J Korean Acad Rehabil Med.  2004 Dec;28(6):565-573.

The Usefulness of Revised Version of the Korean Spinal Cord Independence Measure (KSCIM-R)

• Seo JH
• Jeong YC
• Ko MH
• Park SH

Abstract

OBJECTIVE
The aim of this study was to investigate the suitability of the Revised version of the Korean Spinal Cord Independence Measure (KSCIM-R), which is a functional evaluation tool for spinal cord injury. METHOD: Thirty patients with spinal cord injury were enrolled. The KSCIM was modified to as KSCIM-R. Inter- rater reliability and relative sensitivity of KSCIM-R were evaluated by two raters, biweekly. RESULTS: The Kappa coefficient of the various individual tasks in the KSCIM-R ranged between 0.71 and 0.95 (mean: 0.82), which was higher than the previous version, KSCIM. High correlations were found between the total KSCIM-R scores of the paired raters (r=0.95, p<0.01), and between KSCIM-R scores and total FIM scores (r=0.90, p<0.01). The KSCIM-R detected all the functional changes detected by FIM total scoring, however the FIM missed changes in 16 (16%) of 102 sequential test batteries, which was detected by KSCIM-R total scoring. CONCLUSION: These results demonstrated that the KSCIM-R is reliable and more sensitive than the FIM and KSCIM in reflecting the functional changes of SCI patients.

Keyword

Function; Revised version of the Korean Spinal Cord Independence Measure; Spinal cord independence measure; Functional independence measure; Spinal cord injury

MeSH Terms

Humans
Spinal Cord Injuries
Spinal Cord*