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Measurement properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms.

ABSTRACT: OBJECTIVE:To evaluate the psychometric properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms (basic mobility, self-care, fine motor, ambulation, manual wheelchair, and power wheelchair) based on internal consistency; correlations between short forms banks, full item bank forms, and a 10-item computer adaptive test version; magnitude of ceiling and floor effects; and test information functions. DESIGN:Cross-sectional cohort study. SETTING:Six rehabilitation hospitals in the United States. PARTICIPANTS:Individuals with traumatic spinal cord injury (N=855) recruited from 6 national Spinal Cord Injury Model Systems facilities. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:SCI-FI full item bank, 10-item computer adaptive test, and parallel short form scores. RESULTS:The SCI-FI short forms (with separate versions for individuals with paraplegia and tetraplegia) demonstrate very good internal consistency, group-level reliability, excellent correlations between short forms and scores based on the total item bank, and minimal ceiling and floor effects (except ceiling effects for persons with paraplegia on self-care, fine motor, and power wheelchair ability and floor effects for persons with tetraplegia on self-care, fine motor, and manual wheelchair ability). The test information functions are acceptable across the range of scores where most persons in the sample performed. CONCLUSIONS:Clinicians and researchers should consider the SCI-FI short forms when computer adaptive testing is not feasible.

SUBMITTER: Heinemann AW

PROVIDER: S-EPMC4382921 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Measurement properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms.

Heinemann Allen W AW Dijkers Marcel P MP Ni Pengsheng P Tulsky David S DS Jette Alan A

Archives of physical medicine and rehabilitation 20140303 7

<h4>Objective</h4>To evaluate the psychometric properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms (basic mobility, self-care, fine motor, ambulation, manual wheelchair, and power wheelchair) based on internal consistency; correlations between short forms banks, full item bank forms, and a 10-item computer adaptive test version; magnitude of ceiling and floor effects; and test information functions.<h4>Design</h4>Cross-sectional cohort study.<h4>Setting</h4>Six rehabilitat ...[more]

PMID: 24602551

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Project description:The spinal cord after injury shows altered transcription in numerous genes. We tested in a pilot study whether the nucleus raphé magnus, a descending serotonergic brainstem region whose stimulation improves recovery after incomplete spinal cord injury, can influence these transcriptional changes. Rats received 2 hours of low-frequency electrical stimulation in the raphé magnus three days after an impact contusion at segment T8. Comparison groups lacked injuries or activated stimulators or both. Immediately following stimulation, spinal cords were extracted, their RNA transcriptome sequenced, and differential gene expression quantified. Confirming many previous studies, injury primarily increased inflammatory and immune transcripts and decreased those related to lipid and cholesterol synthesis and neuronal signaling. Stimulation plus injury, contrasted with injury alone, caused significant changes in 43 transcripts (39 increases, 4 decreases), all protein-coding. Injury itself decreased only four of these 43 transcripts, all reversed by stimulation, and increased none of them. The non-specific 5-HT7 receptor antagonist pimozide reversed 25 of the 43 changes. Stimulation in intact rats principally caused decreases in transcripts related to oxidative phosphorylation, none of which were altered by stimulation in injury. Gene ontology (biological process) annotations comparing stimulation with either no stimulation or pimozide treatment in injured rats highlighted defense responses to lipopolysaccharides and microorganisms, and also erythrocyte development and oxygen transport (possibly yielding cellular oxidant detoxification). Connectivity maps of human orthologous genes generated in the CLUE database of perturbagen-response transcriptional signatures showed that drug classes whose effects in injured rats most closely resembled stimulation without pimozide include peroxisome proliferator-activated receptor agonists and angiotensin receptor blockers, which are reportedly beneficial in spinal cord injury. Thus, the initial transcriptional response of injured spinal cord to raphé magnus stimulation is upregulation of genes that in various ways are mostly protective, some probably located in recently arrived myeloid cells.

Dataset Information

Measurement properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms.

Publications

Measurement properties of the Spinal Cord Injury-Functional Index (SCI-FI) short forms.

Similar Datasets

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