Reliability of the International Spinal Cord Injury Upper Extremity Basic Data Set

Tongprasert, Siam; Namchandee, A; Sotthipoka, K; Kammuang-Lue, Pratchayapon

doi:10.1038/s41393-018-0154-3

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…functional independent measure scores and spinal cord independence measure) or use different UE assessments ( 11 , 13 , 14 ). Previous studies have used part of the ISCI-UE dataset (specifically ISCI-Hand) and ISCI-UE 1.0 as outcome measures to evaluate the validity and reliability of their results but have not compared UE status between non-traumatic and traumatic SCI patient groups ( 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Functional Status in Patients with Chronic Tetraplegia in Universiti Malaya Medical Centre

Sundrasegaran,

Engkasan

2023

MJMS

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Background: Persons with tetraplegia rank improved upper extremity (UE) function as the most important rehabilitation outcome because it allows them greater independence in activities of daily living (ADL). The aim of this study was to describe UE status in patients with tetraplegia using the International Spinal Cord Injury Upper Extremity Basic Data Set version 1.1 (ISCI-UE 1.1) and to determine differences in UE status between tetraplegic individuals with traumatic and non-traumatic SCIs. Methods: This cross-sectional study was conducted among patients with tetraplegia who attended the SCI rehabilitation clinic of a tertiary hospital from September 2021 to August 2022. Both upper limbs were assessed using ISCI-UE 1.1. Results: One hundred patients were included in this study, of whom 80 were men. The mean (SD) age of the patients was 54.30 (16.95) years old. In these patients, most SCIs (62%) were of traumatic origin. Two hundred UEs were evaluated, of which 109 showed good hand function (level 5) and 10 had the poorest hand function (level 1). Meanwhile, 130 UEs showed good shoulder function (level D) and 10 had the poorest shoulder function (level A). A statistically significant association with UE status (reach-and-grasp ability and shoulder function) was found in both the non-traumatic and traumatic SCI groups, with better hand and shoulder functions in the non-traumatic SCI group (right-hand, P = 0.004 and left hand, P = 0.001; right shoulder, P < 0.001 and left shoulder, P = 0.002). Conclusion: ISCI-UE 1.1 is a feasible tool for documenting UE function in patients with tetraplegia. Compared with the individuals with traumatic SCI in this study, those with non-traumatic SCI demonstrated better upper extremity functionality.

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Section: Discussionmentioning

confidence: 99%

Upper Extremity Functional Status in Patients with Chronic Tetraplegia in Universiti Malaya Medical Centre

Sundrasegaran,

Engkasan

2023

MJMS

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“…The "Shoulder function classification" (ISCI-Shoulder) uses a 4-level scoring system based on observed shoulder and upper extremity function during arm positioning 39,40 . The ISCI Upper Extremity Basic Data Set Form has been tested and has shown excellent inter-rater reliability for evaluating cervical SCI 41 . ISCI-Hand has shown moderate correlation with kinematic measure of wrist angle 24 .…”

Section: Clinical Assessments Of Activity Capacitymentioning

confidence: 99%

Independence and upper extremity functioning after spinal cord injury: a cross-sectional study

Lili

Sunnerhagen

Rekand

et al. 2023

Sci Rep

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Upper extremity functioning is important for achieving independence in activities of daily living (ADL). A better understanding of relationships between different aspects of independence in ADL after spinal cord injury (SCI) and upper extremity functioning is required to guide rehabilitation practices. To determine which aspects of independence in ADL are correlated with upper extremity functioning in individuals with cervical or thoracic SCI. A total of 25 adults (mean age 58.4 years, 72% men) with established cervical or thoracic SCI were recruited. Independence in ADL was assessed by Spinal Cord Independence Measure (SCIM-III) and upper extremity functioning by kinematic measures (movement time, smoothness, and wrist angle during drinking task), grip strength, Upper Extremity Motor and Sensory Score, Box and Block Test (BBT), Action Research Arm Test (ARAT), and Upper Extremity Basic Data Set (ISCI-Hand and ISCI-Shoulder). Spearman correlation coefficients were used for data analyses. The SCIM-self-care subscale, particularly the feeding and dressing items, correlated moderately (r ≥ 0.5) with movement time and smoothness, grip strength, ARAT, BBT, and ISCI-Hand. The SCIM-respiration/sphincter subscale and the SCIM-mobility showed very low and low correlations with upper extremity assessments. However, at item level, respiration and bed/wheelchair mobility showed moderate correlations. Independence in self-care as domain and feeding/dressing, respiration and bed/wheelchair mobility as separate items were dependent on upper extremity functioning in individuals with cervical or thoracic SCI. Movement time and smoothness along with BBT, grip strength, ARAT, and ISCI-Hand can be used as indicators of independence in ADL. These findings can provide guidance to clinical practice in selection of upper extremity assessments in the context for ADL in individuals with SCI.

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Increasing employment opportunity for persons with spinal cord injury by digital working: an exampling case series from Thailand

Pattanakuhar,

Schwegler,

Prommueang

et al. 2024

Spinal Cord Ser Cases

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Reliability of the International Spinal Cord Injury Upper Extremity Basic Data Set

Abstract: The International Spinal Cord Injury Upper Extremity Basic Data Set (ISCI-UE) has very good inter-rater reliability for evaluating individuals with cervical SCI.

Cited by 3 publications

References 18 publications

Upper Extremity Functional Status in Patients with Chronic Tetraplegia in Universiti Malaya Medical Centre

Upper Extremity Functional Status in Patients with Chronic Tetraplegia in Universiti Malaya Medical Centre

Independence and upper extremity functioning after spinal cord injury: a cross-sectional study

Increasing employment opportunity for persons with spinal cord injury by digital working: an exampling case series from Thailand

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