Background: The 3rd version of Spinal Cord Independence Measure (SCIM-III) is a popular tool for evaluating the disability profile of patients suffering from Spinal Cord Injury (SCI). While several cultural adaptations of SCIM-III have been published, no such study has been performed on the Greek population.
Patients and methods: Initially, we received an official permission from the developer of SCIM for clinical and academic purposes and performed a double-blind forward and back-translation translation between English and Greek. Then the pilot version of g-SCIM-III was administered by a single doctor to two patients for an initial assessment of usability and cultural adaptation needs: one 23-years-old male patient that suffered from L2 fracture and paraplegia for three months and a 51-years-old male patient that suffered from T12 fracture and paraplegia for a decade. A third patient, 31-years-old, suffering from SCI at the cervical spine was also included in the pilot administration of the g-SCIM-III.
Results: The pilot version of g-SCIM-III was back-translated with sufficient accuracy. The 23-years-old patient scored 17/100 (5/20 self-care, 10/40 respiration and sphincter management, 2/40 mobility) and the 51- years-old patient scored 71/100 (19/20 self-care, 33/40 respiration and sphincter management, 19/40 mobility). The 31-years-old patient scored 42/100 (12/20 self-care, 24/40 respiration and sphincter management, 6/40 mobility).
Conclusions: Initial translation and pilot administration of SCIM-III appears to offer a cross-culturally valid measure. Therefore, an appropriate adaptation, reliability and validation study is being planned. The study is going to include sufficient patient population, and test for internal and external consistency and coherence. We plan to develop the final version of g-SCIM-III in order to offer a valid and reliable tool for Greek clinicians to employ in examination and assessment of SCI patients.