脊髓损伤功能指数（SCI-FI）的临床解读
Clinical interpretation of the Spinal Cord Injury Functional Index (SCI-FI).
作者信息
Fyffe Denise, Kalpakjian Claire Z, Slavin Mary, Kisala Pamela, Ni Pengsheng, Kirshblum Steven C, Tulsky David S, Jette Alan M
机构信息
a Kessler Foundation , West Orange , NJ , USA.
b Department of Physical Medicine & Rehabilitation , Rutgers - New Jersey Medical School , Newark , NJ , USA.
出版信息
J Spinal Cord Med. 2016 Sep;39(5):527-34. doi: 10.1080/10790268.2015.1133483. Epub 2016 Feb 5.
OBJECTIVE
To provide validation of functional ability levels for the Spinal Cord Injury - Functional Index (SCI-FI).
DESIGN
Cross-sectional.
SETTING
Inpatient rehabilitation hospital and community settings.
PARTICIPANTS
A sample of 855 individuals with traumatic spinal cord injury enrolled in 6 rehabilitation centers participating in the National Spinal Cord Injury Model Systems Network.
INTERVENTIONS
Not Applicable.
MAIN OUTCOME MEASURES
Spinal Cord Injury-Functional Index (SCI-FI).
RESULTS
Cluster analyses identified three distinct groups that represent low, mid-range and high SCI-FI functional ability levels. Comparison of clusters on personal and other injury characteristics suggested some significant differences between groups.
CONCLUSIONS
These results strongly support the use of SCI-FI functional ability levels to document the perceived functional abilities of persons with SCI. Results of the cluster analysis suggest that the SCI-FI functional ability levels capture function by injury characteristics. Clinical implications regarding tracking functional activity trajectories during follow-up visits are discussed.
目的
对脊髓损伤功能指数（SCI-FI）的功能能力水平进行验证。
设计
横断面研究。
设置
住院康复医院和社区环境。
参与者
来自6个参与国家脊髓损伤模型系统网络的康复中心的855名创伤性脊髓损伤患者样本。
干预措施
不适用。
主要观察指标
脊髓损伤功能指数（SCI-FI）。
结果
聚类分析确定了三个不同的组，分别代表低、中、高SCI-FI功能能力水平。对各组个人及其他损伤特征的比较表明，组间存在一些显著差异。
结论
这些结果有力地支持使用SCI-FI功能能力水平来记录脊髓损伤患者的感知功能能力。聚类分析结果表明，SCI-FI功能能力水平按损伤特征反映功能情况。讨论了随访期间跟踪功能活动轨迹的临床意义。
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