5-item SCI Sacral Sparing Self-report Questionnaire

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Tool Description

  • The Sacral Sparing Questionnaire is a survey of 5 questions involving various aspects of a patient’s bowel movement routine
  • Each question is answered as: “yes”, “no”, or “N/A”

ICF Domain:

Body Functions - subcategory: Sensory and Pain

Number of Items:


Brief Instructions for Administration & Scoring


  • Each item is answered either “Yes”, “No” or “N/A”
  • The items are assessed individually and are not summarized in a single score


MCID: not established for SCI
SEM: not established for SCI
MDC: Mean Sensitivity and Specificity values:

Q1: Sensitivity: 98%, Specificity: 92%

Q2: Sensitivity: 88%, Specificity: 95%

Q3: Sensitivity: 98%, Specificity: 94%

Q4: Sensitivity: 96%, Specificity: 100%

Q5 (w/ increased AST): Sensitivity: 100%, Specificity: 27%

Q5 (w/o increased AST): Sensitivity: 89%, Specificity: 98%

[Liu et al. 2017]



Training Required:

No training is required.


The questionnaire is available below, under the "How to Use" section.

Measurement Property Summary

# of studies reporting psychometric properties: 1


  • High Consistency Test between Sensation and Q1of questionnaire (κ coefficient = 0.91)
  • High Consistency Test between S4-5 Sensation and Q2 of questionnaire (κ coefficient = 0.79)
  • High Consistency Test between Deep Anal Pressure and Q3 of questionnaire (κ coefficient = 0.93)
  • High Consistency Test between Deep Anal Pressure and Q4 of questionnaire (κ coefficient = 0.93)
  • High Consistency Test between Voluntary Anal Compression and Q5 of questionnaire (κ coefficient = 0.70)

[Liu et al. 2017]


Not established in SCI.

Floor/ceiling effect:

Not established in SCI.


Gurmaan Gill.

Date Last Updated:

February. 26, 2019

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Download Worksheet:

Worksheet Document





Equipment Needed

Liu N, Xing H, Zhou MW, Biering-Sørensen F. Development and validation of a bowel-routine-based self-report questionnaire for sacral sparing after spinal cord injury. Spinal Cord. 2017;55(11):1010-1015.