Italian translation and reliability of Fist-Sci Scale for chronic paraplegic patients: an observational study

Gianluca Ciardi; Gianfranco Lamberti; Alessia Tidona

doi:10.23750/abm.v94i3.14154

Italian translation and reliability of Fist-Sci Scale for chronic paraplegic patients: an observational study

Authors

Gianluca Ciardi Physiotherapy degree course- University of Parma/ Azienda Usl Piacenza
Gianfranco Lamberti Physiotherapy degree course- University of Parma/ Azienda Usl Piacenza
Alessia Tidona Physiotherapy degree course student- University of Parma

DOI: https://doi.org/10.23750/abm.v94i3.14154

Keywords:

Spinal cord injury, physiotherapy, trunk control, evaluation scale

Abstract

Background and aim: Lack of trunk control following spinal cord injury implicates a worse quality of life and a higher dependence on caregivers; literature proposes several evaluation scales, but studies show poor methodological quality. This study aimed to translate and explore the significance of the Italian version of the FIST-SCI scale for chronic spinal cord injury patients.

Methods: A longitudinal cohort study was conducted at Fiorenzuola D'Arda Hospital. After a forward/backward translation of the FIST-SCI scale in Italian content and face translational validity, intervalutator reliability was assessed. Patients were recruited by historical tracking of patients who received acute rehabilitation care at the Villanova D'Arda Spinal Unit. Two researchers administered the FIST-SCI scale to the same patients at the follow-up.

Results: Ten patients took part in the study; results showed that higher inter-rater correlation coefficient (Pearson's R= 0.89, p= 0.01 Intra-class correlation coefficient= 0.94, p=0.000). Content validity was also excellent (Scale Content Validity Index = 0.91); some experts suggested future scale developments.

Discussion: Italian FIST-SCI scale for assessing trunk control in chronic spinal patients appears to be an excellent assessment tool concerning intervalutator reliability. Content validity further confirms the validity of the instrument.

References

Dimitrijevic MR, Kakulas BA, Spinal cord injuries, human neuropathology and neurophysiology, Acta Myol. 2020 Dec 1;39(4):353-358. doi: 10.36185/2532-1900-039

Anjum A, Yazid MD, Fauzi Daud M, Idris J, Ng AMH, Selvi Naicker A, et al, Spinal Cord Injury: Pathophysiology, Multimolecular Interactions, and Underlying Recovery Mechanisms, Int J Mol Sci, 2020 Oct 13;21(20):7533. doi: 10.3390/ijms21207533.

Fan B, Wei Z, Yao X, Shi G, Cheng X, Zhou X, et al, Microenvironment Imbalance of Spinal Cord Injury. Cell Transplant. 2018 Jun;27(6):853-866. doi: 10.1177/0963689718755778. Epub 2018 Jun 5. PMID: 29871522; PMCID: PMC6050904.

Zhang Y, Al Mamun A, Yuan Y, Lu Q, Xiong J, Yang S. Acute spinal cord injury: Pathophysiology and pharmacological intervention, Mol Med Rep, 2021 June;23 (6):417. DOI: 10.3892/mmr.2021.12056.

Piatt JA, Nagata S, Zahl M, Li J, Rosenbluth JP. Problematic secondary health conditions among adults with spinal cord injury and its impact on social participation and daily life.J Spinal Cord Med . 2016 Nov;39(6):693-698. doi: 10.1080/10790268.2015.1123845. Epub 2015 Dec 15.

Magnani PE, Cliquet AJ, de Abreu DCC. Postural control assessment in physically active and sedentary individuals with paraplegia, Acta Ortop Bras, 2017 Jul-Aug;25(4):147-150. doi: 10.1590/1413-785220172504160652.

Chen CL, Yeung KT, Bih LI, Wang CH, Chen MI, Chien JC. The relationship between sitting stability and functional performance in patients with paraplegia, Arch Phys Med Rehabil 2003;84:1276-81.

Quinzaños-Fresnedo J, Fratini-Escobar PC, Almaguer-Benavides KM, Aguirre-Güemez AV, Barrera-Ortíz A, Pérez-Zavala R, et al. Prognostic validity of a clinical trunk control test for independence and walking in individuals with spinal cord injury, J Spinal Cord Med. 2020 May;43(3):331-8. doi: 10.1080/10790268.2018.1518124

Ciardi G and Nicolini L. Evaluation of Seated Trunk Postural Control in Patients with Spinal Cord Injury: Systematic Review of Literature. Ann Physiother Occup Ther 2021, 4(1): 000188.

Hachem LD, Ahuja CS, Fehlings MG, Assessment and management of acute spinal cord injury: From point of injury to rehabilitation, J Spinal Cord Med, 2017 Nov;40(6):665-75. doi: 10.1080/10790268.2017.1329076.

Zhang Y, Al Mamun A, Yuan Y, Lu Q, Xiong J, Yang S, et al, Acute spinal cord injury: Pathophysiology and pharmacological intervention (Review), Mol Med Rep, 2021 Jun;23(6):417. doi: 10.3892/mmr.2021.12056.

Palermo AE, Cahalin LP, Garcia KL, Nash MS, Psychometric Testing and Clinical Utility of a Modified Version of the Function in Sitting Test for Individuals With Chronic Spinal Cord Injury, Arch Phys Med Rehabil, 2020 Nov;101(11):1961-72. doi: 10.1016/j.apmr.2020.06.014.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9. PMID: 18313558

Sprigle S, Maurer C, Holowka M. Development of valid and reliable measures of postural stability. J Spinal Cord Med. 2007;30(1):40-9. doi: 10.1080/10790268.2007.11753913.

Abou L, de Freitas GR, Palandi J, Ilha J, Clinical Instruments for Measuring Unsupported Sitting Balance in Subjects with Spinal Cord Injury: A Systematic Review, Top Spinal Cord Inj Rehabil. 2018 Spring;24(2):177-193. doi: 10.1310/sci17-00027.

Castillo-Escario Y, Kumru H, Valls-Solé J, García-Alen L, Jané R, Vidal J. Quantitative evaluation of trunk function and the StartReact effect during reaching in patients with cervical and thoracic spinal cord injury. J Neural Eng 2021 Aug 18;18(4). doi: 10.1088/1741-2552/ac19d3.

Santamaria V, Luna T, Khan M, Agrawal S. The robotic Trunk-Support-Trainer (TruST) to measure and increase postural workspace during sitting in people with spinal cord injury. Spinal Cord Ser Cases. 2020 Jan 6;6:1. doi: 10.1038/s41394-019-0245-1. eCollection 2020.

Perez-SanPablo AS; Quinzaños-Fresnedo J, Lopez-Romero JC, Quiñones-Uriostegui I. Reliability of posturographic measures obtained during instrumental assessment of trunk control using inertial sensors in individuals with spinal cord injury. Ann Phys Rehab Med; 61 (S1): 2018,7, e84.

Quinzaños, J, Villa A, Flores A, R Perez, Proposal and validation of a clinical trunk control test in individuals with spinal cord injury. Spinal Cord, 2014; 52; 449–54.

Wadhwa G, Aikat R.. Development, validity and reliability of the “Sitting Balance Measure” (SBM) in spinal cord injury. Spinal Cord. 2016; 54 4: 319–23.

Boswell-Ruys CL, Sturnieks DL, Harvey LA, Sherrington C, Middleton JW, Lord SR. Validity and reliability of assessment tools for measuring unsupported sitting in people with a spinal cord injury. Arch Phys Med Rehabil. 2009; 90 9: 1571– 7.

Atkinson D, Atkinson K, Kern M, Hale J, Feltz M, Graves DE. Poster 38: Reliability of a Thoracic-Lumbar Control Scale for Use in Spinal Cord Injury Research. Arch Phys Med Rehabil, 2008; 89 (10): e18.

Jørgensen V, Opheim A, Halvarsson A, Franzén E, Skavberg Roaldsen K . Comparison of the Berg Balance Scale and the Mini-BESTest for Assessing Balance in Ambulatory People With Spinal Cord Injury: Validation Study. Phys Ther; 2017, 97(6), 677–87.

Pastre C, Lobo A, Oberg T, Pithon KR, Yoneyama SM, NMFV Lima, Validation of the Brazilian version in Portuguese of the Thoracic-Lumbar Control Scale for spinal cord injury. Spinal Cord 49, 1198–1202 (2011).

Lynch SM, Leahy P, Barker SP. Reliability of Measurements Obtained With a Modified Functional Reach Test in Subjects With Spinal Cord Injury, Physical Therapy, Feb 1998; 78 (2): 128–33.

Jørgensen, V, Elfving, B, Opheim A, Assessment of unsupported sitting in patients with spinal cord injury. Spinal Cord; 2011, 49, 838–43.