PMID- 37752176
OWN - NLM
STAT- MEDLINE
DCOM- 20231204
LR  - 20231204
IS  - 1476-5624 (Electronic)
IS  - 1362-4393 (Linking)
VI  - 61
IP  - 12
DP  - 2023 Dec
TI  - Minimal clinically important difference (MCID) and minimal detectable change 
      (MDC) of Spinal Cord Ability Ruler (SCAR).
PG  - 652-657
LID - 10.1038/s41393-023-00934-x [doi]
AB  - STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To find minimal clinically 
      important difference (MCID) and minimal detectable change (MDC) of Spinal Cord 
      Ability Ruler (SCAR) in Thai participants with spinal cord injury (SCI). SETTING: 
      Rehabilitation ward at Maharaj Nakorn Chiang Mai Hospital. METHODS: Data of 
      individuals with SCI who were not diagnosed with central cord syndrome and were 
      admitted for the first time for rehabilitation were analyzed. Upper extremities 
      motor score, self-care and mobility items of Spinal Cord Independence Measure 
      version III were collected and used to calculate SCAR difference between data on 
      date of admission and discharge. MCID and MDC were calculated by 
      distribution-based method and categorized for each subgroup according to SCI 
      characteristics. RESULTS: From data of 311 individuals, MCID of SCAR is 
      approximately 4 for individual with tetraplegia AIS A, B, C; and individual with 
      AIS D at any level, and 2 for individual with paraplegia AIS A, B, C. MDC of SCAR 
      should be 1 for individual with tetraplegia AIS A, B, C; and individual with AIS 
      D at any level and 0.5 for individual with paraplegia AIS A, B, C. CONCLUSION: 
      This study provides MCID and MDC of SCAR in each subgroup. These values could be 
      used as a benchmark for clinicians and researchers to determine whether 
      participant has significant improvement or not after receiving an intervention.
CI  - (c) 2023. The Author(s), under exclusive licence to International Spinal Cord 
      Society.
FAU - Chaidaroon, Chananan
AU  - Chaidaroon C
AD  - Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai 
      University, Chiang Mai, Thailand.
FAU - Phinyo, Phichayut
AU  - Phinyo P
AD  - Department of Family Medicine and Center for Clinical Epidemiology and Clinical 
      Statistics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
FAU - Pattanakuhar, Sintip
AU  - Pattanakuhar S
AD  - Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai 
      University, Chiang Mai, Thailand.
AD  - Health Services and Clinical Care Unit, Swiss Paraplegic Research, Nottwil, 
      Switzerland.
FAU - Tongprasert, Siam
AU  - Tongprasert S
AUID- ORCID: 0000-0003-0497-4585
AD  - Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai 
      University, Chiang Mai, Thailand. siam.tongpr@cmu.ac.th.
LA  - eng
PT  - Journal Article
DEP - 20230926
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Humans
MH  - *Spinal Cord Injuries/complications/diagnosis/rehabilitation
MH  - Retrospective Studies
MH  - Minimal Clinically Important Difference
MH  - Paraplegia/diagnosis/etiology
MH  - Quadriplegia
EDAT- 2023/09/27 00:43
MHDA- 2023/12/04 12:42
CRDT- 2023/09/26 23:21
PHST- 2023/03/11 00:00 [received]
PHST- 2023/09/14 00:00 [accepted]
PHST- 2023/09/13 00:00 [revised]
PHST- 2023/12/04 12:42 [medline]
PHST- 2023/09/27 00:43 [pubmed]
PHST- 2023/09/26 23:21 [entrez]
AID - 10.1038/s41393-023-00934-x [pii]
AID - 10.1038/s41393-023-00934-x [doi]
PST - ppublish
SO  - Spinal Cord. 2023 Dec;61(12):652-657. doi: 10.1038/s41393-023-00934-x. Epub 2023 
      Sep 26.