Spinal cord最新文献

{"title":"Surgical outcomes of cervical spinal cord tumor in elderly patients assessed by the Japanese Orthopedic Association Cervical Myelopathy Evaluation Questionnaire.","authors":"Shuhei Ito, Narihito Nagoshi, Toshiki Okubo, Masahiro Ozaki, Satoshi Suzuki, Kazuki Takeda, Takahito Iga, Morio Matsumoto, Masaya Nakamura, Kota Watanabe","doi":"10.1038/s41393-025-01075-z","DOIUrl":"10.1038/s41393-025-01075-z","url":null,"abstract":"<p><strong>Study design: </strong>Single-institution retrospective study.</p><p><strong>Objectives: </strong>To assess postoperative functional and quality of life (QOL) outcomes in elderly patients who underwent cervical spinal cord tumor surgery using the Japanese Orthopedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).</p><p><strong>Setting: </strong>Single university hospital.</p><p><strong>Methods: </strong>This retrospective study included 97 patients who underwent surgery for cervical spinal cord tumors between 2000 and 2016. Patients were divided into two groups: a younger group (patients < 65 years old) and an elderly group (patients ≥ 65 years old). Surgical outcomes were evaluated using JOA scores and JOACMEQ, with statistical comparisons between age (younger vs. elderly) and tumor types (intramedullary vs. extramedullary).</p><p><strong>Results: </strong>Preoperative JOA scores were significantly lower in the elderly group compared to the younger group. Postoperative recovery rates were similar between the two groups. Extramedullary tumor resections in the elderly showed notable functional improvements. Conversely, elderly patients with intramedullary tumors exhibited poorer outcomes in lower extremity function and QOL, as measured by the JOACMEQ.</p><p><strong>Conclusion: </strong>Surgical intervention for cervical spinal cord tumors in elderly patients can yield functional and QOL outcomes similar to those in younger patients, especially for extramedullary tumors. However, intramedullary tumor resections in the elderly may result in less favorable outcomes, particularly in lower limb function and QOL. These findings underscore the importance of thorough preoperative counseling for elderly patients, highlighting potential risks and benefits based on tumor type.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"239-245"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying guideline-discordant intermittent catheterization in adults hospitalized with spinal cord injury: a retrospective cohort study.","authors":"Mengdong He, Emily Hon, Lin Xu, Stephen Hampton, Kimberly Waddell","doi":"10.1038/s41393-025-01078-w","DOIUrl":"10.1038/s41393-025-01078-w","url":null,"abstract":"<p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Objectives: </strong>To characterize guideline-discordant clean intermittent catheterization (CIC) during hospitalizations of patients with spinal cord injury (SCI), explore predictors of guideline-discordant CIC, and examine its association with urinary tract infection (UTI).</p><p><strong>Setting: </strong>Acute care hospitals within a large academic health system.</p><p><strong>Methods: </strong>Using electronic health records (9/1/2021-9/30/2023), we identified adults hospitalized with a discharge diagnosis of SCI and ≥1 documented CIC bladder output. The primary outcome was guideline-discordant CIC (bladder output volume >500 mL and/or time between CIC > 6 h). Generalized linear model and Chi-square test were used to evaluate patient factors and UTI risk associated with guideline-discordant CIC.</p><p><strong>Results: </strong>The study included 413 patients with SCI covering 8,016 CIC measurements during 519 hospitalizations. Their mean (SD) age was 55.2 (20.6) years, with 34.7% female and 46.8% Black. 52.8% were covered by Medicare. 79.4% had a thoracolumbar-level SCI. 50.2% of CICs were guideline-discordant. Males and those with managed care insurance had significantly higher odds of guideline-discordant CIC (OR = 1.34, 95% CI, 1.03 to 1.73 and OR = 2.05, 95% CI, 1.18 to 3.54, respectively). Patients with an indwelling catheter for ≥12 days before initiating CIC had significantly lower odds of guideline-discordant CIC (OR = 0.65, 95% CI, 0.49 to 0.84). The UTI incidence was 12.5% in hospitalizations with guideline-discordant CIC compared to 10.4% with guideline-concordant CIC (P = 0.49).</p><p><strong>Conclusions: </strong>Half of CICs did not adhere to guidelines, highlighting the need for quality improvement initiatives. Further research examining the association between UTI and CIC care patterns is warranted.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":"63 5","pages":"270-276"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors impacting employment outcomes for persons with spinal cord injury in South Korea.","authors":"Kwang-Jin Jung, Yong-Tak Kim, Mi-Ri Jeon, Chan-Woo Lee, Keum-Jin Lee","doi":"10.1038/s41393-025-01076-y","DOIUrl":"10.1038/s41393-025-01076-y","url":null,"abstract":"<p><strong>Study design: </strong>Cross-sectional survey.</p><p><strong>Objectives: </strong>To identify the factors determining the employment of individuals with spinal cord injury (SCI) living in South Korea, which shows a lower-than-average employment rate in international comparative studies, and to examine the potential importance for policy.</p><p><strong>Setting: </strong>Community of patients with SCI who are members of the Korea Spinal Cord Injury Association (KSCIA).</p><p><strong>Methods: </strong>A survey involving 200 members of the KSCIA was conducted. In the analysis, we included 177 individuals aged 15-64 years and were at least 2 years post-injury at the time of the survey. Descriptive statistics were calculated and logistic regression was applied to examine the association between 11 variables and employment outcomes.</p><p><strong>Results: </strong>A higher \"education level\" and participation in \"vocational rehabilitation services\" were positively associated with employment for individuals with SCI. By contrast, \"receiving welfare benefits\" was negatively associated with employment probability. The analysis, which categorized employment predictors into human capital, injury, and environmental models, showed no associations for factors in the Injury Model but indicated positive associations for education in the Human Capital Model and for receiving compensation in the form of welfare benefits and participation in vocational rehabilitation services in the Environment Model.</p><p><strong>Conclusions: </strong>Among the three models, the Environment Model had the greatest explanatory power. This suggests that in Korea, policy interventions targeting modifiable environmental factors hold significant potential to improve employment outcomes for individuals with SCI.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"257-262"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urodynamic evaluation of neurogenic bladder in patients with spinal cord injury within 6 months post-injury: a Retrospective Cross-Sectional Study.","authors":"Onyoo Kim, Lyekyung An, Byung Chan Lee","doi":"10.1038/s41393-025-01074-0","DOIUrl":"10.1038/s41393-025-01074-0","url":null,"abstract":"<p><strong>Study design: </strong>Retrospective cross-sectional survey of Korean patients with spinal cord injury (SCI) within 6 months post-injury.</p><p><strong>Objectives: </strong>To evaluate urodynamic parameters and identify unfavorable urodynamic findings in patients with neurogenic bladder due to SCI during the acute to subacute stages of the disease based on the post-injury time interval.</p><p><strong>Setting: </strong>National Rehabilitation Center, Seoul, Korea.</p><p><strong>Methods: </strong>Data from urodynamic tests performed on individuals with SCI within 6 months post-injury were collected. Based on the time interval from injury to testing, the recruited patients were divided into three groups: 0-90 days, 91-135 days, and 136-180 days. Based on these groups, urodynamic test parameters and incidence of high-risk findings (high detrusor pressure exceeding 40 cmH₂O during the filling phase, low compliance of the bladder, and detrusor-sphincter dyssynergia [DSD]) and unfavorable urodynamic findings (detrusor overactivity [DO], underactive or acontractile bladder) were compared.</p><p><strong>Results: </strong>Analysis of urodynamic study (UDS) findings in 191 individuals with acute to subacute SCI, revealed that unfavorable urodynamic findings were observed within 3 months after injury in both complete and incomplete SCI. The UDS test results and incidence of unfavorable outcomes based on the interval between injury and examination showed no significant statistical differences over time.</p><p><strong>Conclusions: </strong>The urodynamics of individuals with SCI suggest that high-risk or unfavorable urodynamic results are common in the acute to subacute stages of SCI.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"246-251"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting return to work after spinal cord injury in Japan: a cross-sectional study.","authors":"Tetsuo Hayashi, Hiromitsu Kobayashi, Momo Irie, Hiroaki Sakai, Mayumi Takegawa, Ryota Takanami, Muneaki Masuda, Kensuke Kubota, Mari Sato, Osamu Kawano, Takeshi Maeda","doi":"10.1038/s41393-025-01083-z","DOIUrl":"https://doi.org/10.1038/s41393-025-01083-z","url":null,"abstract":"<p><strong>Study design: </strong>Survey.</p><p><strong>Objectives: </strong>This study aimed to investigate the rate of return to work among individuals with spinal cord injuries in Japan and identify factors associated with their return.</p><p><strong>Setting: </strong>Returning to work is difficult for people with spinal cord injuries, although it contributes to their personal quality of life and society. Previous studies have examined various factors inhibiting return to work, but none have examined social participation.</p><p><strong>Methods: </strong>Questionnaires were sent to individuals of working age with spinal cord injuries. Their employment status, marital status, neurological status, activities of daily living, enjoyment of sports and/or hobbies post-injury, and whether they lived with family were examined using the visual analog scale for pain.</p><p><strong>Results: </strong>Among the 134 respondents, 61 (46%) were employed at the time of the survey. Multivariate logistic regression analysis revealed that mild paralysis and enjoyment of sports and/or hobbies were significant factors associated with return to work. Among those employed, 27% secured jobs through private job introductions, highlighting the role of social connections in facilitating employment.</p><p><strong>Conclusions: </strong>Besides mild paralysis, social participation in sports and/or hobbies was significantly associated with a return to work. As social connections can provide opportunities to obtain jobs, providing spaces for interaction through sports and hobbies, can create a conducive environment for returning to work.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priorities for support service needs among individuals with spinal cord injury.","authors":"Hye Jin Nam, Haesun Lee, Ju Young Yoon","doi":"10.1038/s41393-025-01079-9","DOIUrl":"https://doi.org/10.1038/s41393-025-01079-9","url":null,"abstract":"<p><strong>Study design: </strong>Cross-sectional survey.</p><p><strong>Objectives: </strong>This study aims to identify and prioritize the gaps between the required and current levels of support services for individuals with SCI in South Korea.</p><p><strong>Setting: </strong>Community.</p><p><strong>Methods: </strong>The cross-sectional analysis involved 532 participants who are members of the Korea Spinal Cord Injury Association. These participants were recruited through the 2021 Survey on Needs of People with SCI, conducted via face-to-face interviews by trained investigators. The survey assesses the demand and current levels of 11 key support services. The Borich needs assessment and the locus for focus model were employed to identify the priorities of these services.</p><p><strong>Results: </strong>Results indicated significant disparities between the required and current levels across all services. Among the 532 participants, 70.1% were male and the average age was 49.6 years. The highest priority services were identified as \"support for caregiver costs,\" \"livelihood security,\" \"health management,\" and \"home modification\". Secondary priorities included \"training for daily living activities\" and \"vocational rehabilitation.\"</p><p><strong>Conclusions: </strong>The study emphasizes the importance of aligning service provision with the specific needs of the SCI population to enhance their quality of life and promote successful reintegration into the community. The findings underscore the urgent need for comprehensive support systems to address the economic and functional challenges of individuals with SCI. Policymakers and service providers are encouraged to focus on these identified priorities to better meet the needs of individuals with SCI, to ensure their sustained independence and improved well-being.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flap reconstruction of pressure ulcers in patients with spinal cord injury: a retrospective cohort study.","authors":"Ankit Mishra, Mohammed Eldolify, Rebecca Shirley, James K-K Chan","doi":"10.1038/s41393-025-01080-2","DOIUrl":"https://doi.org/10.1038/s41393-025-01080-2","url":null,"abstract":"<p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Objectives: </strong>To describe our five-year experience of surgical excision and flap reconstruction of pressure ulcers in individuals with spinal cord injury (SCI).</p><p><strong>Setting: </strong>Tertiary spinal centre in Stoke Mandeville, United Kingdom.</p><p><strong>Methods: </strong>All spinal injury patients that underwent surgical reconstruction of pressure ulcers at the Stoke Mandeville Hospital National Spinal Injury Centre between 2018 and 2022 inclusive were included. Ulcers underwent 'pseudotumour' excision followed by either immediate or staged flap reconstruction. The primary outcome was complete healing at one year. Secondary outcomes included flap loss, complications, and return to theatre.</p><p><strong>Results: </strong>52 cases were included across 44 patients. 43 cases (82.7%) underwent immediate debridement and reconstruction. The mean number of procedures was 1.9 (range 1-6). Local flaps were used in 22 (41.5%) cases. There was one (1.9%) free flap (anterolateral thigh), eight (15.4%) pedicled flaps, and 21 (39.6%) flaps based on single perforators. 49 cases completed follow-up; 41 (83.7%) were healed at one year after their initial surgery. Immediate reconstructions were 36.7% more likely to achieve healing at this time point than staged cases (P = .028, Fisher's exact). There was partial or total flap loss in 15 (28.8%) cases. Thirty-nine complications were seen in 24 (46.2%) cases. Twenty-three cases (44.2%) required returns to theatre.</p><p><strong>Conclusions: </strong>Surgical debridement with flap reconstruction is a safe and reliable treatment approach for pressure ulcers in those with SCI, with a complication rate comparable to existing literature. Immediate flap reconstruction and local flap designs may be associated with a lower risk of complications and higher healing rates.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the mediating effects of coping strategies on adjustment after sustaining a spinal cord injury.","authors":"Dinalize Purcell, Vegard Strøm, Annelie S Leiulfsrud","doi":"10.1038/s41393-025-01062-4","DOIUrl":"10.1038/s41393-025-01062-4","url":null,"abstract":"<p><strong>Study design: </strong>Cross-sectional study of adults living with a spinal cord injury (SCI) in Norway.</p><p><strong>Objectives: </strong>Using the Norwegian data from the International Spinal Cord Injury Community Survey (InSCI), we firstly aimed to examine the mediating effect of self-efficacy and active coping strategies on the relationship between functional independence and level of adjustment as proposed by the Spinal Cord Injury Adjustment Model (SCIAM). Secondly, to examine potential gender differences in levels of adjustment after sustaining an SCI. This study used a comprehensive adjustment variable.</p><p><strong>Setting: </strong>SCI population in Norway.</p><p><strong>Methods: </strong>The first objective was tested with a measure of mediation analysis and the second objective with an independent two sample t-test.</p><p><strong>Results: </strong>A total of 610 participants responded to the questionnaire, with a mean age of 57 years, and 68,5% being male. Psychological resources fully mediated the effect of functional independence on adjustment. There was a statistically significant double mediation effect, first through self-efficacy and, then through active coping strategies (β = 0,02; 95% CI 0.01-0.03). The pathway from functional independence through active coping strategies to adjustment showed the strongest mediation proportion of 0.49. The difference in adjustment levels between males and females was 2.90 out of 100 (95% CI: 0.19-5.61).</p><p><strong>Conclusions: </strong>Self-efficacy and active coping strategies were found as mediating factors in the relationship between functional independence and adjustment. These factors are important to consider during SCI rehabilitation. Females had a slightly lower level of adjustment than males.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"208-213"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sir Ludwig Guttmann lecture 2023: psychosocial factors and adjustment dynamics after spinal cord injury.","authors":"Ashley Craig","doi":"10.1038/s41393-025-01060-6","DOIUrl":"10.1038/s41393-025-01060-6","url":null,"abstract":"<p><strong>Study design: </strong>Narrative review OBJECTIVES: Sir Ludwig Guttmann realised spinal cord injury (SCI) rehabilitation should incorporate more than a biomedical approach if SCI patients were to adjust to their injury and achieve productive social re-integration. He introduced components into rehabilitation he believed would assist his patients build physical strength as well as psychological resilience that would help them re-engage with their communities. We pay tribute to Sir Ludwig by presenting research that has focussed on psychosocial factors that contribute to adjustment dynamics after SCI.</p><p><strong>Setting: </strong>Not applicable.</p><p><strong>Methods: </strong>Five factors with a psychosocial source will be examined, featured in my research, namely psychological distress, cognitive impairment, pain catastrophizing, sleep disorder and fatigue. A multifactorial model of adjustment will be examined.</p><p><strong>Results: </strong>Evidence shows these factors can be significant barriers to adjustment and reciprocally related to self-efficacy and life decisions. A theoretical rehabilitation framework/model is presented called the SCI Adjustment Model (SCIAM), that explains the process of adjustment dynamics. It describes how multifactorial factors contribute to adjustment in a non-linear process over time.</p><p><strong>Conclusions: </strong>Key clinical messages include: (i) adjustment dynamics will be enhanced if viewed through the lens of a multifactorial model that clarifies how multiple psychosocial factors can combine and act as barriers or facilitators to adjustment; (ii) judiciously using this information, assess and then strategize to reduce the influence of barriers or strengthen facilitators during SCI rehabilitation and beyond, and (iii) integrate psychosocial guidelines and a person-centred approach into SCI rehabilitation to achieve treatment goals.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"194-200"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Turkish version of the Spinal Cord Independence Measure (SCIM III) self-report.","authors":"Yelda Soluk Özdemir, Cansın Medin Ceylan, Nurdan Paker, Veysel Korkut, Burak Kütük, Kadriye Öneş, Derya Buğdaycı, Fatma N Kesiktaş","doi":"10.1038/s41393-025-01069-x","DOIUrl":"10.1038/s41393-025-01069-x","url":null,"abstract":"<p><strong>Study design: </strong>A cross-sectional validation study.</p><p><strong>Objectives: </strong>The aim of the study was to create a Turkish version of the Spinal Cord Independence Measure Self-Report (SCIM-SR) scale and verify its validity and reliability.</p><p><strong>Setting: </strong>Rehabilitation Department at Istanbul Physical Medicine and Rehabilitation and Training Research Hospital.</p><p><strong>Methods: </strong>The Turkish version of SCIM-SR was translated from English using forward and backward translation in accordance with standard guidelines and 90 participants completed the SCIM-SR Turkish form. At the same time, a Spinal Cord Independence Measure III (SCIM III) was administered to the participants by a health professional through observation. Cronbach's alpha, Pearson and Spearman correlation coefficients were used to evaluate the internal consistency and concurrent validity.</p><p><strong>Results: </strong>The Cronbach's α coefficients for the total scale was 0.883. For the subscales, it was 0.929 for self-care, 0.571 for respiration and sphincter management and 0.885 for mobility. Test-retest reliability after two weeks yielded Spearman coefficients above 0.92 for the total scale and all subscales. When analyzing the correlation between SCIM-SR and SCIM III, the intraclass correlation average and its lower and upper bound values were as follows: 0.984 (0.976-0.990) for self-care; 0.970 (0.955-0.980) for respiration and sphincter management; 0.968 (0.951-0.979) for mobility and 0.980 (0.969-0.987) for the total. There was good agreement between SCIM-SR and SCIM III when evaluating the total score in Bland-Altman graphs. The Bland-Altman analysis revealed no significant proportional bias (0.76; 95% CI [-21.34, 22.87]), but a significant fixed bias was observed.</p><p><strong>Conclusions: </strong>The Turkish version of SCIM-SR demonstrated excellent internal consistency and good validity in Turkish individuals with spinal cord injury.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":"222-226"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}