• The Spinal Cord Injury Ability Realization Measurement Index (SCI-ARMI) is a clinician-administered measure which evaluates the ability of an individual to functionally improve during rehabilitation, by comparing their observed functional performance to expected performances relative to their neurologic status.

Clinical Considerations

  • The SCI-ARMI is scored using a formula, combining the ASIA Motor Score and Spinal Cord Independence Measure (SCIM-II). Multiple versions of the SCI-ARMI formula exist as a result of ongoing development.

ICF Domain

Activities ▶ Learning and applying knowledge

Administration

Varies.

Number of Items

N/A

Equipment

N/A

Scoring

By formula.

Languages

English.

Training Required

None.

Availability

Currently unavailable.

# of studies reporting psychometric properties: 2

Interpretability

MCID: not established in SCI
SEM: not established in SCI
MDC: not established in SCI

Typical Values

Mean (SD) Scores:

  • Admission-discharge change = 38.8 (22)

(Scivoletto et al. 2015; n=661; 478 males, international sample; 214 AIS-A, 248 AIS-D; no info on chronicity)

Reliability

  • Not established in SCI

Validity

  • Moderate correlation with rehabilitation duration:
    Correlation = 0.46

(Catz et al. 2004; n=79; 60 males, 19 females; 33 tetraplegia, 46 paraplegia; ASIA A-D)

  • Low correlation with ASIA Motor Score:
    Correlation = -0.14 (admission score)
    Correlation = 0.13 (admission-discharge score change)

(Scivoletto et al. 2015; n=661; 478 males, international sample; 214 AIS-A, 248 AIS-D; no info on chronicity)

Responsiveness

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

Floor/Ceiling Effect

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

Reviewers

Dr. Carlos L. Cano-Herrera, Elsa Sun

Date Last Updated

31 December 2024

Aidinoff E, Benjamini Y, Galili T, et al. Non-linear formulas for the spinal cord injury ability realization measurement index. Spinal Cord. 2012;50(4):324-7.
http://www.ncbi.nlm.nih.gov/pubmed/22124345

Catz A, Greenberg E, Itzkovich M, Bluvshtein V, Ronen J, Gelernter I. A new instrument for outcome assessment in rehabilitation medicine: Spinal cord injury ability realization measurement index. Arch Phys Med Rehabil. 2004;85(3):399-404.
http://www.ncbi.nlm.nih.gov/pubmed/15031824

Scivoletto G, Glass C, Anderson KD, et al. An international age- and gender-controlled model for the Spinal Cord Injury Ability Realization Measurement Index (SCI-ARMI). Neurorehabil Neural Repair. 2015;29(1):25-32.
http://www.ncbi.nlm.nih.gov/pubmed/24585943

Scivoletto G, Bonavita J, Torre M, Baroncini I Tiberti S, Maietti E. Observational study of the effectiveness of spinal cord injury rehabilitation using the Spinal Cord Injury-Ability Realization Measurement Index. Spinal Cord. 2016. 54(6): 467-72
https://pubmed.ncbi.nlm.nih.gov/26369890/