Reliability of a New Classification System for Mobility and Self-Care in Spinal Cord Injury Rehabilitation: The Spinal Cord Injury-Interventions Classification System

• Published in: Archives of physical medicine and rehabilitation Vol. 90; no. 7; pp. 1229 - 1236
• Main Authors: van Langeveld, Sacha A., PT, Post, Marcel W., PhD, van Asbeck, Floris W., MD, PhD, ter Horst, Paul, Leenders, Jacqueline, OT, Postma, Karin, PT, MSc, Lindeman, Eline, MD, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2009; Elsevier
• Subjects: Activities of Daily Living - classification; Biological and medical sciences; Cerebrospinal fluid. Meninges. Spinal cord; Diseases of the osteoarticular system; Humans; Medical sciences; Miscellaneous; Mobility Limitation; Nervous system (semeiology, syndromes); Neurology; Observer Variation; Physical Medicine and Rehabilitation; Physical Therapy Modalities; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Rehabilitation; Reproducibility of Results; Spinal cord injuries; Spinal Cord Injuries - rehabilitation; Therapy; spinal cord injury; Therapy; SCI-ICS; ASIA; Spinal Cord Injury-Interventions Classification System; American Spinal Injury Association; SCI; Spinal cord injuries; Rehabilitation; Self injury; Nervous system diseases; Mobility; Care; Reeducation; Treatment; Orthopedics; Spinal cord trauma; Central nervous system disease; Classification; Reliability; Spinal cord disease
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2008.12.026

Abstract van Langeveld SA, Post MW, van Asbeck FW, ter Horst P, Leenders J, Postma K, Lindeman E. Reliability of a new classification system for mobility and self-care in spinal cord injury rehabilitation: the Spinal Cord Injury-Interventions Classification System. Objective To investigate the reliability of the Dutch version of the Spinal Cord Injury-Interventions Classification System. Design Descriptive study. Setting Three Dutch spinal cord injury facilities. Participants Six physical therapists, 6 occupational therapists, and 3 sports therapists. Interventions Not applicable. Main Outcome Measures A 4- or 5-digit code was used to score videotaped interventions on 2 occasions in terms of level, category, and type of intervention. We examined the percentage of correctly assigned interventions (agreement between the researcher and the participants), agreement between the first and second measurements (intrarater reliability), and agreement between the therapists of the same discipline (interrater reliability). Results A total of 252 interventions were assigned. The agreement between the researcher and the participants was good: the percentage of correct interventions was high at both measurements (91.7% and 94.4%). Intrarater agreement was also good (90.9%). The interrater agreement within the physical therapists and the occupational therapists was high at both occasions (mean, 92.3% and 87.0%, respectively), but lower within the sports therapists (mean, 69.3%). Conclusions The study provided first evidence for reliability of the classification system. Further research is needed to confirm these results and to test the reliability of other language versions.