C L Boswell-Ruys1, L A Harvey, K Delbaere, S R Lord. 1. Prince of Wales Medical Research Institute, University of New South Wales, Randwick, New South Wales, Australia. c.boswell-ruys@powmri.edu.au
Abstract
STUDY DESIGN: Observational study and cross-sectional survey. OBJECTIVES: To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale. SETTING: Community and hospitals, Australia. METHODS: The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days. RESULTS: The SCI-FCS had excellent internal and test-retest reliability (Cronbach's alpha=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling. CONCLUSIONS: This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.
STUDY DESIGN: Observational study and cross-sectional survey. OBJECTIVES: To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale. SETTING: Community and hospitals, Australia. METHODS: The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days. RESULTS: The SCI-FCS had excellent internal and test-retest reliability (Cronbach's alpha=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling. CONCLUSIONS: This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.
Authors: Laura A Rice; Jong Hun Sung; Kathleen Keane; Elizabeth Peterson; Jacob J Sosnoff Journal: J Spinal Cord Med Date: 2019-07-25 Impact factor: 1.985
Authors: Maria Auxiliadora Marquez; Rita De Santis; Viviana Ammendola; Martina Antonacci; Valter Santilli; Anna Berardi; Donatella Valente; Giovanni Galeoto Journal: Spinal Cord Date: 2018-02-15 Impact factor: 2.772
Authors: Mary P Galea; Sarah A Dunlop; Glen M Davis; Andrew Nunn; Timothy Geraghty; Ya-seng Arthur Hsueh; Leonid Churilov Journal: Trials Date: 2013-09-11 Impact factor: 2.279