脊髓独立性评定及其第3版介绍

Introduction of Spinal Cord Independence Measure Ⅲ

功能能力评定是脊髓损伤患者功能结局评定的主要项目之一。目前常用评定脊髓损伤患者功能能力的量表有Bar-thel指数、修订Barthel指数、功能独立性评定、脊髓独立性评定、脊髓损伤步行指数等。其中,脊髓独立性评定是为评价脊髓损伤患者的功能能力而专门设计的量表,已经过两次修订和国际多中心试验验证,具有良好的信度、效度和灵敏性,可适用于不同文化背景下的脊髓损伤患者的功能能力评定。但该评定方法也存在一定的局限性,需要进一步完善。

Assessment of functional ability is main item of outcome measure in patients with spinal cord injury （SCI）. The assessment methods include Barthel Index （BI）, Modified Barthel Index （MBI）, Functional Independence Measure （FIM）, Spinal Cord Lesion Independence Measure （SCIM） and Walking Index for Spinal Cord Injury （WSCI）. SCIM was specifically developed to measure functional ability for spinal cord lesion, which was modified for two times and verified in multicenter international study. The result of multicenter international study showed that SCIM is a reliable and useful quantitative representation of a specific con- struct of independence after SCI. This justifies the use of SCIM in clinical research, including cross-cultural trials. Meanwhile, further refinement is needed.