Evaluation of the Walking Index for Spinal Cord Injury II (WISCI-II) in children with Spinal Cord Injury (SCI)

C. Calhoun Thielen, C. Sadowsky, L. C. Vogel, H. Taylor, Loren Davidson, J. Bultman, J. Gaughan, M. J. Mulcahey

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Study Design: Mixed methods were used in this study. The appropriateness of the levels of the Walking Index for Spinal Cord Injury II (WISCI-II) for application in children was critically reviewed by physical therapists using the Modified Delphi Technique, and the interand intra-rater reliability of the WISCI-II in children was evaluated. Objectives: To examine the construct validity, and to establish reliability of the WISCI-II related to its use in children with spinal cord injury (SCI). Setting: United States of America. Methods: Using a Modified Delphi Technique, physical therapists critically reviewed the WISCI-II levels for pediatric utilization. Concurrently, ambulatory children under age 18 years with SCI were evaluated using the WISCI-II on two occasions by the same therapist to establish intra-rater reliability. One trial was photographed and de-identified. Each photograph was reviewed by four different physical therapists who gave WISCI-II scores to establish inter-rater reliability. Summary and descriptive statistics were used to calculate the frequency of yes/no responses for each WISCI-II level question and to determine the percent agreement for each question. Inter- and intra-rater reliability was calculated using interclass correlation coefficients (ICCs) with 95% confidence intervals (CI). Results: Construct validity was confirmed after one Delphi round during which at least 80% agreement was established by 51 physical therapists on the appropriateness of the WISCI-II levels for children. Fifty-two children with SCI aged 2-17 years completed repeated WISCI-II assessments and 40 de-identified photographs were scored by four physical therapists. Intra- and inter-rater reliability was high (ICC=0.997, CI=0.995-0.998 and ICC=0.97, CI=0.95-0.98, respectively). Conclusion: This study demonstrates support for the use of the WISCI-II in ambulatory children with SCI.

Original languageEnglish (US)
Pages (from-to)478-482
Number of pages5
JournalSpinal Cord
Volume55
Issue number5
DOIs
StatePublished - May 1 2017
Externally publishedYes

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Spinal Cord Injuries
Walking
Physical Therapists
Delphi Technique
Confidence Intervals
Reproducibility of Results

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Calhoun Thielen, C., Sadowsky, C., Vogel, L. C., Taylor, H., Davidson, L., Bultman, J., ... Mulcahey, M. J. (2017). Evaluation of the Walking Index for Spinal Cord Injury II (WISCI-II) in children with Spinal Cord Injury (SCI). Spinal Cord, 55(5), 478-482. https://doi.org/10.1038/sc.2016.142

Evaluation of the Walking Index for Spinal Cord Injury II (WISCI-II) in children with Spinal Cord Injury (SCI). / Calhoun Thielen, C.; Sadowsky, C.; Vogel, L. C.; Taylor, H.; Davidson, Loren; Bultman, J.; Gaughan, J.; Mulcahey, M. J.

In: Spinal Cord, Vol. 55, No. 5, 01.05.2017, p. 478-482.

Research output: Contribution to journalArticle

Calhoun Thielen, C, Sadowsky, C, Vogel, LC, Taylor, H, Davidson, L, Bultman, J, Gaughan, J & Mulcahey, MJ 2017, 'Evaluation of the Walking Index for Spinal Cord Injury II (WISCI-II) in children with Spinal Cord Injury (SCI)', Spinal Cord, vol. 55, no. 5, pp. 478-482. https://doi.org/10.1038/sc.2016.142
Calhoun Thielen, C. ; Sadowsky, C. ; Vogel, L. C. ; Taylor, H. ; Davidson, Loren ; Bultman, J. ; Gaughan, J. ; Mulcahey, M. J. / Evaluation of the Walking Index for Spinal Cord Injury II (WISCI-II) in children with Spinal Cord Injury (SCI). In: Spinal Cord. 2017 ; Vol. 55, No. 5. pp. 478-482.
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abstract = "Study Design: Mixed methods were used in this study. The appropriateness of the levels of the Walking Index for Spinal Cord Injury II (WISCI-II) for application in children was critically reviewed by physical therapists using the Modified Delphi Technique, and the interand intra-rater reliability of the WISCI-II in children was evaluated. Objectives: To examine the construct validity, and to establish reliability of the WISCI-II related to its use in children with spinal cord injury (SCI). Setting: United States of America. Methods: Using a Modified Delphi Technique, physical therapists critically reviewed the WISCI-II levels for pediatric utilization. Concurrently, ambulatory children under age 18 years with SCI were evaluated using the WISCI-II on two occasions by the same therapist to establish intra-rater reliability. One trial was photographed and de-identified. Each photograph was reviewed by four different physical therapists who gave WISCI-II scores to establish inter-rater reliability. Summary and descriptive statistics were used to calculate the frequency of yes/no responses for each WISCI-II level question and to determine the percent agreement for each question. Inter- and intra-rater reliability was calculated using interclass correlation coefficients (ICCs) with 95{\%} confidence intervals (CI). Results: Construct validity was confirmed after one Delphi round during which at least 80{\%} agreement was established by 51 physical therapists on the appropriateness of the WISCI-II levels for children. Fifty-two children with SCI aged 2-17 years completed repeated WISCI-II assessments and 40 de-identified photographs were scored by four physical therapists. Intra- and inter-rater reliability was high (ICC=0.997, CI=0.995-0.998 and ICC=0.97, CI=0.95-0.98, respectively). Conclusion: This study demonstrates support for the use of the WISCI-II in ambulatory children with SCI.",
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