Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET)

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Tool Description

  • Assesses the impact of spasticity on daily life in people with SCI.
  • Requires participants to recall their past 7 days when rating spasticity on a scale ranging from -3 (extremely problematic) to +3 (extremely helpful).

ICF Domain:

Body Function – Subcategory: Neuromusculoskeletal & Movement-related Functions and Structures

Number of Items:


Brief Instructions for Administration & Scoring


  • Self-report questionnaire.
  • Can be administered in person or over the phone.



  • Total score (-3 to +3) is generated by summing all the responses from the applicable items then dividing the sum by the number of applicable items


MCID: not established in SCI
SEM: for SCI-SET score (calculated from data in Adams et al. 2007): 0.17
MDC: for SCI-SET score (calculated from data in Adams et al. 2007): 0.47

  • No meaningful cut points or norms have been established for the SCI population
  • Published data is available for comparison (see Interpretability section of the Study Details sheet).



Training Required:



See the how-to page of this tool.

Clinical Considerations

  • The SCI-SET can be used as a tool for medical management decisions as well as a measurement of current treatment effects.
  • Spasticity is known to be highly variable, fluctuating on a daily and even hourly basis. A seven day recall of the impact of spasticity may be overshadowed by current levels of spasticity. Repeated administration may therefore be necessary to provide a more accurate picture of the impacts spasticity has on daily life.
  • The SCI-SET was developed specifically for the SCI population.
  • The scale is easy to administer and score. Definitions of ‘spasm’ and the scale responses are clearly outlined in the instructions.

Measurement Property Summary

# of studies reporting psychometric properties: 1


  • The SCI-SET was administered 3 times, 3 weeks in a row, on the same day of the week. Internal consistency of the SCI-SET is high (Cronbach’s a=0.90), as is the test-retest reliability (ICC=0.91).

[Adams et al. 2007]


  • The SCI-SET score is significantly and negatively correlated as expected to several spasticity scales:
    • self-assessment of spasticity severity (Pearson’s r=-0.48, P<.001)
    • self-assessment of  spasticity impact (Pearson’s r=-0.61, P<.001)
    • the Penn Spasm Frequency Scale (Pearson’s r=-0.66, P<.001).
  • The SCI-SET score was not significantly correlated to the Functional Independence Measure- motor score (P=.12).

[Adams et al. 2007]


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

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the SCI-SCS for the SCI population.


Dr. Vanessa Noonan, Matthew Querée, John Zhu,

Date Last Updated:

Feb 22, 2017

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Worksheet Document





Equipment Needed


Adams M, Martin Ginis K, Hicks A. The Spinal Cord Injury Spasticity Evaluation Tool: Development and Evaluation. Arch Phys Med Rehabil. 2007;88:1185-1192.