Evidence map›Paper›PMID 18581660›Full record

ArticleThe journal of spinal cord medicine2008

Functional recovery measures for spinal cord injury: an evidence-based review for clinical practice and research.

Kim Anderson, Sergio Aito, Michal Atkins, Fin Biering-Sørensen, Susan Charlifue, Armin Curt, John Ditunno, Clive Glass, Ralph Marino, Ruth Marshall and 6 more

4 registry-linked trialsAbstract readConference Proceedings
In one paragraph

Article in The journal of spinal cord medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 100 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03069222 completednot on this mapstarted 2016, after this paper: background citation

Longitudinal Assessment of Spinal Cord Structural Plasticity Using DTI in SCI Patients

TypeobservationalSponsorKessler FoundationRan2016 to 2020Enrolled19ConditionsSpinal Cord InjuriesArmsStandard Rehabilitative Treatment
NCT04735887 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Impact of an Evidence-Informed Spinal Cord Injury Activities of Daily Living Educational Manual (SADL-eM): Study Protocol for a Randomized Clinical Trial

TypeinterventionalSponsorUniversity of StellenboschRan2021 to 2021Enrolled132ConditionsSpinal Cord InjuriesArmsSADL-eM
NCT05425238 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Blood Flow Restriction Resistance Exercise on Strength and Transfer in Lower Cervical Spinal Cord Injury Patients

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2022Enrolled16ConditionsCervical Spinal Cord InjuryArmsBlood flow restriction, Conventional physical therapy
NCT07407725 narecruitingnot on this mapstarted 2026, after this paper: background citation

Development of a Clinical Outcome Assessment for Assistive Technologies and Brain-Computer-Interfaces

TypeinterventionalSponsorShirley Ryan AbilityLabRan2026 to 2027Enrolled60ConditionsSpinal Cord Injury, ALS (Amyotrophic Lateral Sclerosis)ArmsEye Tracker, Mouth Operated Joystick, Non-invasive electroencephalogram (EEG) Headset, Implantable Brain-Computer-Interface, Personal Assistive Technology
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Utility of Functional Metrics Assessed During Acute Care on Hospital Outcomes: A Systematic Review.PM & R : the journal of injury, function, and rehabilitation · 2019
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kim AndersonReeve-Irvine Research Center, Department of Neurological Surgery, University of California, Irvine, CA 92697-1385, USA. kanderso@uci.edu
Sergio Aito
Michal Atkins
Fin Biering-Sørensen
Susan Charlifue
Armin Curt
John Ditunno
Clive Glass
Ralph Marino
Ruth Marshall
Mary Jane Mulcahey
Marcel Post
Gordana Savic
Giorgio Scivoletto
Amiram Catz
Functional Recovery Outcome Measures Work Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveThe end goal of clinical care and clinical research involving spinal cord injury (SCI) is to improve the overall ability of persons living with SCI to function on a daily basis. Neurologic recovery does not always translate into functional recovery. Thus, sensitive outcome measures designed to assess functional status relevant to SCI are important to develop.

methodEvaluation of currently available SCI functional outcome measures by a multinational work group.

resultsThe 4 measures that fit the prespecified inclusion criteria were the Modified Barthel Index (MBI), the Functional Independence Measure (FIM), the Quadriplegia Index of Function (QIF), and the Spinal Cord Independence Measure (SCIM). The MBI and the QIF were found to have minimal evidence for validity, whereas the FIM and the SCIM were found to be reliable and valid. The MBI has little clinical utility for use in the SCI population. Likewise, the FIM applies mainly when measuring burden of care, which is not necessarily a reflection of functional recovery. The QIF is useful for measuring functional recovery but only in a subpopulation of people with SCI, and substantial validity data are still required. The SCIM is the only functional recovery outcome measure designed specifically for SCI.

conclusionsThe multinational work group recommends that the latest version of the SCIM (SCIM III) continue to be refined and validated and subsequently implemented worldwide as the primary functional recovery outcome measure for SCI. The QIF may continue to be developed and validated for use as a supplemental tool for the nonambulatory tetraplegic population.

Indexed as

Disability EvaluationRecovery of FunctionActivities of Daily LivingEvidence-Based MedicineHumansInternational CooperationOutcome Assessment, Health CareQuadriplegiaReproducibility of ResultsSpinal Cord Injuries

Identifiers

PMID18581660
PMCPMC2578796

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.