en فیزیک درمانی Physiotherapy پژوهشي Original Research Articles <div style="text-align: justify;"><strong>Objectives</strong>: To translate the spinal cord injury spasticity evaluation tool (SCI-SET) into Urdu and evaluate its psychometric properties.<br> <strong>Methods</strong>: This cross-sectional study was conducted over ten months at General Hospital, Lahore City, Pakistan, and Riphah Rehabilitation Centre in Lahore City. A sample of 175 participants with spinal cord injury (SCI) was selected through non-probability convenience sampling. Participants were aged 18&ndash;45 years, literate in Urdu, lived with SCI for at least six months, and scored &ge;24 on the mini-mental state examination (MMSE). Patients 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). The analysis was performed using SPSS software, version 21. Internal consistency (Cronbach&rsquo;s &alpha;), test re-test reliability (intraclass correlation coefficient [ICC], with 95% confidence interval [CI]), and construct validity (Pearson&rsquo;s correlation with FIM) were assessed.<br> <strong>Results</strong>: The SCI-SETu demonstrated excellent internal consistency with a Cronbach&rsquo;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 re-test reliability, with an ICC of 0.801 (95% CI, 0.739%, 0.85%) and a standard error of measurement (SEM) of 0.17.<br> <strong>Discussion</strong>: The Urdu version of SCI-SETu demonstrated strong validity, test re-test reliability, and internal consistency, confirming it as a valuable tool for assessment in clinical and research settings.</div> Functional independence measure, Spinal cord injury (SCI), Spinal cord injury spasticity evaluation tool (SCI-SET), Reliability, Urdu translation, Validity 389 398 http://irj.uswr.ac.ir/browse.php?a_code=A-10-1917-3&slc_lang=en&sid=1 Asma Ghafoor asmaghafoor761@gmail.com 0000-0001-9229-5800 Yes Riphah College of Rehabilitation and Allied Health Sciences (RCRS), Faculty of Rehabilitation Sciences and Allied Health Sciences, Riphah International University, Lahore, Pakistan. Fatima Tariq fatima.tariq@riphah.edu.pk 0000-0002-5891-1259 No Riphah College of Rehabilitation and Allied Health Sciences (RCRS), Faculty of Rehabilitation Sciences and Allied Health Sciences, Riphah International University, Lahore, Pakistan. Saifa Jawad saifazia@ymail.com 0009-0009-5934-7459 No Riphah College of Rehabilitation and Allied Health Sciences (RCRS), Faculty of Rehabilitation Sciences and Allied Health Sciences, Riphah International University, Lahore, Pakistan. Nazima Tariq nazimtariq96@gmail.com No Riphah College of Rehabilitation and Allied Health Sciences (RCRS), Faculty of Rehabilitation Sciences and Allied Health Sciences, Riphah International University, Lahore, Pakistan.