The SCI-SET assesses the impact of spasticity on daily life in people with SCI (Adams et al. 2007).  It requires participants to recall their past 7 days when rating spasticity on a 7 point scale ranging from -3 (extremely problematic) to +3 (extremely helpful).  

Number of items: 35

Procedure/Administration: The SCI-SET is a self-report questionnaire. It can be administrated in person or over the phone.

How scored: The SCI-SET is scored by summing all the responses from the applicable items then dividing the sum by the number of applicable items, generating a total score between -3 and +3.

Interpretability: N/a

Acceptability: The SCI-SET was developed specifically for the SCI population.

Languages: N/a

Usability: The scale is easy to administer and score. Definitions of ‘spasm’ and the scale responses are clearly outlined in the instructions.

Time to administer: 7 minutes

Time to score: N/a

Training required: N/a

Availability: N/a

Equipment required: N/a

Summary:

• The SCI-SET can be used as a tool for medical management decisions as well as a measurement of current treatment effects. Preliminary results provide evidence in support of face validity, internal consistency, and test-retest reliability.
• Spasticity is known to be highly variable, fluctuating on a daily and even hourly basis. A seven day recall of the impact of spasticity may be overshadowed by current levels of spasticity. Repeated administration may therefore be necessary to provide a more accurate picture of the impacts spasticity has on daily life.

Psychometric Summary:

Note: TR= Test re-test; IC= Internal Consistency; Inter-O= Inter-observer; Intra-O= Intra-observer; SS= Sensitivity/Specificity.

Red light= A single study involving SCI subjects which has less than adequate findings of reliability, validity, and/or responsiveness.

Yellow light= A single study involving subjects with SCI which has adequate to excellent findings of reliability, validity, and/or responsiveness.

Green light= At least 2 studies involving subjects with SCI which have adequate to excellent findings of reliability, validity, and/or responsiveness.

N/a= No information.

References

• Adams M, Martin Ginis K, Hicks A. “The Spinal Cord Injury Spasticity Evaluation Tool: Development and Evaluation.” Arch Phys Med Rehabil. 2007;88:1185-1192.