TY  - JOUR
PY  - 2012//
TI  - The Spinal Cord Injury- Functional Index: Item Banks to Measure Physical Functioning of Individuals with Spinal Cord Injury
JO  - Archives of physical medicine and rehabilitation
A1  - Tulsky, David S.
A1  - Jette, Alan
A1  - Kisala, Pamela A.
A1  - Kalpakjian, Claire
A1  - Dijkers, Marcel P.
A1  - Whiteneck, Gale Gibson
A1  - Ni, Pengsheng
A1  - Kirshblum, Steven
A1  - Charlifue, Susan
A1  - Heinemann, Allen W.
A1  - Forchheimer, Martin
A1  - Slavin, Mary
A1  - Houlihan, Bethlyn
A1  - Tate, Denise
A1  - Dyson-Hudson, Trevor A.
A1  - Fyffe, Denise
A1  - Williams, Steve
A1  - Zanca, Jeanne M.
SP  - 1722
EP  - 1732
VL  - 93
IS  - 10
N2  - OBJECTIVE: To develop a comprehensive set of patient reported items to assess multiple aspects of physical functioning relevant to the lives of people with spinal cord injury (SCI) and to evaluate the underlying structure of physical functioning. DESIGN: Cross-sectional SETTING: Inpatient and community PARTICIPANTS: Item pools of physical functioning were developed, refined and field tested in a large sample of 855 individuals with traumatic spinal cord injury stratified by diagnosis, severity, and time since injury INTERVENTIONS: None MAIN OUTCOME MEASURE: SCI-FI measurement system RESULTS: Confirmatory factor analysis (CFA) indicated that a 5-factor model, including basic mobility, ambulation, wheelchair mobility, self care, and fine motor, had the best model fit and was most closely aligned conceptually with feedback received from individuals with SCI and SCI clinicians. When just the items making up basic mobility were tested in CFA, the fit statistics indicate strong support for a unidimensional model. Similar results were demonstrated for each of the other four factors indicating unidimensional models. CONCLUSIONS: Though unidimensional or 2-factor (mobility and upper extremity) models of physical functioning make up outcomes measures in the general population, the underlying structure of physical function in SCI is more complex. A 5-factor solution allows for comprehensive assessment of key domain areas of physical functioning. These results informed the structure and development of the SCI-FI measurement system of physical functioning.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2012.05.007
ID  - ref1
ER  -