Bryce Thomas N, Afzal Laiba, Burns Stephen P, Dijkers Marcel P, Kirshblum Steven, Marino Ralph J, O'Connor Jayme, Ramirez Arianny, Snider Brittany, Spielman Lisa, Tsai Chung-Ying
Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY.
Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY.
Arch Phys Med Rehabil. 2025 Jun 2. doi: 10.1016/j.apmr.2025.05.016.
To examine the feasibility, validity, and reliability of the Online Neurological Exam for Spinal Cord Injury (One-SCI), a patient-reported outcome measure of the motor and sensory components needed for classifying spinal cord injury (SCI) according to the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI).
Repeat administration (1wk interval) of either an online self-administered or an interviewer-administered survey (both supported by extensive computer-provided illustrations and animations) followed by an in-person ISNCSCI examination after an additional week.
Academic free standing rehabilitation center and medical center.
A total of 67 individuals (N=67) with chronic SCI with complete or incomplete injuries representing 6 groups based upon neurologic level of injury (C1-4, C5-6, C7-T1, T2-T6, T7-T12, and L1-S5) who were English-speaking and aged ≥18 years.
Not applicable.
ISNCSCI neurologic levels and American Spinal Injury Association Impairment Scale (AIS) grade.
Overall test-retest agreement was substantial, with kappas ranging from 0.69 to 0.84 for all the neurologic levels and AIS grades. Overall agreement between the neurologic levels and AIS grades derived from the first administration of One-SCI (participant survey responses) and the ISNCSCI examinations was moderate to substantial, with kappas ranging from 0.55 to 0.71. The median time needed to complete the interview and online versions of One-SCI the first time was 51 minutes.
Findings generally support the reliability and validity of both interview and online versions of One-SCI. One-SCI does take nearly 1 hour to complete, which possibly will limit its widespread use. The results should be replicated in larger samples.
检验脊髓损伤在线神经学检查（One-SCI）的可行性、有效性和可靠性。One-SCI是一种患者报告的结局指标，用于根据脊髓损伤神经学分类国际标准（ISNCSCI）对脊髓损伤（SCI）进行分类所需的运动和感觉成分的测量。
重复进行（间隔1周）在线自我管理或访谈员管理的调查（均由大量计算机提供的插图和动画支持），再过一周后进行面对面的ISNCSCI检查。
学术独立康复中心和医疗中心。
共有67名慢性SCI患者（N = 67），损伤程度为完全或不完全损伤，根据损伤的神经学水平分为6组（C1-4、C5-6、C7-T1、T2-T6、T7-T12和L1-S5），均为英语使用者且年龄≥18岁。
不适用。
ISNCSCI神经学水平和美国脊髓损伤协会损伤分级（AIS）。
总体重测一致性较高，所有神经学水平和AIS分级的kappa值范围为0.69至0.84。首次进行One-SCI（参与者调查回复）得出的神经学水平和AIS分级与ISNCSCI检查之间的总体一致性为中等至较高，kappa值范围为0.55至0.71。首次完成访谈版和在线版One-SCI所需的中位时间为51分钟。
研究结果总体上支持访谈版和在线版One-SCI的可靠性和有效性。One-SCI完成时间将近1小时，这可能会限制其广泛应用。结果应在更大样本中重复验证。
