Determination of cut-off points in the Trunk control test for spinal cord injury to assess the ability to perform different activities of daily living.

Autor: Quinzaños-Fresnedo J; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Neurologic Rehabilitation division, Mexico-Xochimilco Av. 289, third floor, 14389, Mexico City, Mexico. jquinzanos@inr.gob.mx., Contreras-Juvenal R; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Education Direction, Mexico City, Mexico., Quezada-López DC; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Education Direction, Mexico City, Mexico., Rodríguez-Barragán MA; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Neurologic Rehabilitation Division, Spinal Cord Injury Rehabilitation department, Mexico City, Mexico., Barrera-Ortiz A; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Neurologic Rehabilitation Division, Spinal Cord Injury Rehabilitation department, Mexico City, Mexico., Aguirre-Güemez AV; National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Neurologic Rehabilitation Division, Spinal Cord Injury Rehabilitation department, Mexico City, Mexico.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2024 Jan; Vol. 62 (1), pp. 12-16. Date of Electronic Publication: 2023 Nov 16.
DOI: 10.1038/s41393-023-00940-z
Abstrakt: Study Design: Observational, comparative, and transversal study.
Objective: To identify the cut-off points in the Trunk Control Test (TCT) for individuals with Spinal Cord Injury (SCI) to determine the ability to perform independently the different activities of daily living (ADL) according to the Spinal Cord Independence Measure-III (SCIM-III).
Setting: National Institute of Rehabilitation, Mexico City.
Methods: Individuals with SCI of any neurologic level and severity according to ISNCSCI, in sub-acute and chronic phases were included. Receiver Operating Characteristic (ROC) curves were made to identify the cut-off points on the TCT that discriminate the individuals that can independently perform each of the ADL described in the SCIM-III.
Results: A total of 604 participants were evaluated, 70.7% male; mean age of 34 (± 14) years; time since injury was 134 ± 360 days; predominating motor complete injury (50.1%). It was demonstrated through ROC curves, that there are different cut-off points in the TCT that are sensitive and specific to discriminate individuals that can independently perform the majority of the items of the SCIM-III of those who perform it with assistance. Domains that do not depend on an adequate trunk control (respiration and sphincter management) had poor areas under the curve, with low sensitivity and specificity.
Conclusions: The application of the TCT in individuals with SCI allows to discriminate between individuals who perform the different ADL independently of those who do not, at this subject institute. These results can guide the management of individuals with SCI, helping to establish short term goals.
(© 2023. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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