Abstract
Catz A, Greenberg E, Itzkovich M, Bluvshtein V, Ronen J, Gelernter I. A new instrument
for outcome assessment in rehabilitation medicine: Spinal Cord Injury Ability Realization
Measurement Index. Arch Phys Med Rehabil 2004;85:399–404.
Objectives
To introduce a new measure of disability weighted for the neurologic deficit in patients
with spinal cord lesions and to examine the effect on the instrument of being in rehabilitation.
Design
Development of instrument and preliminary comparative before-after study.
Setting
Spinal department in a rehabilitation hospital in Israel.
Participants
Seventy-nine patients with spinal cord lesions.
Interventions
Patients were repeatedly assessed during rehabilitation with the American Spinal Injury
Association Impairment Scale (AIS) to measure neurologic motor impairment and with
the Spinal Cord Independence Measure (SCIM-II) to measure disability. Scores of the
2 assessments were combined to create the Spinal Cord Injury Ability Realization Measurement
Index (SCI-ARMI).
Main outcome measures
A preliminary formula for the calculation of SCI-ARMI using the individual patients’
SCIM-II and AIS motor scores and changes in SCI-ARMI values through rehabilitation.
Results
The highest observed SCIM-II scores at patients’ AIS level correlated highly with
the AIS motor scores (r=.96, P<.01). A regression performed for this linear relationship resulted in a preliminary
SCI-ARMI formula. The calculated SCI-ARMI values improved during rehabilitation irrespective
of patient age, gender, lesion level, or lesion severity (P<.001).
Conclusions
The preliminary version of the SCI-ARMI can be used to assess quantitatively changes
in functional ability, isolating them from the effect of neurologic changes.
Keywords
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Article info
Footnotes
☆Supported by the Unit of Medical Services, Rehabilitation Department, Ministry of Defense, Israel.
Identification
Copyright
© 2003 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
