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[SCIM--spinal cord independence measure (version II): sensitivity to functional changes].

Amiram Catz1, Malka Itzkovich, Ada Tamir

  • 1Loewenstein Rehabilitation Hospital, Raanana, Israel.

Harefuah
|January 22, 2003
PubMed
Summary

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[THE CONTRIBUTION OF INPATIENT REHABILITATION IN ISRAEL TO THE IMPROVEMENT OF DAILY FUNCTIONING AFTER SPINAL CORD LESIONS].

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The Spinal Cord Independence Measure II (SCIM II) is more sensitive than the Functional Independence Measure (FIM) in detecting functional changes in spinal cord lesion (SCL) patients during rehabilitation.

Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Clinical Assessment Tools

Background:

  • Standardized scales for assessing functional ability in spinal cord lesion (SCL) patients often lack sensitivity or suitability for specific subgroups.
  • Existing scales like the Functional Independence Measure (FIM) may not fully capture the nuances of SCL patient recovery.
  • The Spinal Cord Independence Measure (SCIM) was developed to address these limitations, offering a patient-specific and user-friendly assessment.

Purpose of the Study:

  • To evaluate the sensitivity of the Spinal Cord Independence Measure II (SCIM II) in detecting functional changes in SCL patients compared to the Functional Independence Measure (FIM).
  • To validate the SCIM II as a superior tool for tracking functional recovery in SCL patients undergoing rehabilitation.

Main Methods:

Related Experiment Videos

  • A study involving 26 patients with SCL undergoing rehabilitation.
  • Sequential administration of the SCIM II and FIM during hospitalization.
  • Statistical analysis to compare the sensitivity and correlation of the two scales in measuring functional changes.

Main Results:

  • A high correlation was observed between total scores of SCIM II and FIM (r = 0.915).
  • The SCIM II demonstrated a significantly larger mean change in function score compared to the FIM (p < 0.04).
  • The SCIM II showed a higher rate of detecting functional changes, particularly in areas where the scales differ.

Conclusions:

  • The SCIM II is a valid and more sensitive tool than the FIM for assessing functional changes in SCL patients.
  • The findings support the use of SCIM II for monitoring rehabilitation progress in this population.
  • Further international studies are recommended to establish the global applicability of the SCIM II.