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Sat, Nov 1, 2025
Volume 23, Issue 4 (December-In Press 2025)
Iranian Rehabilitation Journal 2025, 23(4): 0-0 |
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Ghafoor A, Tariq F, Jawad S, Tariq N. Urdu Translation and Psychometric Properties of Spinal Cord Injury Spasticity Evaluation Tool. Iranian Rehabilitation Journal 2025; 23 (4)
URL: http://irj.uswr.ac.ir/article-1-2564-en.html
URL: http://irj.uswr.ac.ir/article-1-2564-en.html
1- Muhammadi Medical Trust, Lahore, Pakistan
2- Riphah International University, Islamabad, Pakistan
2- Riphah International University, Islamabad, Pakistan
Abstract: (470 Views)
Objective: To translate the spinal cord injury spasticity evaluation tool (SCI-SET) into urdu and evaluate its psychometric properties
Methods: This cross-sectional study was conducted over ten months at General Hospital, Lahore and Riphah Rehabilitation Centre in Lahore. A sample of 175 participants with spinal cord injuries (SCI) was selected through non-probability convenience sampling. Participants were aged 18–45 years, literate in Urdu, had lived with SCI for at least six months, and scored ≥24 on the Mini-Mental State Examination (MMSE). Those with cognitive or neurological disorders were excluded. The SCI-SET was translated into Urdu (SCI-SETu) following COSMIN guidelines. Data were collected using the SCI-SETu and the Functional Independence Measure (FIM). Analysis was performed using SPSS v21. Internal consistency (Cronbach’s alpha), test-retest reliability (Intraclass Correlation Coefficient, ICC, with 95% CI), and construct validity (Pearson’s correlation with FIM) were assessed.
Results: The SCI-SETu demonstrated excellent internal consistency with a Cronbach’s alpha coefficient of 0.803 (95% CI: 0.759–0.842). No floor or ceiling effects were observed. Construct validity was supported by a strong positive Pearson correlation with the FIM (r = 0.788, p < 0.01). The tool also showed good test-retest reliability, with an ICC of 0.801 (95% CI: 0.739–0.850) and a standard error of measurement (SEM) of 0.17.
Discussion: The Urdu version of Spinal Cord Injury Spasticity Evaluation Tool (SCI-SETu) demonstrated strong validity as well as test retest reliability and internal consistency confirming it as a valuable tool for assessment in both clinical and research setting.
Methods: This cross-sectional study was conducted over ten months at General Hospital, Lahore and Riphah Rehabilitation Centre in Lahore. A sample of 175 participants with spinal cord injuries (SCI) was selected through non-probability convenience sampling. Participants were aged 18–45 years, literate in Urdu, had lived with SCI for at least six months, and scored ≥24 on the Mini-Mental State Examination (MMSE). Those with cognitive or neurological disorders were excluded. The SCI-SET was translated into Urdu (SCI-SETu) following COSMIN guidelines. Data were collected using the SCI-SETu and the Functional Independence Measure (FIM). Analysis was performed using SPSS v21. Internal consistency (Cronbach’s alpha), test-retest reliability (Intraclass Correlation Coefficient, ICC, with 95% CI), and construct validity (Pearson’s correlation with FIM) were assessed.
Results: The SCI-SETu demonstrated excellent internal consistency with a Cronbach’s alpha coefficient of 0.803 (95% CI: 0.759–0.842). No floor or ceiling effects were observed. Construct validity was supported by a strong positive Pearson correlation with the FIM (r = 0.788, p < 0.01). The tool also showed good test-retest reliability, with an ICC of 0.801 (95% CI: 0.739–0.850) and a standard error of measurement (SEM) of 0.17.
Discussion: The Urdu version of Spinal Cord Injury Spasticity Evaluation Tool (SCI-SETu) demonstrated strong validity as well as test retest reliability and internal consistency confirming it as a valuable tool for assessment in both clinical and research setting.
Keywords: Functional independence measure, Spinal cord injury, Spinal cord injury spasticity evaluation tool, Reliability, Urdu translation and Validity
Article type: Original Research Articles |
Subject:
Physiotherapy
Received: 2025/07/7 | Accepted: 2025/09/3 | Published: 2025/12/9
Received: 2025/07/7 | Accepted: 2025/09/3 | Published: 2025/12/9
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