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    Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility

    Access Status
    Open access via publisher
    Authors
    Booth, H.
    Harvey, L.
    Denis, S.
    Barratt, D.
    Allison, Garry
    Adams, R.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Booth, H. and Harvey, L. and Denis, S. and Barratt, D. and Allison, G. and Adams, R. 2013. Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility. Spinal Cord. 51 (11): pp. 843-846.
    Source Title
    Spinal Cord
    DOI
    10.1038/sc.2013.100
    ISSN
    1362-4393
    School
    Health Sciences Research and Graduate Studies
    URI
    http://hdl.handle.net/20.500.11937/5834
    Collection
    • Curtin Research Publications
    Abstract

    Study design:Clinometrics study.Objective:To devise a way of capturing the unbiased perspectives of people living with a spinal cord injury (SCI) in assessments of mobility.Setting:SCI unit and community.Methods:Three groups of raters used the Global Impression of Change Scale (GICS) to rate change in mobility of a cohort of patients with a recent SCI. The three groups of raters were as follows: 10 people with a recent SCI, 10 people with an established SCI and 10 physiotherapists. The ratings were done after viewing 51 pairs of videos depicting one of three motor tasks: sitting unsupported, transferring and walking. Each pair of videos showed the same person performing the same motor task on two occasions. The videos were taken between 1 h and 5 months apart and presented side by side, randomly left or right, on the screen. Raters were asked to score the amount of change in performance between the two videos on a 7-point Global Impression of Change Scale (GICS). Intra-rater reliability for the three motor tasks and three groups of raters was determined using intra-class correlation coefficients.Results:People with an SCI were reliable at rating change in patients' abilities to transfer and walk with ICC's ranging from 0.66 to 0.81 (95% Confidence interval bounds ranging from 0.51 to 0.94). Physiotherapists were consistently but only marginally more reliable at rating than people with an SCI.Conclusions:Videos and the GICS may provide a way of using the unbiased perspectives of people living with spinal cord injury in assessments of mobility. © 2013 International Spinal Cord Society All rights reserved.

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