当前位置： SCI文献检索 > ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION期刊下所有文献 > Functional ability level development and validation: providing clinical meaning for Spinal Cord Injury Functional Index scores.

Functional ability level development and validation: providing clinical meaning for Spinal Cord Injury Functional Index scores.

Abstract：

OBJECTIVES:To develop functional ability levels for the Spinal Cord Injury Functional Index (SCI-FI) and to validate them using calibration and reliability samples. DESIGN:Three-phase strategy involved (1) performing quantitative synthesis of SCI-FI data to create item maps; (2) using a panel of experts to identify functional ability levels after the bookmarking and Delphi consensus-building process; and (3) performing quantitative analyses to examine demographic characteristics across 2 samples, assessing the distribution pattern across functional ability levels, and examining concurrent validity using the self-reported functional measure and the observer-rated FIM. SETTING:Inpatient and community settings. PARTICIPANTS:People 18 years or older with traumatic spinal cord injury (N=1124) were recruited from the Spinal Cord Injury Model Systems programs and stratified by diagnosis, severity, and time since injury (n=855 and n=269 for calibration and reliability samples, respectively). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURE:SCI-FI. RESULTS:Five functional ability levels were identified for all SCI-FI domains, except fine motor having 4 functional ability levels. Statistical test results indicated no significant differences in the distribution pattern across the 2 samples across functional ability levels for all domains except for ambulation. Known-group comparisons were able to discern the spinal cord injury population as expected. Basic mobility, self-care, and wheelchair mobility domains had a cluster of persons with paraplegia and incomplete lesions at higher functional ability levels and persons with tetraplegia and complete lesions at lower functional ability levels. For the ambulation domain, the distribution was skewed to the lower end, with a relatively small percentage of persons with incomplete lesions (paraplegia and tetraplegia) at higher functional ability levels. For the fine motor domain, the distribution was skewed to higher functional ability levels, with a high percentage of persons with paraplegia at the highest level (complete and incomplete lesions). Concurrent validity analyses revealed SCI-FI functional levels to be significantly (P<.001) positively correlated with both the self-reported functional measure and the observer-rated FIM. CONCLUSIONS:Clinicians can use functional ability levels to discuss patients' functional capabilities with them and their family.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Sinha R,Slavin MD,Kisala PA,Ni P,Tulsky DS,Jette AM

doi

10.1016/j.apmr.2014.11.008

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1448-57

issue

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)01271-4

journal_volume

pub_type

杂志文章

在线工具

Functional ability level development and validation: providing clinical meaning for Spinal Cord Injury Functional Index scores.