title: The Irvine, Beatties, and Bresnahan (IBB) Forelimb Recovery Scale: An Assessment of Reliability and Validity.
abstract: The IBB scale is a recently developed forelimb scale for the assessment of fine control of the forelimb and digits after cervical spinal cord injury [SCI; (1)]. The present paper describes the assessment of inter-rater reliability and face, concurrent and construct validity of this scale following SCI. It demonstrates that the IBB is a reliable and valid scale that is sensitive to severity of SCI and to recovery over time. In addition, the IBB correlates with other outcome measures and is highly predictive of biological measures of tissue pathology. Multivariate analysis using principal component analysis (PCA) demonstrates that the IBB is highly predictive of the syndromic outcome after SCI (2), and is among the best predictors of bio-behavioral function, based on strong construct validity. Altogether, the data suggest that the IBB, especially in concert with other measures, is a reliable and valid tool for assessing neurological deficits in fine motor control of the distal forelimb, and represents a powerful addition to multivariate outcome batteries aimed at documenting recovery of function after cervical SCI in rats.
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Karen-Amanda
authors: KA
authors: Irvine
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Adam R
authors: AR
authors: Ferguson
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Kathleen D
authors: KD
authors: Mitchell
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Stephanie B
authors: SB
authors: Beattie
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Amity
authors: A
authors: Lin
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Ellen D
authors: ED
authors: Stuck
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: J Russell
authors: JR
authors: Huie
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Jessica L
authors: JL
authors: Nielson
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Jason F
authors: JF
authors: Talbott
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Tomoo
authors: T
authors: Inoue
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Michael S
authors: MS
authors: Beattie
authors: Brain and Spinal Cord Injury Center, Department of Neurological Surgery, University of California San Francisco , San Francisco, CA , USA.
authors: Jacqueline C
authors: JC
authors: Bresnahan
keywords: forelimb functional task; recovery of function; reliability; spinal cord injury; validity