Sensitivity of the SCI-FI/AT in Individuals With Traumatic Spinal Cord Injury
Sensitivity of the SCI-FI/AT in Individuals With Traumatic Spinal Cord Injury
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DOI：
10.1016/j.apmr.2018.02.014
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发表时间：
2018-09-01
影响因子：
4.3
通讯作者：
Jette, Alan M.
中科院分区：
文献类型：
--
作者：
Keeney, Tamra;Slavin, Mary;Jette, Alan M.
目的：探讨脊髓损伤-功能指数/辅助技术（SCI /AT）检测脊髓损伤（SCI）患者变化的能力。设计：多地点纵向（12个月随访）研究。设置：9个SCI模型系统项目。参与者：在SCI模型系统数据库中登记的SCI成人（N = 165）。干预措施：不适用。主要结果测量：SCI /AT计算机自适应测试（CAT）（基本活动能力、自我护理、精细运动功能、轮椅活动能力和/或活动领域）在康复出院和SCI后12个月完成。对于每个域，计算截瘫和四肢瘫痪亚组的效应大小估计值和95%置信区间。结果：样本的人口学特征如下：46% （n = 76）截瘫患者，76% （n = 125）男性参与者，57% （n = 94）使用手动轮椅，38% （n = 63）使用电动轮椅，30% （n = 50）不能走动。截瘫患者的基本活动能力、自我照顾能力和活动能力有显著的变化；相比之下，精细运动功能和轮椅运动能力领域仅检测到少量变化。对于那些四肢瘫痪的人，基本活动能力、精细运动功能和自我护理领域检测到少量变化，而移动项目领域检测到中等数量的变化。四肢瘫痪患者的轮椅移动领域是唯一没有发现显著变化的科幻/AT领域。结论：SCI后12个月，SCI /AT CAT题库检测到功能的增加。科幻/AT CAT的效应大小估计因领域和病变程度而异。研究结果支持在SCI患者中使用SCI /AT CAT，并强调了多维功能测量的重要性。(C) 2018年美国康复医学大会
Objective: To examine the ability of the Spinal Cord Injury-Functional Index/Assistive Technology (SCI-FI/AT) measure to detect change in persons with spinal cord injury (SCI).Design: Multisite longitudinal (12-mo follow-up) study.Setting: Nine SCI Model Systems programs.Participants: Adults (N = 165) with SCI enrolled in the SCI Model Systems database.Interventions: Not applicable.Main Outcome Measures: SCI-FI/AT computerized adaptive test (CAT) (Basic Mobility, Self-Care, Fine Motor Function, Wheelchair Mobility, and/or Ambulation domains) completed at discharge from rehabilitation and 12 months after SCI. For each domain, effect size estimates and 95% confidence intervals were calculated for subgroups with paraplegia and tetraplegia.Results: The demographic characteristics of the sample were as follows: 46% (n = 76) individuals with paraplegia, 76% (n = 125) male participants, 57% (n = 94) used a manual wheelchair, 38% (n = 63) used a power wheelchair, 30% (n = 50) were ambulatory. For individuals with paraplegia, the Basic Mobility, Self-Care, and Ambulation domains of the SCI-FI/AT detected a significantly large amount of change; in contrast, the Fine Motor Function and Wheelchair Mobility domains detected only a small amount of change. For those with tetraplegia, the Basic Mobility, Fine Motor Function, and Self-Care domains detected a small amount of change whereas the Ambulation item domain detected a medium amount of change. The Wheelchair Mobility domain for people with tetraplegia was the only SCI-FI/AT domain that did not detect significant change.Conclusions: SCI-FI/AT CAT item banks detected an increase in function from discharge to 12 months after SCI. The effect size estimates for the SCI-FI/AT CAT vary by domain and level of lesion. Findings support the use of the SCI-FI/AT CAT in the population with SCI and highlight the importance of multidimensional functional measures. (C) 2018 by the American Congress of Rehabilitation Medicine