Spinal Cord Injury-Functional Index: Item Banks to Measure Physical Functioning in Individuals With Spinal Cord Injury

被引：53

作者：

Tulsky, David S. ^{[1
]}

Jette, Alan M. ^{[2
]}

Kisala, Pamela A. ^{[1
]}

Kalpakjian, Claire ^{[1
]}

Dijkers, Marcel P. ^{[3
]}

Whiteneck, Gale ^{[4
]}

Ni, Pengsheng ^{[2
]}

Kirshblum, Steven ^{[5
,6
,9
]}

Charlifue, Susan ^{[4
]}

Heinemann, Allen W. ^{[7
,8
]}

Forchheimer, Martin ^{[1
]}

Slavin, Mary D. ^{[2
]}

Houlihan, Bethlyn ^{[2
]}

Tate, Denise G. ^{[1
]}

Dyson-Hudson, Trevor ^{[6
,9
]}

Fyffe, Denise G. ^{[6
,9
]}

Williams, Steve ^{[10
]}

Zanca, Jeanne ^{[3
]}

机构：

[1] Univ Michigan, Sch Med, Dept Phys Med & Rehabil, Ann Arbor, MI 48109 USA

[2] Boston Univ, Sch Publ Hlth, Hlth & Disabil Res Inst, Boston, MA USA

[3] Mt Sinai Sch Med, New York, NY USA

[4] Craig Hosp, Englewood, CO USA

[5] Kessler Inst Rehabil, W Orange, NJ USA

[6] Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Phys Med & Rehabil, Newark, NJ 07103 USA

[7] Northwestern Univ, Dept Phys Med & Rehabil, Chicago, IL 60611 USA

[8] Rehabil Inst Chicago, Chicago, IL 60611 USA

[9] Kessler Fdn, W Orange, NJ USA

[10] Boston Med Ctr, New England Reg Spinal Cord Injury Ctr, Boston, MA USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2012年 / 93卷 / 10期

基金：

美国国家卫生研究院;

关键词：

Activities of daily living; Mobility limitation; Outcome assessment (health care); Psychometrics; Quality of life; Rehabilitation; Self care; Spinal cord injuries; Walking; REPORTED OUTCOMES MEASUREMENT; CONFIRMATORY FACTOR-ANALYSIS; INDEPENDENCE MEASURE; FIT INDEXES; VERSION III; RELIABILITY; REHABILITATION; VALIDITY; TRIALS; SCIM;

D O I：

10.1016/j.apmr.2012.05.007

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Tulsky DS, Jette AM, Kisala PA, Kalpakjian C, Dijkers MP, Whiteneck G, Ni P, Kirshblum S, Charlifue S, Heinemann AW, Forchheimer M, Slavin MD, Houlihan B, Tate DG, Dyson-Hudson T, Fyffe D, Williams S. Zanca J. Spinal Cord Injury-Functional Index: item banks to measure physical functioning in individuals with spinal cord injury. Arch Phys Med Rehabil 2012;93:1722-32. Objectives: To develop a comprehensive set of patient-reported items to assess multiple aspects of physical functioning relevant to the lives of people with spinal cord injury (SCI), and to evaluate the underlying structure of physical functioning. Design: Cross-sectional. Setting: Inpatient and community. Participants: Item pools of physical functioning were developed, refined, and field tested in a large sample of individuals (N = 855) with traumatic SCI stratified by diagnosis, severity, and time since injury. Interventions: None. Main Outcome Measure: Spinal Cord Injury-Functional Index (SCI-FI) measurement system. Results: Confirmatory factor analysis (CFA) indicated that a 5-factor model, including basic mobility, ambulation, wheelchair mobility, self-care, and fine motor function, had the best model fit and was most closely aligned conceptually with feedback received from individuals with SCI and SCI clinicians. When just the items making up basic mobility were tested in CFA, the fit statistics indicated strong support for a unidimensional model. Similar results were demonstrated for each of the other 4 factors, indicating unidimensional models. Conclusions: Though unidimensional or 2-factor (mobility and upper extremity) models of physical functioning make up outcomes measures in the general population, the underlying structure of physical function in SCI is more complex. A 5-factor solution allows for comprehensive assessment of key domain areas of physical functioning. These results informed the structure and development of the SCI-FI measurement system of physical functioning.

引用

页码：1722 / 1732

页数：11

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