Related Experiment Video
Updated: Apr 19, 2026
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Adaptation and validation of the Spanish self-report version of the Spinal Cord Independence Measure (SCIM III)
M Aguilar-Rodríguez1, L Peña-Pachés2, C Grao-Castellote3
11] Department of Physiotherapy, University of Valencia, Valencia, Spain [2] Unit of Physiotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Study Design:
This is a cross-sectional validation study.
Objective:
The objective of this study was to adapt and validate a self-report version of the Spinal Cord Independence Measure (SCIM III) for the Spanish population.
Methods:
A cross-cultural adaptation of the self-report version of the SCIM III for the Spanish population was performed on the basis of international guidelines. A total of 100 patients with spinal cord injury (SCI) were recruited. A team of healthcare professionals administered the SCIM III by observation. In addition, the patients completed the Spanish self-report version (eSCIM-SR). Data from both questionnaires were analysed jointly.
Results:
A high correlation was observed between SCIM III and eSCIM-SR. Lin's concordance correlation coefficient for the global score was 0.998 (95% confidence interval: 0.997, 0.998), and the subscale scores were 0.988 (0.982, 0.992) for self-care, 0.992 (0.988, 0.995) for respiration and sphincter management and 0.997 (0.995, 0.998) for Mobility. Bland-Altman plots showed a small bias of -0.32 (95% limits of agreement: -3.01, 2.37). The estimated bias was low in all three domains, with values of -0.22 (-2.12, 1.68), -0.1 (-2.02, 1.82) and -0.03 (-1.69, 1.63) for the self-care, respiration and sphincter management and mobility subscales, respectively.
Conclusion:
Our study validates the eSCIM-SR as a tool for the functional assessment of patients with SCI, principally in the outpatient setting.
