A falls concern scale for people with spinal cord injury (SCI-FCS)
- Author
- CL Boswell-Ruys, LA Harvey, Kim Delbaere (UGent) and SR Lord
- Organization
- 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.
- Keywords
- USERS, OUTCOMES, DIRECTIONS, WHEELCHAIR, falls efficacy, accidental falls, rehabilitation, spinal cord injuries
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-953719
- MLA
- Boswell-Ruys, CL, et al. “A Falls Concern Scale for People with Spinal Cord Injury (SCI-FCS).” SPINAL CORD, vol. 48, no. 9, 2010, pp. 704–09, doi:10.1038/sc.2010.1.
- APA
- Boswell-Ruys, C., Harvey, L., Delbaere, K., & Lord, S. (2010). A falls concern scale for people with spinal cord injury (SCI-FCS). SPINAL CORD, 48(9), 704–709. https://doi.org/10.1038/sc.2010.1
- Chicago author-date
- Boswell-Ruys, CL, LA Harvey, Kim Delbaere, and SR Lord. 2010. “A Falls Concern Scale for People with Spinal Cord Injury (SCI-FCS).” SPINAL CORD 48 (9): 704–9. https://doi.org/10.1038/sc.2010.1.
- Chicago author-date (all authors)
- Boswell-Ruys, CL, LA Harvey, Kim Delbaere, and SR Lord. 2010. “A Falls Concern Scale for People with Spinal Cord Injury (SCI-FCS).” SPINAL CORD 48 (9): 704–709. doi:10.1038/sc.2010.1.
- Vancouver
- 1.Boswell-Ruys C, Harvey L, Delbaere K, Lord S. A falls concern scale for people with spinal cord injury (SCI-FCS). SPINAL CORD. 2010;48(9):704–9.
- IEEE
- [1]C. Boswell-Ruys, L. Harvey, K. Delbaere, and S. Lord, “A falls concern scale for people with spinal cord injury (SCI-FCS),” SPINAL CORD, vol. 48, no. 9, pp. 704–709, 2010.
@article{953719, 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.}}, author = {{Boswell-Ruys, CL and Harvey, LA and Delbaere, Kim and Lord, SR}}, issn = {{1362-4393}}, journal = {{SPINAL CORD}}, keywords = {{USERS,OUTCOMES,DIRECTIONS,WHEELCHAIR,falls efficacy,accidental falls,rehabilitation,spinal cord injuries}}, language = {{eng}}, number = {{9}}, pages = {{704--709}}, title = {{A falls concern scale for people with spinal cord injury (SCI-FCS)}}, url = {{http://doi.org/10.1038/sc.2010.1}}, volume = {{48}}, year = {{2010}}, }
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