Designed to capture information on the type, frequency, duration and intensity of physical activity carried out by people with SCI using a wheelchair as their primary mode of mobility. Individuals are asked about their activity over the previous 3 days, starting with the prior day.
Activity is broken down into 8 periods:
1. Morning routine (subdivided into transferring, bowel and bladder management, bathing, personal hygiene, dressing)
8. Evening Routine (subdivided into transferring, bowel and bladder management, bathing, personal hygiene, dressing)
PARA-SCI is a promising instrument that provides information on the intensity-based type of physical activities. It has to be used more extensively before a final assessment is completed.
This assessment was specifically developed for the SCI population. It provides a quantitative measure of physical activity (including the intensity of exercise), taking into account ADLs – which are often physically taxing for individuals with SCI.
Data are reported as an average number of minutes of activity per day (mild, moderate, heavy, total) for the two dimensions (Leisure-time physical activity or lifestyle activity) and a cumulative index.
On average, the interview can be completed within 20-30 minutes.
An interview format was developed to capture activities performed over the last 3 days which are divided into 8 periods from morning routine to evening routine. The 2 routine periods are subdivided to capture activity related to daily living (transfer, bowel and bladder management, dressing, etc.). The interviewer asks the respondent about general activities performed during each period. The number of minutes spent on each specific activity is recorded and the activity is coded into 2 dimensions: Leisure-time physical activity or lifestyle activity.
Intensity classification system
This system was developed from empirical data collected during maximal exercise testing (VO2max and 1RM muscle workload for chest press and bicep curl). From a list of adjectives, participants of the experiment identified words that described how they felt during exercise. Based on their responses, definitions were created for mild, moderate and heavy intensity exercise.
Number of Items
Only equipment patients use in their everyday physical activities
Average daily LTPA and lifestyle activity scores are calculated by averaging the number of minutes of mild, moderate, and heavy activity reported for these activity categories across the three recalled days.
Average daily cumulative physical activity is calculated by averaging the sum of LTPA and leisure activity across the three recalled days.
As well, for each activity category (i.e., LTPA, lifestyle, cumulative), separate scores are calculated for mild, moderate, and heavy intensity levels.
Does not require advanced training
The interview script and scoring sheet can be found here.
Martin Ginis K, Latimer A, Hicks A, Craven B. development and Assessment of an Activity Measure for People with Spinal Cord Injury. Med Sci Sports Exerc 2005;37:1099-1111. http://www.ncbi.nlm.nih.gov/pubmed/16015125
Martin Ginis KA, Phang SH, Latimer AE, Arbour-Nicitopoulos KP. Reliability and validity tests of the leisure time Physical Activity Questionnaire for People with Spinal Cord Injury. Arch Phys Med Rehabil, 2012; 93: 677-82. http://www.ncbi.nlm.nih.gov/pubmed/22336103