Abstract
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.
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Data availability
The data generated or analyzed during this study are available from the corresponding author on reasonable request.
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JQF: Protocol design. Statistical Analysis. Recruitment and evaluation. Interpretation of results. Article Writing. RCJ: Recruiting and clinical evaluation. Article revision. DQL: Recruiting and clinical evaluation. Article revision. MRB: Recruiting and clinical evaluation. Article writing and revision. Interpretation of results. ABO: Recruiting and clinical evaluation. Article revision. AAG: Recruiting and clinical evaluation. Article revision.
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Part of the material of the manuscript was presented at the American Spinal Injury Association Meeting 2022 in New Orleans, may the 20th 2022.
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Quinzaños-Fresnedo, J., Contreras-Juvenal, R., Quezada-López, D.C. et al. 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. Spinal Cord 62, 12–16 (2024). https://doi.org/10.1038/s41393-023-00940-z
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DOI: https://doi.org/10.1038/s41393-023-00940-z
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