Article

The objective was to determine the ability of people with SCI to accurately self-report S4-5 sensory
and motor function. SETTING: Outpatient clinic, Sydney, Australia. METHODS: A
consecutive series of thirty-four people who had sustained a SCI more than 1 year
before the study, and who were attending an outpatient medical clinic were
recruited. They were assessed on two occasions. On the first occasion, ability to
self-report S4-5 sensory and motor function was assessed with four questions. On
the second occasion, a rehabilitation physician performed a physical examination
to determine participants' S4-5 sensory and motor function. The rehabilitation
physician was unaware of the results of participants' self-report. Participants'
self-reports were compared with results from the physical examination using
likelihood ratios. RESULTS: The likelihood ratios (95% CI) associated with a
positive response to the sensory and motor questions were 1.92 (1.0-3.6) and 2.4
(1.2-4.9), respectively. The likelihood ratios associated with a negative
response to the sensory and motor questions were 0.1 (0.0-0.6) and 0.4 (0.1-1.2),
respectively. CONCLUSION: People with SCI are reasonably accurate at
self-reporting S4-5 sensory and motor function, although there is a high rate of
false positives for S4-5 motor in those with motor levels below T10. In some
situations it may be appropriate to use self-report rather than a physical
examination to determine S4-5 sensory and motor function.

Langue : ANGLAIS