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Research Article

Impact of spasticity on quality of life of Lebanese individuals with spinal cord injury: Validity and reliability of the Arabic modified patient-reported impact of spasticity measure

Nour El Hoda Saleh1 Health, Rehabilitation, Integration, and Research Center (HRIR), Beirut, Lebanon;2 Physical Therapy Department, Faculty of Public Health, Islamic University of Lebanon, Beirut, LebanonCorrespondence[email protected] [email protected]
ORCID Iconhttps://orcid.org/0000-0001-5598-7613
ORCID Icon,
Ibrahim Naim1 Health, Rehabilitation, Integration, and Research Center (HRIR), Beirut, Lebanon
,
Nada Nakad2 Physical Therapy Department, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
,
Nivin Haidar2 Physical Therapy Department, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
&
Zahra Sadek2 Physical Therapy Department, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon;3 Physical Therapy Department, Faculty of Public Health, Lebanese University
Published online: 08 Sep 2023
 
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Abstract

Context

Spasticity is one of the most complicated problems after spinal cord injury (SCI). Different assessment tools are used to assess spasticity and its impact on individuals with SCI. The modified Patient-Reported Impact of Spasticity Measure (mPRISM) is a recommended tool to measure spasticity in spinal cord damage.

Objective

To translate and cross-culturally adapt mPRISM to Arabic and examine its validity and reliability in a sample of Lebanese adults with SCI.

Design

A cross-sectional study.

Participants

107 individuals with SCI.

Outcome measures

mPRISM.

Intervention

mPRISM was translated into Arabic, and pilot testing of the pre-final version was conducted. Exploratory factor analysis, Poisson regression, and Cronbach’s alpha were performed to evaluate the construct and convergent validity and reliability of the Arabic version of mPRISM (AR-mPRISM).

Results

mPRISM was successfully translated and cross-culturally adapted to Arabic. Results of an exploratory factor analysis conducted on the scale showed a coherent 5-domain structure that explained 69.631% of the total variance. Convergent validity was demonstrated by a significant association with sociodemographic and injury correlates. The five extracted subscales demonstrated high internal consistency with a Cronbach’s alpha > 0.8.

Conclusion

Results support the construct and convergent validity and reliability of AR-mPRISM for assessing spasticity impact on the quality of life of Arabic Speaking SCI population.

Acknowledgment

We are grateful to the following individuals for their contribution: Sleiman Fneish for assistance in data collection, and Marwa Summaka for reviewing the manuscript.

Disclaimer statements

Funding None.

Conflicts of interest The authors have no conflicts of interest to declare.

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