title: Reliability and discriminative ability of the spinal cord independence measure III (Thai version).
abstract: METHODS
  A cross-sectional study.
  
  
  OBJECTIVE
  To translate and assess the reliability and discriminative ability of the Spinal Cord Independence Measure III (SCIM III), Thai version (Th-SCIM III).
  
  
  METHODS
  A tertiary rehabilitation center in Thailand.
  
  
  METHODS
  The SCIM III was translated into the Thai version with a forward-backward translation. The tool was then used by three physical therapists to assess 31 subjects with various degrees of spinal cord injury (SCI) during the first week after admission.
  
  
  RESULTS
  The Th-SCIM III had excellent inter-rater reliability (intraclass correlation coefficient >0.90) and good internal consistency (Cronbach's alpha ⩾ 0.88), and could significantly discriminate between the performance of subjects with varying degrees of lesion severity. Scores of 50 and over could moderately discriminate between subjects with motor complete SCI and incomplete SCI (sensitivity 68.75%, specificity 66.67%, 95% confidence interval=0.62-0.95).
  
  
  CONCLUSIONS
  The findings support the reliability and discriminative ability of the Th-SCIM III. The tool may benefit clinical assessments for overall aspects relating to SCI, particularly for Thai physical therapists. However, a further exploration of other psychometric properties may enhance the clinical utility of the tool.
authors.affiliation: Division of Physical Therapy, Faculty of Health Science, Srinakharin Wirot University, Nakhon-Nayok, Thailand.|Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: J
authors.initials: J
authors.lastname: Wannapakhe
authors.affiliation: Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.|Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: W
authors.initials: W
authors.lastname: Saensook
authors.affiliation: Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.|School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: C
authors.initials: C
authors.lastname: Keawjoho
authors.affiliation: Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.|School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: S
authors.initials: S
authors.lastname: Amatachaya
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D015203:Reproducibility of Results; D013119:Spinal Cord Injuries; D011795:Surveys and Questionnaires; D013785:Thailand; D014177:Translations