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  4. Life Space Assessment in Spinal Cord Injury

Life Space Assessment in Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2016 · DOI: 10.1310/sci2203-173 · Published: July 1, 2016

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

The Life Space Assessment (LSA) is a self-report measure that captures how far and how often someone moves around in their environment, considering if they need help from others or equipment. It looks at mobility within a room, outside the home, in the neighborhood, in town, and outside of town. This study examines the LSA specifically in people with spinal cord injuries (SCI) to see if it's a useful and reliable tool for this population.

Study Duration
Not specified
Participants
50 persons with SCI (25 injured above C7, 25 injured below T1)
Evidence Level
Level 2: Test-retest reliability study

Key Findings

  • 1
    The LSA is a reliable measure for assessing life space in individuals with SCI, as indicated by a high test-retest reliability (ICC = 0.876).
  • 2
    The study identified cutoff scores on the LSA that can help distinguish between individuals with restricted versus unrestricted life spaces, with different cutoff scores depending on whether equipment or personal assistance is needed for mobility.
  • 3
    LSA scores correlated moderately with the Reintegration to Normal Living Index (RNLI), suggesting that the LSA captures a different, but related, aspect of participation after SCI.

Research Summary

This study evaluated the Life Space Assessment (LSA) in people with spinal cord injury (SCI) to determine its reliability and validity. The LSA scores were found to be reliable and correlated with reintegration to normal living, suggesting it captures meaningful aspects of participation. Cutoff scores were identified to differentiate between restricted and unrestricted life spaces, providing a benchmark for identifying individuals at risk of mobility disability.

Practical Implications

Clinical Assessment

The LSA can be used in clinical settings to assess mobility and participation in individuals with SCI.

Identifying Mobility Restrictions

The cutoff scores can help identify individuals with restricted life spaces who may benefit from interventions.

Tailored Interventions

Understanding the role of equipment and personal assistance can inform tailored interventions to improve mobility and participation.

Study Limitations

  • 1
    Sample of convenience may limit generalizability
  • 2
    Small populations used to determine cutoff scores
  • 3
    Study not powered to compare LSA scores across level of injury and AIS classification

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