title: Adaptation and validation of the Spanish self-report version of the Spinal Cord Independence Measure (SCIM III).
abstract: METHODS
  This is a cross-sectional validation study.
  
  
  OBJECTIVE
  The objective of this study was to adapt and validate a self-report version of the Spinal Cord Independence Measure (SCIM III) for the Spanish population.
  
  
  METHODS
  A cross-cultural adaptation of the self-report version of the SCIM III for the Spanish population was performed on the basis of international guidelines. A total of 100 patients with spinal cord injury (SCI) were recruited. A team of healthcare professionals administered the SCIM III by observation. In addition, the patients completed the Spanish self-report version (eSCIM-SR). Data from both questionnaires were analysed jointly.
  
  
  RESULTS
  A high correlation was observed between SCIM III and eSCIM-SR. Lin's concordance correlation coefficient for the global score was 0.998 (95% confidence interval: 0.997, 0.998), and the subscale scores were 0.988 (0.982, 0.992) for self-care, 0.992 (0.988, 0.995) for respiration and sphincter management and 0.997 (0.995, 0.998) for Mobility. Bland-Altman plots showed a small bias of -0.32 (95% limits of agreement: -3.01, 2.37). The estimated bias was low in all three domains, with values of -0.22 (-2.12, 1.68), -0.1 (-2.02, 1.82) and -0.03 (-1.69, 1.63) for the self-care, respiration and sphincter management and mobility subscales, respectively.
  
  
  CONCLUSIONS
  Our study validates the eSCIM-SR as a tool for the functional assessment of patients with SCI, principally in the outpatient setting.
authors.affiliation: 1] Department of Physiotherapy, University of Valencia, Valencia, Spain [2] Unit of Physiotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Aguilar-Rodríguez
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hospital General of Castellón, Castellon, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Peña-Pachés
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hospital Universitario y Politécnico, La Fe, Valencia, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Grao-Castellote
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hospital Universitario y Politécnico, La Fe, Valencia, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Torralba-Collados
authors.affiliation: Biostatistics Unit, Health Research Institute La Fe, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Hervás-Marín
authors.affiliation: 1] Unit of Physiotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain [2] Department of Physical Medicine and Rehabilitation, Hospital Universitario y Politécnico, La Fe, Valencia, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Giner-Pascual
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001003:Anal Canal / Q000503:physiopathology; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003469:Culture; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012119:Respiration; D012648:Self Care; D057566:Self Report; D013030:Spain; D013119:Spinal Cord Injuries / Q000175:diagnosis* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D014521:Urethra / Q000503:physiopathology