pages	5
Journal	Spinal Cord
Volume	49
Issue number	2
DOIs	https://doi.org/10.1038/sc.2010.111
State	Published - Feb 2011

Funding

Funders	Funder number
Loewenstein Rehabilitation Hospital Spinal Department

Keywords

disability assessment
reliability
traumatic spinal cord lesions
validity

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10.1038/sc.2010.111

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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. E., Osman, A., ... Catz, A. (2011). SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions. Spinal Cord, 49(2), 292-296. https://doi.org/10.1038/sc.2010.111

@article{993bf2f2bf2543e3862b2b4ef9bcf462,

title = "SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions",

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, P0.001). 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.",

keywords = "disability assessment, reliability, traumatic spinal cord lesions, validity",

author = "V. Bluvshtein and L. Front and M. Itzkovich and E. Aidinoff and I. Gelernter and J. Hart and F. Biering-Soerensen and C. Weeks and Laramee, {M. T.} and C. Craven and Hitzig, {S. L.} and E. Glaser and G. Zeilig and S. Aito and G. Scivoletto and M. Mecci and Chadwick, {R. J.} and Masry, {W. S.E.} and A. Osman and Glass, {C. A.} and P. Silva and Soni, {B. M.} and Gardner, {B. P.} and G. Savic and Bergstr{\"o}m, {E. M.} and A. Catz",

note = "Funding Information: The study was supported by the Loewenstein Rehabilitation Hospital Spinal Department Research Fund.",

year = "2011",

month = feb,

doi = "10.1038/sc.2010.111",

language = "אנגלית",

volume = "49",

pages = "292--296",

journal = "Spinal Cord",

issn = "1362-4393",

publisher = "Nature Publishing Group",

number = "2",

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Bluvshtein, V, Front, L, Itzkovich, M, Aidinoff, E, Gelernter, I, Hart, J, Biering-Soerensen, F, Weeks, C, Laramee, MT, Craven, C, Hitzig, SL, Glaser, E, Zeilig, G, Aito, S, Scivoletto, G, Mecci, M, Chadwick, RJ, Masry, WSE, Osman, A, Glass, CA, Silva, P, Soni, BM, Gardner, BP, Savic, G, Bergström, EM & Catz, A 2011, 'SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions', Spinal Cord, vol. 49, no. 2, pp. 292-296. https://doi.org/10.1038/sc.2010.111

TY - JOUR

T1 - SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions

AU - Bluvshtein, V.

AU - Front, L.

AU - Itzkovich, M.

AU - Aidinoff, E.

AU - Gelernter, I.

AU - Hart, J.

AU - Biering-Soerensen, F.

AU - Weeks, C.

AU - Laramee, M. T.

AU - Craven, C.

AU - Hitzig, S. L.

AU - Glaser, E.

AU - Zeilig, G.

AU - Aito, S.

AU - Scivoletto, G.

AU - Mecci, M.

AU - Chadwick, R. J.

AU - Masry, W. S.E.

AU - Osman, A.

AU - Glass, C. A.

AU - Silva, P.

AU - Soni, B. M.

AU - Gardner, B. P.

AU - Savic, G.

AU - Bergström, E. M.

AU - Catz, A.

N1 - Funding Information: The study was supported by the Loewenstein Rehabilitation Hospital Spinal Department Research Fund.

PY - 2011/2

Y1 - 2011/2

N2 - 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, P0.001). 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.

AB - 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, P0.001). 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.

KW - disability assessment

KW - reliability

KW - traumatic spinal cord lesions

KW - validity

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SN - 1362-4393

VL - 49

SP - 292

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JO - Spinal Cord

JF - Spinal Cord

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ER -

SCIM III is reliable and valid in a separate analysis for traumatic spinal cord lesions

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