Sánchez SMF, Gallardo MJ, González S

Language: Spanish
References: 7
Page: 1-5
PDF size: 387.41 Kb.

ABSTRACT

The Spinal Cord Independence Measure (SCIM) was proposed by the doctors Catz, Itzkovich and Agranov, of the Spinal Cord Injury Department of the Hospital of Rehabilitation of Loewenstein Israel, as an innovative scale for disability, designed specifically for people with spinal cord injury. The SCIM is the only scale that measures independence in every aspect of daily activities relevant for patients with spinal cord injury. The relative values of each component of the SCIM were based on the combination of matters such as preestablished difficulty and required time to perform the activity. These relative weights were determined based on a consensus of Israel professionals and modified on the SCIM III with the consultations made with American and European experts. The principal motive for the development of the SCIM was the necessity to measure and monitor the effectiveness of the rehabilitation of patients with spinal cord injury in a precise way. Objective: To dispose of a valid, reproducible and with high internal coherence tool to be applied in patients with spinal cord injury hospitalized in the National Centre of Rehabilitation during the months of January, February and April 2015. Method: Descriptive, transversal study of 49 adult patients, hospitalized in the unity of spinal cord injury of the National Centre of Rehabilitation. The sociodemographic and basic clinical data were recorded. Two evaluators assessed the patients using the spanish version of the SCIM III. The descriptions of the collected parameters and the psychometric characteristics of the questionnaire (reliability and validity) were studied. Results: The distribution was of 76% men and 24% women. The neurological deficit found in the patients was 40,8% incomplete quadriplegia, 30,6% incomplete paraplegia, 26,5% complete paraple-gia and 2% complete quadriplegia. We obtained an Alpha of Cronbach value of 0,919 for evaluator 1, of 0,918 for evaluator 2 and of 0,920 at the discharge evaluation. Both observers had a very good consistency, even in mobility in the bedroom and bathroom the consistency is absolute, with a Kappa index between 0,81 and 1. Conclusion: The Spinal Cord Independence Measure, III version in spanish, is a valid and reliable tool for the functional assessment of the patients with spi-nal cord injury of the National Centre of Rehabilitation.

REFERENCES

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