PMID- 37930635 OWN - NLM STAT- Publisher LR - 20231106 IS - 2045-7723 (Electronic) IS - 1079-0268 (Linking) DP - 2023 Nov 6 TI - Verification of the minimal clinically important difference of the Capabilities of Upper Extremity Test in patients with subacute spinal cord injury. PG - 1-8 LID - 10.1080/10790268.2023.2273586 [doi] AB - CONTEXT: The number of patients with cervical spinal cord injury (CSCI) is increasing, and the Capabilities of Upper Extremity Test (CUE-T) is recommended for introduction in clinical trials. We calculated the minimal clinically important difference (MCID) of the CUE-T using an adjustment model with an interval of 1 month. DESIGN: This was a prospective study. SETTING: This study was conducted with participants from the Chiba Rehabilitation Center in Japan. PARTICIPANTS: The participants were patients with subacute CSCI. INTERVENTIONS: The CUE-T and spinal cord independence measure (SCIM) III were performed twice within an interval of 1 month. OUTCOME MEASURES: The MCID was calculated using an adjustment model based on logistic regression analysis. The participants were classified into an improvement group and a non-improvement group based on the amount of change in the two evaluations using the 10-point SCIM III MCID as an anchor. RESULTS: There were 52 participants (56.8 +/- 13.5 years old, 45 men/7 women) with complete or incomplete CSCI: 18 in the improvement group and 34 in the non-improvement group. A significant regression equation was obtained when calculating the MCID, and the total, hand, and side scores were 7.7, 2.0, and 3.7 points, respectively. CONCLUSION: The calculated MCID of the CUE-T in this study was 7.7 points. The results of this study provide useful criteria for implementation in clinical trials. Future studies should use patient-reported outcomes, a more recommended anchor, and calculate the MCID using methods such as the patient's condition. FAU - Jimbo, Kazumasa AU - Jimbo K AD - Graduate School of Health Sciences, Ibaraki Prefectural University of Health Sciences, Ami, Japan. AD - Department of Rehabilitation Treatment, Chiba Rehabilitation Center, Chiba, Japan. FAU - Miyata, Kazuhiro AU - Miyata K AUID- ORCID: 0000-0003-0192-6596 AD - Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Ami, Japan. FAU - Yuine, Hiroshi AU - Yuine H AUID- ORCID: 0000-0003-0110-8374 AD - Department of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ami, Japan. FAU - Takahama, Kousuke AU - Takahama K AD - Department of Rehabilitation Treatment, Chiba Rehabilitation Center, Chiba, Japan. FAU - Yoshimura, Tomohiro AU - Yoshimura T AD - Department of Rehabilitation Treatment, Chiba Rehabilitation Center, Chiba, Japan. FAU - Shiba, Honoka AU - Shiba H AD - Department of Rehabilitation Treatment, Chiba Rehabilitation Center, Chiba, Japan. FAU - Yasumori, Taichi AU - Yasumori T AD - Department of Rehabilitation Treatment, Chiba Rehabilitation Center, Chiba, Japan. FAU - Kikuchi, Naohisa AU - Kikuchi N AD - Department of Rehabilitation Medicine, Chiba Rehabilitation Center, Chiba, Japan. FAU - Shiraishi, Hideki AU - Shiraishi H AUID- ORCID: 0000-0003-1963-1614 AD - Department of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ami, Japan. LA - eng PT - Journal Article DEP - 20231106 PL - England TA - J Spinal Cord Med JT - The journal of spinal cord medicine JID - 9504452 SB - IM OTO - NOTNLM OT - Minimal clinically important difference OT - Outcome measure OT - Rehabilitation OT - Spinal cord injuries OT - Upper limb function EDAT- 2023/11/06 12:42 MHDA- 2023/11/06 12:42 CRDT- 2023/11/06 11:15 PHST- 2023/11/06 12:42 [medline] PHST- 2023/11/06 12:42 [pubmed] PHST- 2023/11/06 11:15 [entrez] AID - 10.1080/10790268.2023.2273586 [doi] PST - aheadofprint SO - J Spinal Cord Med. 2023 Nov 6:1-8. doi: 10.1080/10790268.2023.2273586.