- 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 ▶ Participation
Administration
- Items rated 1-4
- Total score (16-64) is sum of all items.
- Higher scores indicate greater levels of fall concern.
Number of Items
16 items
Equipment
None
Languages
English
Training Required
Does not require advanced training
Availability
Can be found here.
# of studies reporting psychometric properties: 7
Interpretability
MCID: not established in SCI population
SEM: not established in SCI population
MDC: not established in SCI population
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 in 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)
Reviewers
Kyle Diab, Joanne Chi
Date Last Updated
July 2019
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
