Sensitivity of the SCI-FI/AT in Individuals with Traumatic Spinal Cord Injury

Publication date: Available online 31 March 2018
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Tamra Keeney, Mary Slavin, Pamela Kisala, Pengsheng Ni, Allen W. Heinemann, Susan Charlifue, Denise C. Fyffe, Ralph J. Marino, Leslie R. Morse, Lynn A. Worobey, Denise Tate, David Rosenblum, Ross Zafonte, David Tulsky, Alan M. Jette
ObjectiveTo examine the ability of the Spinal Cord Injury Functional Index Assistive Technology (SCI-FI/AT) measure to detect change in persons with SCI.DesignMulti-site, longitudinal (12-month follow-up).Setting9 SCI Model Systems programs.Participants165 adults with SCI enrolled in the SCI Model Systems database.InterventionsNot applicable.Main Outcome MeasuresSCI-FI/AT CAT (Basic Mobility, Self-Care, Fine Motor Function, Wheelchair Mobility, and/or Ambulation) completed at discharge from rehabilitation and 12 months post-SCI. For each domain, effect size (ES) estimates and 95% confidence intervals were calculated for subgroups with paraplegia and tetraplegia.ResultsSample demographics: 46% paraplegia, 76% male, 57% used a manual wheelchair, 38% used a power wheelchair, 30% were ambulatory. For individuals with paraplegia the Basic Mobility, Self-Care, and Ambulation domains of the SCI-FI/AT detected a significant, large amount of change; in contrast, the Fine Motor and Wheelchair domains detected only small amount of change. For those with tetraplegia, the Basic Mobility, Fine Motor, and Self-Care domains detected a small amount of change; while the Ambulation item domain detected a medium amount of change. The Wheelchair domain for people with tetraplegia was the only SCI-FI/AT domain that did not detect significant change.ConclusionSCI-FI/AT CAT item banks detected an increase in function from discharge to 12-months after SCI onset. SCI-FI/AT CAT ES estimates vary by domain and level of lesion. Findings support use of the SCI-FI/AT CAT in the SCI population and highlight the importance of multidimensional functional measures.



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