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

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...

Full description

Bibliographic Details
Main Authors: Booth, H., Harvey, L., Denis, S., Barratt, D., Allison, Garry, Adams, R.
Format: Journal Article
Published: 2013
Online Access:http://hdl.handle.net/20.500.11937/5834
_version_ 1848744906755932160
author Booth, H.
Harvey, L.
Denis, S.
Barratt, D.
Allison, Garry
Adams, R.
author_facet Booth, H.
Harvey, L.
Denis, S.
Barratt, D.
Allison, Garry
Adams, R.
author_sort Booth, H.
building Curtin Institutional Repository
collection Online Access
description 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.
first_indexed 2025-11-14T06:08:55Z
format Journal Article
id curtin-20.500.11937-5834
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T06:08:55Z
publishDate 2013
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-58342017-09-13T14:39:15Z Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility Booth, H. Harvey, L. Denis, S. Barratt, D. Allison, Garry Adams, R. 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. 2013 Journal Article http://hdl.handle.net/20.500.11937/5834 10.1038/sc.2013.100 unknown
spellingShingle Booth, H.
Harvey, L.
Denis, S.
Barratt, D.
Allison, Garry
Adams, R.
Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title_full Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title_fullStr Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title_full_unstemmed Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title_short Using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
title_sort using the unbiased perspectives of people living with a spinal cord injury in assessments of mobility
url http://hdl.handle.net/20.500.11937/5834