Evaluation of Functional Recovery in a Spinal Cord Injured Population Using the Spinal Cord Independence Measure III (SCIM III) - Contribute to Validate the Portuguese Version

Authors

  • Duarte Dantas Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais (CMRRC-RP) Tocha, Portugal; Unidade Local de Saúde de Matosinhos; Interno Complementar de MFR
  • João Amaro Interno Complementar do Serviço de Medicina Física e de Reabilitação do Centro Hospitalar de Entre Douro e Vouga
  • Pedro Silva Assistente Hospitalar de MFR; Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais (CMRRC-RP) Tocha, Portugal; Hospital de Faro, EPE
  • Paulo Margalho Assistente Hospitalar Graduado de MFR; Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais (CMRRC-RP) Tocha, Portugal
  • Jorge Laíns Assistente Hospitalar Graduado de MFR; Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais (CMRRC-RP) Tocha, Portugal

DOI:

https://doi.org/10.25759/spmfr.9

Abstract

Objective: 1)To characterize a spinal cord injured (SCI) population who underwent an inpatient comprehensive rehabilitation program at the Medical Rehabilitation Centre of the Central Region of Portugal – Rovisco Pais (CMRRC-RP); 2)To quantify the functional gains of this population using the SCIM; 3) To evaluate the possible correlation between SCIM III values and the motor score (MS) of the American Spinal Injury Association Impairment Scale (AIS); 4) Contribute to validate the Portuguese version of the SCIM scale.

Material and Methods: Observational study using admission and discharge data including etiology, level and completeness of SCI, MS according to the AIS, SCIM III values of all SCI patients admitted to the CMRRC-RP in the time period between January 1st and December 31st 2010.

Admission and discharge total and sub-total SCIM scores were compared. Variables such as age, gender, length of stay as an inpatient, etiology, level and completeness of injury were analyzed. The correlation between MS and SCIM score (totals and subgroups) was calculated to determine the applicability of thePortuguese version of the SCIM scale.

Results: 47 of the 72 admissions met the inclusion criteria. Median Self Care, median Respiratory & Sphincter Management and median Mobility SCIM Subgroups, showed a significant functional improvement from admission to discharge. The major improvement was observed in the self-care item. AIS Upper Limb MS correlated highly with the SCIM Self Care, AIS Lower Limb MS correlated highly with SCIM Mobility and AIS total MS correlated highly with SCIM total score.

Conclusion: TThe Portuguese version of SCIM was found to be useful and practical in assessing functional gains in SCI individuals submitted to a comprehensive rehabilitation management program in the CMRRC-RP.

Keywords: Spinal Cord Injuries; Disability Evaluation; Recovery of Function; Rehabilitation Centers.

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1.
Dantas D, Amaro J, Silva P, Margalho P, Laíns J. Evaluation of Functional Recovery in a Spinal Cord Injured Population Using the Spinal Cord Independence Measure III (SCIM III) - Contribute to Validate the Portuguese Version. SPMFR [Internet]. 2013 Feb. 11 [cited 2025 Feb. 23];21(2). Available from: https://spmfrjournal.org/index.php/spmfr/article/view/9

Issue

Vol. 21 No. 2 (2012): Ano 20

Section

Original Article

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