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Validation of the Nepali version of the Spinal Cord Independence Measure Self-Report

Spinal Cord Series and Cases volume 10, Article number: 76 (2024) Cite this article

Subjects

Abstract

Study design

A methodological study.

Objectives

To establish the criterion-related validity of the Nepali version of the Spinal Cord Independence Measure Self-Report (SCIM-SR).

Setting

Outpatient Department of the Spinal Injury Rehabilitation Center and community of Province no. 3, Nepal.

Methods

Community-dwelling individuals with spinal cord injury were enrolled. Participants self-administered the Nepali version of the SCIM-SR while a clinician concurrently administered the SCIM III. Descriptive statistics characterized the sample, while Spearman’s rank correlation coefficient and Intraclass correlation coefficient assessed the association between the SCIM III and the Nepali version of the SCIM-SR. Bland Altman’s analysis determined the differences.

Results

The Spearman’s rank correlation coefficient for the total score was 0.961, self-care subscale was 0.590, respiration and sphincter management subscale was 0.897, and mobility subscale was 0.891. The ICC (2,1) and confidence interval for the total score, self-care subscale, respiration and sphincter management subscale, and mobility subscale were 0.989 (0.983–0.993), 0.873 (0.804–0.918), 0.955 (0.931–0.971) and 0.991 (0.987–0.994), respectively. The SCIM-SR scores were lower than the SCIM III in total and all subscale scores. The Bland-Altman’s difference for the total score, self-care subscale, respiration and sphincter management subscale, and mobility subscale were 2.55, 1.34, 0.83, and 0.38, respectively.

Conclusions

The Nepali version of the SCIM-SR was validated and can be used to evaluate the functional status of individuals with spinal cord injury in the community setting of Nepal.

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Data availability

The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

The author would like to thank Spinal Injury Rehabilitation Center, Nepal.

Author information

Authors and Affiliations

  1. Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand

    Prakriti Khatri & Jatuporn Suttiwong

  2. Arogin Physiotherapy and Rehabilitation Centre, Kathmandu, Nepal

    Prakriti Khatri

  3. Spinal Injury Rehabilitation Centre, Sanga, Nepal

    Anjita Khadka

Authors
  1. Prakriti Khatri
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  2. Anjita Khadka
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  3. Jatuporn Suttiwong
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Contributions

Prakriti Khatri was responsible for designing the study, data analysis and interpretation, and drafting and revising the manuscript. Anjita Khadka contributed to the data collection and writing of the manuscript. Jatuporn Suttiwong contributed to the study design, data analysis and interpretation, and manuscript writing.

Corresponding author

Correspondence to Jatuporn Suttiwong.

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Competing interests

The authors declare no competing interest.

Ethics approval

The study was approved by the Nepal Health Research Council. We certify that all applicable institutional and government regulations concerning the ethical use of human volunteers were followed during this research.

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Khatri, P., Khadka, A. & Suttiwong, J. Validation of the Nepali version of the Spinal Cord Independence Measure Self-Report. Spinal Cord Ser Cases 10, 76 (2024). https://doi.org/10.1038/s41394-024-00687-6

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