Evidence map›Paper›PMID 37707373›Full record

ArticleThe journal of spinal cord medicine2025

Structural validity of the Trunk Assessment Scale for Spinal Cord Injury (TASS) with Rasch analysis for individuals with spinal cord disorders.

Hiroki Sato, Kazuhiro Miyata, Kenichi Yoshikawa, Shuhei Chiba, Masafumi Mizukami

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Article in The journal of spinal cord medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Hiroki SatoGraduate School of Health Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan.ORCID 0000-0002-7245-6555
Kazuhiro MiyataDepartment of Health Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan.
Kenichi YoshikawaDepartment of Rehabilitation, Ibaraki Prefectural University of Health Sciences Hospital, Ami, Japan.
Shuhei ChibaDepartment of Rehabilitation, Iwate Rehabilitation Center, Shizukuishi, Japan.
Masafumi MizukamiDepartment of Health Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo confirm the structural validity of the Trunk Assessment Scale for Spinal Cord Injury (TASS). PARTICIPANTS AND

methodsWe evaluated 104 Japanese individuals with a spinal cord injury (SCI) (age 63.5 ± 12.2 years; 64 with tetraplegia) with the TASS 1-3 times. We conducted a Rasch analysis to assess the TASS' unidimensionality, fit statistics, category probability curve, ceiling/floor effects, local independence, reliability, and difference item function (DIF).

resultsThe TASS was observed to be a unidimensional and highly reproducible scale of item difficulty hierarchy that sufficiently identifies the superiority of the examinee's ability. The TASS was easy for the participants of this study. One TASS item was a misfit based on the infit and outfit mean square; another item also showed a DIF contrast for age. Several items were found to require a synthesis or modification of the content. The TASS showed a floor effect, and most of the non-scorers were individuals with a complete SCI.

conclusionOur findings clarify the structural validity of the TASS, and our analyses revealed that the TASS includes an unfitness item and was less challenging for individuals with SCIs. The improvements suggested by these results provide important information for modifying the TASS to a more useful instrument.

Indexed as

Disability EvaluationSpinal Cord InjuriesTorsoAdultAgedFemaleHumansMaleMiddle AgedPsychometricsQuadriplegiaReproducibility of ResultsRasch analysisSpinal cord injuryStructural validityTASSTrunk function

Identifiers

PMID37707373
PMCPMC11749286

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