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Reliability of a new classification system for mobility and self-care in spinal cord injury rehabilitation: the Spinal Cord Injury-Interventions Classification System

VAN LANGEVELD S; POST MW; VAN ASBECK FW; TER HORST P; LEENDERS J; POSTMA K; LINDEMAN E
ARCH PHYS MED REHABIL , 2009, vol. 90, n° 7, p. 1229-1236
Doc n°: 143937
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2008.12.026
Descripteurs : AE21 - ORIGINE TRAUMATIQUE
Article consultable sur : http://www.archives-pmr.org

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.

Langue : ANGLAIS

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