Development and validation of the Standing Balance Assessment for Individuals with Spinal Cord Injury (SBASCI) - A new outcome measure

2020 ◽  
Vol 47 (2) ◽  
pp. 161-169
Author(s):  
Meenakshi Singh ◽  
Aparna Sarkar ◽  
Chitra Kataria

BACKGROUND: Injury to the spinal cord results in standing balance impairment following variable sensorimotor loss. Standing balance training is a realistic goal for the majority of individuals with spinal cord injury (SCI) for which therapists need valid measures to assess standing ability in people with SCI that are relevant to functionality. Objective: The objective of the study was to develop an all inclusive Standing Balance Assessment for Individuals with Spinal Cord Injury (SBASCI) measure and to establish its initial psychometric properties. Methods: The study was carried out in three phases: Item development, scale development and scale evaluation. Literature review, focus group discussions and evaluation by experts resulted in the development of a 22-item SBASCI scale. The scale was administered on 120 participants with SCI. Exploratory factor analysis and item analysis were used to determine construct validity and internal consistency of the scale. Results: Content validity was established qualitatively and quantitatively. The scale shows high internal consistency reliability (Cronbach’s alpha 0.96). The results of the exploratory factor analysis suggested a four factor structure retaining all the 22 items. Conclusion: SBASCI is a valid and reliable scale to measure the standing balance of individuals with SCI. Further studies are required to establish other psychometric properties.

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Mikhail Saltychev ◽  
Janne Lähdesmäki ◽  
Petteri Jokinen ◽  
Katri Laimi

Objective. To evaluate the factor structure of Functional Independence Measure (FIM®) scale amongst people with spinal cord injury (SCI). Methods. This was a retrospective, register-based cohort study on 155 rehabilitants with SCI. FIM was assessed at the beginning and at the end of multidisciplinary inpatient rehabilitation. The internal consistency of the FIM was assessed with Cronbach’s alpha and exploratory factor analysis was employed to approximate the construct structure of FIM. Results. The internal consistency demonstrated high Cronbach’s alpha of 0.95 to 0.96. For both pre- and postintervention assessments, the exploratory factor analysis resulted in 3-factor structures. Except for two items (“walking or using a wheelchair” and “expression”), the structures of the identified three factors remained the same from the beginning to the end of rehabilitation. The loadings of all items were sufficient, exceeding 0.3. Both pre- and postintervention chi-square tests showed significant p values < 0.0001. The “motor” domain was divided into two factors with this 2-factor structure enduring through the intervention period. Conclusions. Amongst rehabilitants with SCI, FIM failed to demonstrate unidimensionality. Instead, it showed a 3-factor structure that fluctuated only little depending on the timing of measurement. Additionally, when measured separately, also motor score was 2-dimensional, not 1-dimensional. Using a total or subscale FIM, scores seem to be unjustified in the studied population.


2013 ◽  
Vol 19 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Alexander Libin ◽  
Emily Tinsley ◽  
Mark Nash ◽  
Armando Mendez ◽  
Patricia Burns ◽  
...  

2020 ◽  
Vol 14 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Madhusree Sengupta ◽  
Anupam Gupta ◽  
Meeka Khanna ◽  
U. K. Rashmi Krishnan ◽  
Dhritiman Chakrabarti

Spinal Cord ◽  
2015 ◽  
Vol 53 (11) ◽  
pp. 807-810 ◽  
Author(s):  
E Merghati-Khoei ◽  
R Maasoumi ◽  
F Rahdari ◽  
A Bayat ◽  
S Hajmirzaei ◽  
...  

2006 ◽  
Vol 87 (4) ◽  
pp. 516-523 ◽  
Author(s):  
Eva G. Widerström-Noga ◽  
Yenisel Cruz-Almeida ◽  
Alberto Martinez-Arizala ◽  
Dennis C. Turk

2019 ◽  
Vol 100 (10) ◽  
pp. e64
Author(s):  
Janelle Unger ◽  
Hardeep Singh ◽  
Avril Mansfield ◽  
Beverley Catharine Craven ◽  
Kei Masani ◽  
...  

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