Discriminative ability of the Spinal Cord Independence Measure III on levels of independence among ambulatory individuals with spinal cord injury

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Published: Aug 9, 2021
Keywords:
Clinical tool Rehabilitation Neurology Mobility Burden of care

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Narongsak Khamnon
School of physical therapy, Faculty of medical associated science, Khon Kaen University, Khon Kaen, Thailand.; Improvement of Physical Performance and Quality of Life (IPQ) Research group, Khon Kaen University, Khon Kaen, Thailand.
Nisara Musika
Department of rehabilitation, Faculty of medicine, Khon Kaen University, Khon Kaen, Thailand.
Panumas Jitmongkolsri
Department of orthopedics, Khon Kaen hospital, Khon Kaen, Thailand.
Napaporn Kongngen
Maehongson Special Education Center, Bureau of Special Education Administration, Ministry of Education, Maehongson, Thailand.
Manatsavee Haisirikul
Physical therapy, Department of rehabilitation, Buri Ram hospital, Buri Ram, Thailand.
Kittiyaporn Jaikarsen
Occupational therapy, Department of rehabilitation, Buri Ram hospital, Buri Ram, Thailand.
Sugalya Amatachaya
School of physical therapy, Faculty of medical associated science, Khon Kaen University, Khon Kaen, Thailand.; Improvement of Physical Performance and Quality of Life (IPQ) Research group, Khon Kaen University, Khon Kaen, Thailand.

Abstract

Spinal Cord Independence Measure ( SCIM) III has been proposed as a test battery to discriminate independence of individuals with spinal cord injury ( SCI) . However, there is no clear evidence to support this claim. This study compared the SCIM III scores among 45 ambulatory individuals with SCI who had different levels of independence. Eligible participants were assessed for their demographics, SCI characteristics, and SCIM III scores (Thai version). The requirement of external assistance and/or devices while completing the tasks of SCIM III were used to categorize the participants into three groups (15 participants/group), including
need assistance, modified independence (MoID) , and independence ( ID). The differences among the groups were compared using the Kruskal-Wallis test. The findings indicated significant differences in the total and subscale SCIM III scores among the three groups (pvalue < 0. 05) , except the respiration and sphincter management between the MoID and ID participants (p-value > 0.05). The current findings clearly confirmed the use of SCIM III scores to discriminate and monitor independence among ambulatory individuals of SCI.

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1.
Khamnon N, Musika N, Jitmongkolsri P, Kongngen N, Haisirikul M, Jaikarsen K, Amatachaya S. Discriminative ability of the Spinal Cord Independence Measure III on levels of independence among ambulatory individuals with spinal cord injury. Arch AHS [Internet]. 2021 Aug. 9 [cited 2024 Nov. 18];33(3):9-15. Available from: https://he01.tci-thaijo.org/index.php/ams/article/view/247748
Issue
Vol. 33 No. 3 (2021): September - December
Section
Original article
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