Association Between SCIM III Total Scores and Individual Item Scores to Predict Independence With ADLs in Persons With Spinal Cord Injury.
Kei Unai, Osamu Uemura, Ryo Takemura and 2 others
PMID 33543058WHAT IT FOUND
Higher SCIM III total scores were linked to a greater chance of independence in daily tasks.
Feeding and indoor mobility were easier to reach. Stair climbing and some transfers needed much higher scores.
Key findings
01In 81 inpatients with spinal cord injury, the SCIM III total score was linked to the chance of independence on individual daily tasks.
02Feeding and indoor or moderate-distance mobility had a 50% chance of modified independence at a total score of 30, while stair management and ground-wheelchair or wheelchair-car transfers had that chance only at a total score of 70.
03Paraplegia reached feeding, upper dressing, and grooming at lower total scores, while tetraplegia reached stair management at a lower score.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The data came from a single rehabilitation hospital, and the hospital did not accept people with severe breathing problems. People with severe cognitive disorders or conditions that would limit rehabilitation were excluded. The participants were older, and the study included many people with incomplete tetraplegia, so the patterns may not fit younger patients or other settings. The study did not test a treatment, so it cannot show that any therapy caused the independence levels.
The easy way to misread this
Do not read this as proof that a particular therapy causes independence. It was a record review at a single center, so the score patterns are associations in an older inpatient group, not treatment effects.