Citation

Boswell-Ruys CL, Harvey LA, Delbaere K, Lord SR. Spinal Cord 2010; 48(9): 704-709.

Affiliation

Prince of Wales Medical Research Institute, University of New South Wales, Randwick, New South Wales, Australia.

Copyright

(Copyright © 2010, International Spinal Cord Society, Publisher Nature Publishing Group)

DOI

10.1038/sc.2010.1

PMID

20125107

Abstract

Study design:Observational study and cross-sectional survey.Objectives:To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale.Setting:Community and hospitals, Australia.Methods:The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days.Results:The SCI-FCS had excellent internal and test-retest reliability (Cronbach's alpha=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling.Conclusions:This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.

Language: en