A systematic review of measures of environmental influences on participation in spinal cord injury (SCI) and of the current evidence collected with these measures was performed. Psychometric properties were described, and all instruments were linked to the International Classification of Functioning, Disability and Health (ICF). Six generic instruments were identified that had been used in SCI populations or related contexts and had been validated, at least to some extent. None of the instruments considered all environmental categories of the ICF Core Set for SCI. This review provided only weak and in part conflicting evidence on environmental determinants of participation in SCI.

environmental factors, evidence, measurement, participation, systematic review
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