title: The spinal cord injury spasticity evaluation tool: development and evaluation.
abstract: OBJECTIVE
  To develop and assess the reliability and validity of a new scale designed to measure the impact of spasticity on daily life in people with spinal cord injury (SCI).
  
  
  METHODS
  Scale development and assessment.
  
  
  METHODS
  General community.
  
  
  METHODS
  Community-dwelling persons with chronic SCI and spasticity participated in study 1 (n=9), study 2 (n=19), and study 3 (n=61).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Study 1: participant definitions of spasticity and list of scale items. Study 2: scale refinement, face validity, and time to complete. Study 3: internal consistency, test-retest reliability, and construct validity.
  
  
  RESULTS
  The Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) is a 7-day recall self-report questionnaire that takes into account both the problematic and useful effects of spasticity on daily life in people with SCI. The scale exhibited good face validity and required 6.8+/-2.6 minutes to complete. The internal consistency (alpha) and intraclass correlation coefficient of the SCI-SET were .90 and .91, respectively. Construct validity was supported by correlations (r range, -.48 to .68; P<.01) between SCI-SET scores and theoretically meaningful constructs.
  
  
  CONCLUSIONS
  The SCI-SET fills a need for a reliable and valid self-report measure of the impact of spasticity on daily life in people with SCI, taking into account both the problematic and useful effects of spasticity.
authors.affiliation: Department of Kinesiology, McMaster University, Hamilton, ON, Canada.
authors.forename: Melanie M
authors.initials: MM
authors.lastname: Adams
authors.forename: Kathleen A Martin
authors.initials: KA
authors.lastname: Ginis
authors.forename: Audrey L
authors.initials: AL
authors.lastname: Hicks
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D015203:Reproducibility of Results; D013119:Spinal Cord Injuries / Q000150:complications* / Q000534:rehabilitation; D013904:Thoracic Vertebrae; D015599:Trauma Severity Indices