운동완전 척수손상환자의 기능 변화에 있어 SCIM-Ⅲ (Spinal Cord Independence Measure-Ⅲ)의 유용성에 대한 연구

Study on the usefulness of SCIM-Ⅲ(Spinal Cord Independence Measure-Ⅲ) in functional changes of motor complete spinal cord injury patients

Objective: The purpose of this study was to determine the changed median scores of the third version of Spinal Cord Independence Measure (SCIM) in level of motor complete patients with spinal cord lesions. Method: Median of SCIM-Ⅲ change between admission and discharge were analyzed to subgroups C1-4, C5, C6, C7-8, T1-6, T7-12. Wilcoxon’s signed-ranks test were conducted to compare SCIM-Ⅲ scores between admission and discharge. Results: The median total SCIM score at admission was 16score (range 4-58) and the median total SCIM at discharge was 30 score (range 4-62). Median of total SCIM-Ⅲ scores was increased 14 score and between admission and discharge was demonstrated a meaningful association statistically(p<.01). significant differences were also observed between admission and discharge across all subgroups in C5, C6, T1-6. were also observed between admission and discharge across all subgroups in C5, C6, T1-6(p<.05). Conclusion: The SCIM-Ⅲ identify to be an effective measure for functional recovery of motor complete persons with SCI. Thus it can utilized for the tool evaluating the effect of rehabilitation.