The spinal cord injury functional ambulation inventory (SCI-FAI)

E. C. Field-Fote, G. G. Fluet, S. D. Schafer, E. M. Schneider, R. Smith, P. A. Downey, C. D. Ruhl

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The development and testing of an observational gait assessment instrument, the Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) is described. To assess validity and reliability, 22 subjects with incomplete spinal cord injury were scored by four raters. Raters scored each subject three times, once live (LS) and twice from videotaped records (VS1, VS2). A moderate-good negative correlation (r = -0.742 and -0.700, for VS1 and VS2, respectively) was found between the gait score and time required to walk a demarcated path. Inter-rater reliability was moderate-good for the live score and the videotaped records (ICC = 0.703, 0.800, and 0.840, respectively). Intra-rater reliability was good (ICC = 0.903, 0.960, 0.942, and 0.850 for Raters 1-4, respectively). To assess sensitivity, another group of 19 subjects with SCI were assessed prior to and following participation in an intensive walking program. A moderate correlation was found between change in gait score and change in lower extremity strength (Pearson r = 0.58). These results indicate that the SCI-FAI is a reliable, valid and sensitive measure of walking ability in individuals with spinal cord injury. In addition, the results suggest that gait analysis using this instrument is equally reliable whether the observation is performed live or from videotaped records.

Original languageEnglish
Pages (from-to)177-181
Number of pages5
JournalJournal of Rehabilitation Medicine
Volume33
Issue number4
StatePublished - Aug 14 2001

Fingerprint

Spinal Cord Injuries
Gait
Walking
Equipment and Supplies
Reproducibility of Results
Lower Extremity
Observation

Keywords

  • Ambulation
  • Gait analysis
  • Spinal cord injury
  • Walking

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

Cite this

Field-Fote, E. C., Fluet, G. G., Schafer, S. D., Schneider, E. M., Smith, R., Downey, P. A., & Ruhl, C. D. (2001). The spinal cord injury functional ambulation inventory (SCI-FAI). Journal of Rehabilitation Medicine, 33(4), 177-181.

The spinal cord injury functional ambulation inventory (SCI-FAI). / Field-Fote, E. C.; Fluet, G. G.; Schafer, S. D.; Schneider, E. M.; Smith, R.; Downey, P. A.; Ruhl, C. D.

In: Journal of Rehabilitation Medicine, Vol. 33, No. 4, 14.08.2001, p. 177-181.

Research output: Contribution to journalArticle

Field-Fote, EC, Fluet, GG, Schafer, SD, Schneider, EM, Smith, R, Downey, PA & Ruhl, CD 2001, 'The spinal cord injury functional ambulation inventory (SCI-FAI)', Journal of Rehabilitation Medicine, vol. 33, no. 4, pp. 177-181.
Field-Fote EC, Fluet GG, Schafer SD, Schneider EM, Smith R, Downey PA et al. The spinal cord injury functional ambulation inventory (SCI-FAI). Journal of Rehabilitation Medicine. 2001 Aug 14;33(4):177-181.
Field-Fote, E. C. ; Fluet, G. G. ; Schafer, S. D. ; Schneider, E. M. ; Smith, R. ; Downey, P. A. ; Ruhl, C. D. / The spinal cord injury functional ambulation inventory (SCI-FAI). In: Journal of Rehabilitation Medicine. 2001 ; Vol. 33, No. 4. pp. 177-181.
@article{fb8729afbc0a438795d8b6c544a37337,
title = "The spinal cord injury functional ambulation inventory (SCI-FAI)",
abstract = "The development and testing of an observational gait assessment instrument, the Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) is described. To assess validity and reliability, 22 subjects with incomplete spinal cord injury were scored by four raters. Raters scored each subject three times, once live (LS) and twice from videotaped records (VS1, VS2). A moderate-good negative correlation (r = -0.742 and -0.700, for VS1 and VS2, respectively) was found between the gait score and time required to walk a demarcated path. Inter-rater reliability was moderate-good for the live score and the videotaped records (ICC = 0.703, 0.800, and 0.840, respectively). Intra-rater reliability was good (ICC = 0.903, 0.960, 0.942, and 0.850 for Raters 1-4, respectively). To assess sensitivity, another group of 19 subjects with SCI were assessed prior to and following participation in an intensive walking program. A moderate correlation was found between change in gait score and change in lower extremity strength (Pearson r = 0.58). These results indicate that the SCI-FAI is a reliable, valid and sensitive measure of walking ability in individuals with spinal cord injury. In addition, the results suggest that gait analysis using this instrument is equally reliable whether the observation is performed live or from videotaped records.",
keywords = "Ambulation, Gait analysis, Spinal cord injury, Walking",
author = "Field-Fote, {E. C.} and Fluet, {G. G.} and Schafer, {S. D.} and Schneider, {E. M.} and R. Smith and Downey, {P. A.} and Ruhl, {C. D.}",
year = "2001",
month = "8",
day = "14",
language = "English",
volume = "33",
pages = "177--181",
journal = "Journal of Rehabilitation Medicine",
issn = "1650-1977",
publisher = "Foundation for Rehabilitation Information",
number = "4",

}

TY - JOUR

T1 - The spinal cord injury functional ambulation inventory (SCI-FAI)

AU - Field-Fote, E. C.

AU - Fluet, G. G.

AU - Schafer, S. D.

AU - Schneider, E. M.

AU - Smith, R.

AU - Downey, P. A.

AU - Ruhl, C. D.

PY - 2001/8/14

Y1 - 2001/8/14

N2 - The development and testing of an observational gait assessment instrument, the Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) is described. To assess validity and reliability, 22 subjects with incomplete spinal cord injury were scored by four raters. Raters scored each subject three times, once live (LS) and twice from videotaped records (VS1, VS2). A moderate-good negative correlation (r = -0.742 and -0.700, for VS1 and VS2, respectively) was found between the gait score and time required to walk a demarcated path. Inter-rater reliability was moderate-good for the live score and the videotaped records (ICC = 0.703, 0.800, and 0.840, respectively). Intra-rater reliability was good (ICC = 0.903, 0.960, 0.942, and 0.850 for Raters 1-4, respectively). To assess sensitivity, another group of 19 subjects with SCI were assessed prior to and following participation in an intensive walking program. A moderate correlation was found between change in gait score and change in lower extremity strength (Pearson r = 0.58). These results indicate that the SCI-FAI is a reliable, valid and sensitive measure of walking ability in individuals with spinal cord injury. In addition, the results suggest that gait analysis using this instrument is equally reliable whether the observation is performed live or from videotaped records.

AB - The development and testing of an observational gait assessment instrument, the Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) is described. To assess validity and reliability, 22 subjects with incomplete spinal cord injury were scored by four raters. Raters scored each subject three times, once live (LS) and twice from videotaped records (VS1, VS2). A moderate-good negative correlation (r = -0.742 and -0.700, for VS1 and VS2, respectively) was found between the gait score and time required to walk a demarcated path. Inter-rater reliability was moderate-good for the live score and the videotaped records (ICC = 0.703, 0.800, and 0.840, respectively). Intra-rater reliability was good (ICC = 0.903, 0.960, 0.942, and 0.850 for Raters 1-4, respectively). To assess sensitivity, another group of 19 subjects with SCI were assessed prior to and following participation in an intensive walking program. A moderate correlation was found between change in gait score and change in lower extremity strength (Pearson r = 0.58). These results indicate that the SCI-FAI is a reliable, valid and sensitive measure of walking ability in individuals with spinal cord injury. In addition, the results suggest that gait analysis using this instrument is equally reliable whether the observation is performed live or from videotaped records.

KW - Ambulation

KW - Gait analysis

KW - Spinal cord injury

KW - Walking

UR - http://www.scopus.com/inward/record.url?scp=0034914508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034914508&partnerID=8YFLogxK

M3 - Article

C2 - 11506216

AN - SCOPUS:0034914508

VL - 33

SP - 177

EP - 181

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

SN - 1650-1977

IS - 4

ER -