Article

PURPOSE: To verify the applicability, reproducibility and validity of the SCIM
III patients with non-traumatic spinal cord injury.
METHOD: The cross-sectional
study included 30 patients (66% females; 41.5 +/- 14.7 yo) with non-traumatic
spinal cord injury of any etiology. Subjects were subjected by computerized gait
analysis and answered the Brazilian versions of SCIM III
(0-100 points) and FIM
(18-126 points) by two raters
(A and B) at the same day and 1 week later (A).
RESULTS: The intraclass correlation coefficient for the use of SCIM III indicated
appropriated intra- and inter-evaluator reproducibility (ICC = 0.9). Correlation
between the SCIM III and the motor FIM was appropriate (r = 0.6; p = 0.0). SCIM
III subscales and FIM domains correlated strongly for self-care (r = 0.8; p </=
0.001), moderately for transfers (r = 0.6; p = 0.0005) and locomotion (r = 0.6; p
= 0.0006). SCIM III mobility subscale positively correlated with the cadence (r =
0.8; p </= 0.01), gait speed (r = 0.7; p </= 0.01) and step length (r = 0.6; p
</= 0.01). CONCLUSIONS: SCIM III is a reproducible functional assessment
instrument and capable of evaluating the level of independence of the individual
with non-traumatic spinal cord injury. The SCIM III is more sensitive than the
MIF for non-traumatic spastic paraplegic patients with higher levels of
independence, particularly if they can walk independently. Linear gait parameters
correlated with its mobility subscale. Implications for Rehabilitation
Applicability, validation and reproducibility of the Spinal Cord Independence
Measure version III (SCIM III) in patients with non-traumatic spinal cord
lesions. There are not many studies focused on patients with non-traumatic spinal
cord lesion. Disability varies in severity, but frequently contributes to
limitations in the activities of daily living (ADL) and participation. We do not
find in the literature studies that assess the functionality of these individuals
as comprehensive as ours.

Langue : ANGLAIS