spinal cord independence measure spinal cord independence measure outcome measures in rehabilitation medicine are tools used to evaluate the level of disability. they can be beneficial for physicians to judge the path of a patient's recovery, for researchers to compare different management protocols and for politicians in order to find the cost-effectiveness of their decisions. spinal cord independence measure is a measurement tool for determining the level of function in spinal cord injury as an outcome measure specifically designed for spinal cord injury, the spinal cord independence measure is a tool that evaluates how safely, cheaply, and independently a patient can do basic activities of daily living. structure the measure consists of 19 items categorized in three subscales:self care, respiration and sphincter management, and mobility. psychometric property its last version, scim iii has been validated in many multicenter trials and translated into italian, spanish, greek, portuguese, thai, turkish and persian languages. it has been concluded that scim iii has the most appropriate psychometric properties for measuring functional level of spinal cord injured individuals.