Sensitivity of the SCI-FI/AT in Individuals With Traumatic Spinal Cord Injury.
Arch Phys Med Rehabil
; 99(9): 1783-1788, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-29608900
ABSTRACT
OBJECTIVE:
To examine the ability of the Spinal Cord Injury-Functional Index/Assistive Technology (SCI-FI/AT) measure to detect change in persons with spinal cord injury (SCI).DESIGN:
Multisite longitudinal (12-mo follow-up) study.SETTING:
Nine SCI Model Systems programs.PARTICIPANTS:
Adults (N=165) with SCI enrolled in the SCI Model Systems database.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
SCI-FI/AT computerized adaptive test (CAT) (Basic Mobility, Self-Care, Fine Motor Function, Wheelchair Mobility, and/or Ambulation domains) completed at discharge from rehabilitation and 12 months after SCI. For each domain, effect size estimates and 95% confidence intervals were calculated for subgroups with paraplegia and tetraplegia.RESULTS:
The demographic characteristics of the sample were as follows 46% (n=76) individuals with paraplegia, 76% (n=125) male participants, 57% (n=94) used a manual wheelchair, 38% (n=63) used a power wheelchair, 30% (n=50) were ambulatory. For individuals with paraplegia, the Basic Mobility, Self-Care, and Ambulation domains of the SCI-FI/AT detected a significantly large amount of change; in contrast, the Fine Motor Function and Wheelchair Mobility domains detected only a small amount of change. For those with tetraplegia, the Basic Mobility, Fine Motor Function, and Self-Care domains detected a small amount of change whereas the Ambulation item domain detected a medium amount of change. The Wheelchair Mobility domain for people with tetraplegia was the only SCI-FI/AT domain that did not detect significant change.CONCLUSIONS:
SCI-FI/AT CAT item banks detected an increase in function from discharge to 12 months after SCI. The effect size estimates for the SCI-FI/AT CAT vary by domain and level of lesion. Findings support the use of the SCI-FI/AT CAT in the population with SCI and highlight the importance of multidimensional functional measures.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Alta del Paciente
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Autocuidado
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Traumatismos de la Médula Espinal
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Silla de Ruedas
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Evaluación de la Discapacidad
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2018
Tipo del documento:
Article