Spinal Cord Injury Secondary Conditions Scale (SCI-SCS)

Download Clinical Summary PDF

Tool Description

  • Specifically targets secondary conditions associated with SCI that directly and indirectly impact health and physical functioning.
  • Items were selected based on 3 criteria: (a) that they represent conditions that are physiologic in nature (vs psychological or environmental); (b) that they are measurable by patient history and physical examination, reported episodes, validated scales, or medical tests or interventions; and (c) those that can be either prevented or managed with medical intervention and/or health behaviors. Items represent problems in the areas of skin, musculoskeletal, pain, bowel/bladder, and cardiovascular.

ICF Domain:

Body Function – Subcategory: General Functions.

Number of Items:

16

Brief Instructions for Administration & Scoring

Administration:

  • Self-report questionnaire.
  • The rating scale uses a 4-point ordinal scale ranging from 0 (not experienced/insignificant problem never limiting activity) to 3 (significant/chronic problem).

Equipment: None.

Scoring:

  • Total score is derived from the sum of the problem ratings.

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

  • Total scores range from 0 to 48.
  • Higher scores indicate greater overall problems with secondary conditions.
  • No meaningful cut points, normative data or responsiveness data have been established at this time for the SCI population
  • Published data for the SCI population is available for comparison (see Interpretability section of the Study Details sheet).

Languages:

n/a

Training Required:

None.

Availability:

See the ‘How-to use’ page for this tool.

Clinical Considerations

  • Only one study has assessed the psychometric properties of the SCI-SCS among the SCI population.

Measurement Property Summary

# of studies reporting psychometric properties: 1

Reliability:

  • The SCI-SCS was administered across 5 time-points, spanning 2 years post-intervention. The internal consistency across each of the time points was Moderate to High (Cronbach’s a=0.761 – 0.869). The test-retest reliability values across the time points ranged from Moderate to High (r=0.569-0.805).

[Kalpakjian et al. 2007]

Validity:

  • The SCI-SCS total score has High correlations with the 6 items of the SF-12, Spearman’s r values range from 0.317 to 0.644.

[Kalpakjian et al. 2007]

Responsiveness:

No values were reported for the responsiveness of the SCI-SCS for the SCI population.

Floor/ceiling effect:

  • There are ceiling effects on 3 categories of secondary conditions (>20% scored in the highest category):

-       Sexual dysfunction (26.2%)

-       Chronic pain (32.3%)

-       Joint and muscle pain (29.2%)

  • There are floor effects on all 16 categories of secondary conditions (>20% scored in the lowest category):

-       Pressure sore (76.9%)

-       Injury caused by loss of sensation (76.9%)

-       Muscle spasms (41.5%)

-       Contractures (67.7%)

-       Heterotopic bone ossification (89.2%)

-       Diabetes mellitus (87.7%)

-       Bladder dysfunction (36.9%)

-       Bowel dysfunction (40.0%)

-       Urinary tract infections (61.5%)

-       Sexual dysfunction (43.1%)

-       Autonomic dysreflexia (70.8%)

-       Postural hypotension (80.0%)

-       Circulatory problems (50.8%)

-       Respiratory problems (80.0%)

-       Chronic pain (33.8%)

-       Joint and muscle pain (29.2%)

[Kalpakjian et al. 2007]

Reviewer

Dr. Vanessa Noonan, John Zhu, Jeremy Mak, Matthew Querée

Date Last Updated:

Mar 2, 2017

Download the measure

Download Worksheet:

Worksheet Document
For the following 16 health problems, please rate how much each one affected your activities and independence in the last 3 months. If you have not experienced a secondary condition in the last 3 months or if it is an insignificant problem for you, please circle ‘‘0.’’ Use the following scale to rate each of the secondary conditions.

Video

n/a

Scoring

n/a

Equipment Needed

SCI-SCS:

Arora M, Harvey LA, Lavrencic L, Bowden JL, Nier L, Glinsky JV, Hayes AJ, Cameron ID. A telephone-based version of the spinal cord injury-secondary conditions scale: a reliability and validity study. Spinal Cord. 2016;54(5):402-5.
http://www.ncbi.nlm.nih.gov/pubmed/26193815

Kalpakjian CZ, Scelza WM, Forchheimer MB, Toussaint LL. Preliminary Reliability and Validity of a Spinal Cord Injury Secondary Conditions Scale. The Journal of Spinal Cord Medicine 2007; 30: 131-39.
http://www.ncbi.nlm.nih.gov/pubmed/17591225