- 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.
Activity ▶ Participation
- Items rated 1-4
- Total score (16-64) is sum of all items.
- Higher scores indicate greater levels of fall concern.
Number of Items
Does not require advanced training
Can be found here.
# of studies reporting psychometric properties: 7
MCID: not established in SCI population
SEM: not established in SCI population
MDC: not established in SCI population
- 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)
Moderate Correlation the Wheelchair Use Confidence Scale, Short Form: r = 0.56
Not established in SCI
13 participants (16%) scored the lowest possible (16/64), while only 1 scored the maximum (64/64)
(Butler Forslund et al. 2016)
Kyle Diab, Joanne Chi
Date Last Updated
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.
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.
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.