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  4. Responsiveness and minimal clinically important differences of the Trunk Assessment Scale for Spinal Cord injury (TASS)

Responsiveness and minimal clinically important differences of the Trunk Assessment Scale for Spinal Cord injury (TASS)

The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2022.2087138 · Published: January 1, 2025

Spinal Cord InjuryRehabilitation

Simple Explanation

This study aimed to evaluate how well the Trunk Assessment Scale for Spinal Cord Injury (TASS) can detect changes in trunk function over time and to determine the smallest amount of change in the TASS score that is meaningful to patients. The researchers assessed 48 individuals with spinal cord injuries using the TASS and other measures at admission to rehabilitation, one month later, and at discharge to see how the TASS scores correlated with changes in other assessments. The study found that changes in TASS scores were weakly to moderately correlated with changes in upper and lower limb function and activities of daily living, suggesting that the TASS can be a useful tool for tracking clinically meaningful changes in trunk function.

Study Duration
December 2019 and June 2021
Participants
48 Japanese individuals with spinal cord injury (SCI) (age 64.1 ± 10.4 yrs, 28 with tetraplegia)
Evidence Level
Prospective cohort psychometric study

Key Findings

  • 1
    The changes in the TASS and those in the other assessments were weakly correlated at 1 month and moderately correlated at discharge.
  • 2
    The TASS MCIDs were observed at 1 month and at discharge.
  • 3
    The TASS is more responsive at discharge than at 1 month post-admission.

Research Summary

This study confirmed the responsiveness of the Trunk Assessment Scale for Spinal Cord Injury (TASS) and estimated the minimal clinically important difference (MCID) for the TASS. The findings suggest that changes in TASS scores have weak-to-moderate correlations with changes in upper- and lower-limb function and activities of daily living in individuals with spinal cord injuries. Using the MCID for the TASS, determined by anchor-based methods, may lead to a better interpretation of changes in trunk function in individuals with SCIs.

Practical Implications

Clinical Practice

The TASS can be used as an indicator to assess trunk function in individuals with SCIs.

Rehabilitation Programs

Interventions for improving trunk function are important for individuals who have suffered a spinal cord injury.

Future Research

The MCID estimated in this study may be useful in interpretations of the results of assessments in intervention studies and clinical situations.

Study Limitations

  • 1
    The study recruited participants from only two centers in Japan.
  • 2
    The sample size was smaller than that required by COSMIN.
  • 3
    The MCID estimated is specific to the population studied, and results may vary depending on the severity and neurological level of injury.

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