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Reliability and validity of the international standards for neurological classification of spinal cord injury in patients with non-traumatic spinal cord lesions.
Lena, Emanuela; Baroncini, Ilaria; Pavese, Chiara; Musumeci, Gaia; Volini, Silvia; Masciullo, Marcella; Aiachini, Beatrice; Fizzotti, Gabriella; Puci, Mariangela V; Scivoletto, Giorgio.
Affiliation
  • Lena E; INI Rehabilitation Hospital, Grottaferrata, Italy.
  • Baroncini I; Montecatone Rehabilitation Hospital, Imola, Italy.
  • Pavese C; Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
  • Musumeci G; Neurorehabilitation and Spinal Unit, Institute of Pavia, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
  • Volini S; Montecatone Rehabilitation Hospital, Imola, Italy.
  • Masciullo M; Montecatone Rehabilitation Hospital, Imola, Italy.
  • Aiachini B; Spinal Cord Unit, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Fizzotti G; Spinal Rehabilitation SpiRe lab, IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Puci MV; Neurorehabilitation and Spinal Unit, Institute of Pavia, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
  • Scivoletto G; Neurorehabilitation and Spinal Unit, Institute of Pavia, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Spinal Cord ; 60(1): 30-36, 2022 Jan.
Article in En | MEDLINE | ID: mdl-34326462
ABSTRACT
STUDY

DESIGN:

Prospective, observational study.

OBJECTIVES:

The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) represent the gold standard for the assessment of patients with spinal cord injury (SCI) and their measurement properties have been evaluated in patients with traumatic lesions. Albeit the ISNCSCI are widely used also for the assessment and prognosis of patients with non-traumatic SCI, a validation of this grading system in this sample has never been performed. Therefore, the aim of this study is to evaluate the measurement properties of the ISNCSCI in a population of persons with non-traumatic SCI.

SETTING:

Three Italian rehabilitation hospitals.

METHODS:

The sample included 140 patients with non-traumatic SCI of different etiology, level and grade, for a total of 169 evaluations performed by two examiners. Cronbach's Alpha was used to evaluate the internal consistency of the ISNCSCI various components. The agreement between two examiners of each center in the definition of different components was used to assess the inter-rater reliability. The construct validity was evaluated through the correlation of the ISNCSCI with the Spinal Cord Independence Measure (SCIM).

RESULTS:

The ISNCSCI showed substantial internal consistency, and substantial inter-rater agreement for AIS grade, cumulative motor and sensory scores. The motor scores for upper and lower extremity showed fair to moderate correlation with SCIM self-care and motility subscores, respectively. The ISNCSCI total motor score correlated with the total SCIM score.

CONCLUSIONS:

Our study demonstrates that the ISNCSCI are a valid and reliable tool for the assessment of patients with non-traumatic SCI.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Spinal Cord Injuries Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: En Journal: Spinal Cord Journal subject: NEUROLOGIA Year: 2022 Document type: Article Affiliation country: Italy Publication country: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Spinal Cord Injuries Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: En Journal: Spinal Cord Journal subject: NEUROLOGIA Year: 2022 Document type: Article Affiliation country: Italy Publication country: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM