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Neurorehabil Neural Repair. 2011 Mar-Apr;25(3):285-93. doi: 10.1177/1545968310381250.

Spinal cord injury functional ambulation profile: a new measure of walking ability.

Author information

1
University of Alberta, Edmonton, AB, Canada.

Abstract

BACKGROUND:

Objective measures of functional walking remain scarce for individuals with incomplete spinal cord injury (ISCI). Hence, the authors developed the Spinal Cord Injury Functional Ambulation Profile (SCI-FAP), which encompasses the timed performance of 7 tasks, such as walking and negotiating obstacles, doors, and stairs.

OBJECTIVE:

To assess the reliability and validity of the SCI-FAP.

METHODS:

A total of 32 individuals with ISCI attended 2 testing sessions separated by 1 to 2 weeks. At the first session, participants performed the SCI-FAP, the 10-m walk test (10MW), the 6-minute walk test (6MW), and the Walking Index for Spinal Cord Injury (WISCI II); 3 raters scored the participants' performances on the SCI-FAP to assess interrater reliability. To establish convergent validity, SCI-FAP scores were compared with scores on the 10MW, 6MW, and WISCI II. At the second session, participants completed the SCI-FAP to assess test-retest reliability. To establish discriminative validity, SCI-FAP scores were compared between participants with ISCI and 60 able-bodied adults, who were scored on the SCI-FAP in a single session.

RESULTS:

Internal consistency (α = .95), interrater reliability (intraclass correlation coefficient [ICC] = 1.00), and test-retest reliability (ICC = 0.98) of the SCI-FAP were high. SCI-FAP scores were moderately correlated with results from the 10MW (r = -0.59), 6MW (r = -0.59), and WISCI II (M = -0.68). Performance on the SCI-FAP was significantly poorer among participants with ISCI compared with their able-bodied counterparts (P = .002).

CONCLUSIONS:

The findings support the SCI-FAP as a valid and reliable measure of walking skill for individuals with ISCI.

PMID:
21357530
DOI:
10.1177/1545968310381250
[Indexed for MEDLINE]

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