Akpinar Pinar, Atici Arzu, Kurt Kubra N, Ozkan Feyza U, Aktas Ilknur, Kulcu Duygu G
aDepartment of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Education and Research Hospital bDepartment of Physical Medicine and Rehabilitation, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
Int J Rehabil Res. 2017 Jun;40(2):152-157. doi: 10.1097/MRR.0000000000000223.
The Spinal Cord Injury Spasticity Evaluation Tool is a 7-day recall self-reported questionnaire that assesses the problematic and useful effects of spasticity on daily life in patients with spinal cord injury (SCI). We aimed to determine the reliability and cross-cultural validation of the Turkish translation of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SETT). After translation and back translation of the Spinal Cord Injury Spasticity Evaluation Tool, 66 patients between the ages of 18 and 88 years with SCI, American Spinal Injury Association impairment scale grades from A to D with spasticity, and at least 6 months after injury were assessed. Participants rated the SCI-SETT at the same time period of the day, 1 week apart, and test-retest agreement was investigated. Also, the Penn Spasm Frequency Scale, self-assessment of spasticity severity, self-assessment of spasticity impact, Functional Independence Measure motor subscale, and 36-Item Short Form Health Survey were assessed for the evaluation of the convergent validity. There were 45 participants with tetraplegia and 21 patients with paraplegia. The test-retest reliability for the SCI-SETT was good. The intraclass correlation coefficient was 0.80 at 95% confidence interval. There were no significant correlations between the SCI-SETT scores and Functional Independence Measure motor subscale and Penn Spasm Frequency Scale scores. There was a significant correlation between the SCI-SETT scores and vitality scores of the 36-Item Short Form Health Survey. The SCI-SETT showed statistically significant correlations with other measures including self-assessed spasticity severity and self-assessed spasticity impact (P<0.05). The SCI-SETT is a reliable self-rating tool for assessing spasticity in patients with SCI in the Turkish population.
脊髓损伤痉挛评估工具是一份为期7天的回顾性自我报告问卷，用于评估痉挛对脊髓损伤（SCI）患者日常生活的不良影响和有益影响。我们旨在确定脊髓损伤痉挛评估工具（SCI-SETT）土耳其语翻译版的可靠性和跨文化效度。对脊髓损伤痉挛评估工具进行翻译和回译后，对66名年龄在18至88岁之间的SCI患者进行了评估，这些患者的美国脊髓损伤协会损伤分级为A至D级，伴有痉挛，且受伤至少6个月。参与者在一天中的同一时间段对SCI-SETT进行评分，间隔1周，然后调查重测一致性。此外，还评估了宾夕法尼亚痉挛频率量表、痉挛严重程度自我评估、痉挛影响自我评估、功能独立性测量运动子量表和36项简短健康调查问卷，以评估收敛效度。其中有45名四肢瘫痪患者和21名截瘫患者。SCI-SETT的重测可靠性良好。组内相关系数在95%置信区间为0.80。SCI-SETT评分与功能独立性测量运动子量表评分和宾夕法尼亚痉挛频率量表评分之间无显著相关性。SCI-SETT评分与36项简短健康调查问卷的活力评分之间存在显著相关性。SCI-SETT与包括自我评估的痉挛严重程度和自我评估的痉挛影响在内的其他测量方法之间存在统计学显著相关性（P<0.05）。SCI-SETT是评估土耳其人群中SCI患者痉挛情况的可靠自评工具。
