Spinal Cord Injury Falls Concern Scale (SCI-FCS)

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Tool Description

  • The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) is a self-report scale assessing the level of concern about falling during common activities of daily life in people with spinal cord injuries who are dependent on manual wheelchairs
  • Lower scores indicated fewer fall concerns.

ICF Domain:

Activity – Subcategory: Participation.

Number of Items:

16 items.

Brief Instructions for Administration & Scoring

Equipment: None.

Scoring:

  • Items rated 1-4
  • Total score (16-64) is sum of all items
  • Higher scores indicate greater levels of fall concern

Interpretability

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

Languages:

English.

Training Required:

None.

Availability:

Available for free here

Measurement Property Summary

# of studies reporting psychometric properties: 7

Reliability:

  • High Test-retest Reliability: ICC = 0.93-0.973
  • High Internal Consistency: α =0.82-0.92

[Boswell-Ruys et al. 2010, Marquez et al. 2018]

Validity:

  • Moderate Correlation the Wheelchair Use Confidence Scale, Short Form: r = 0.56

Responsiveness: not established for SCI.

Floor/ceiling effect:

13 participants (16%) scored the lowest possible (16/64), while only 1 scored the maximum (64/64)

[Butler Forslund et al. 2016]

Reviewer

Kyle Diab, Joanne Chi

Date Last Updated:

July, 2019

Download the measure

Download Worksheet:

Worksheet Document

Video

n/a

Scoring

n/a

Equipment Needed

SCI-FCS:

Marquez MA, Santis RD, AMmendola V, Antonacci M, Santilli V, Berardi A, Valente D, Galeoto G. Cross-cultural adaptation and validation of the "spinal cord injury-falls concern scale" in the Italian population. Spinal Cord. 2018;56(7): 712-718. https://pubmed.ncbi.nlm.nih.gov/29449685/

Boswell-ruys CL, Harvey LA, Delbaere K, Lord SR. A Falls Concern Scale for people with spinal cord injury (SCI-FCS). Spinal Cord. 2010;48(9):704-9.
http://www.ncbi.nlm.nih.gov/pubmed/20125107

Butler forslund E, Roaldsen KS, Hultling C, Wahman K, Franzén E. Concerns about falling in wheelchair users with spinal cord injury-validation of the Swedish version of the spinal cord injury falls concern scale. Spinal Cord. 2016;54(2):115-9.
http://www.ncbi.nlm.nih.gov/pubmed/26261075

Roaldsen KS, Måøy ÅB, Jørgensen V, Stanghelle JK. Test-retest reliability at the item level and total score level of the Norwegian version of the Spinal Cord Injury Falls Concern Scale (SCI-FCS). J Spinal Cord Med. 2016;39(3):317-26.
http://www.ncbi.nlm.nih.gov/pubmed/26829977