Functional independence measure fim flashcards quizlet. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Interrater agreement of two functional independence. This was a retrospective, registerbased cohort study on 155 rehabilitants with sci. In this study the fim was compared to the barthel index bi to. To examine whether the berg balance scale bbs score on admission and after 1 month can be used to predict the functional independence measure fim walking level 6 or 7 modified independent and independent gait respectively after 3 months and to determine the optimal bbs cut. The functional independence measure fim scale is a basic indicator of patient disability. Functional independence measure tm and functional assessment measure brain injury scale. Nov 29, 2009 the functional independence measure is widely used in rehabilitation settings in canada this is used as the central component of the national rehabilitation reporting system of the canadian institute of health information. Patient function is assessed using the fim instrument at the start of a.
There seems to be no consensus on which aspects better distinguish the different levels of spinal cord injury regarding body composition, strength, and functional independence. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Data were stratified into 20 files corresponding to the impair ment categories of the latest.
The functional independence measure fim has historically been used for care planning and quality measurement in many u. These scales have been checked for validity to ensure they measure what they were intended to measure 23, although scales can be valid and yet measure something other than that in which we are interested. The functional independence measure fim is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer. Fim is comprised of 18 items, grouped into 2 subscales motor and cognition. One self report questionnaire that has been validated for use with older adults. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. Functional independence measure fimz instrument admission discharge followup selfcare a. Prudent consumers generally seek this type of information to select providers who meet standards of. Toolkit for spinal cord independence measure iii scim iii.
Outcome measure scores predict discharge destination in pati. This study established the concurrent validity and interrater reliability of a simple mobility scale for frail elderly people. The trunk control measurement scale is a clinical tool to measure trunk control in children with cerebral palsy. Discriminant analysis was carried out using the wilks lambda method to identify which strength and functional variables can.
Functional independence measure fim the fim is an 18item, seven level ordinal scale. Measuring function for medicare inpatient rehabilitation. Outcome measure scores predict discharge destination in. Are body composition, strength, and functional independence. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and effectiveness of our full range of healthcare services.
The functional independence measure fim is an 18item global measure of disability. The 1maximum repetition test, functional independence measure, spinal cord independence measure, and body composition skinfold sum, body fat percentage, and body mass index were assessed. The relationship between clinical measures of balance and function in elderly persons was the focus of this investigation. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. The functional independence measure archives of physical. Source for information on functional independence measure. Use of the functional independence measure in people for. All items are scored using a sevenpoint ordinal scale based on the number of. Glen gillen edd, otr, faota, in cognitive and perceptual rehabilitation, 2009. Comparing the functional independence measure and the. Functional independence measure definition of functional. The spinal cord independence measure scim, now in its third iteration, is a disability scale developed specifically for the sci population to assess various activities of daily living adls 1. It is recommended that it is rated by trained clinicians. The functional independence measure fim is an 18item measurement tool.
Interrater agreement of two functional independence scales. Has been superseded by personlevel of functional independence, functional independence measure score code n health, superseded 18122019, tasmanian health, endorsed 19012018. The tool is used to assess a patients level of disability as well as change in patient status in response to rehabilitation or medical intervention. Questions on the unidimensionality of the fim motor scale have been raised. The internal consistency of the fim was assessed with cronbachs. Pdf determination of the cutoff point of the functional. The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting.
Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. Pdf on oct 2, 2018, ladislav valach and others published the. Sixty subjects were assessed on three clinical balance measures, the balance scale, the self paced walk test and the falls efficacy scale and a measure of general function, the functional assessment inventory.
Personlevel of functional independence, functional. A comparison of the functional independence measure and disability rating scale flora m. The current form structure represents the version of fim developed between 1984 and 1987 by a national task force sponsored by the american academy of physical medicine and. Functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Because no functional outcome tools exist that include many of the daily activities that are needed to be independent by individuals using manual wheelchairs, development of an appropriate tool was deemed important. The functional independence measure fim is widely used and accepted as a functionallevel assessment tool that. Validation and reliability of the elderly mobility scale. Functional independence measure fim the fim was developed in 1983 by a task force created by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton. Results for functional independence measure 1 10 of 75 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Longterm recovery course after traumatic brain injury. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. The fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult.
Results for functional independence measure 1 10 of 75 sorted by relevance date. An alternative system has been developed by the interrai consortium. The cutoff point of the total fim scale to discriminate patients with. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Feb 29, 2016 the functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton 7. Chronic respiratory diseases are associated with symptoms such as dyspnea, fatigue, and reduced exercise capacity, which can lead to a reduced ability to perform the activities of daily living and poor healthrelated. Ability of functional independence measure to accurately. The functional independence measure fim instrument is a basic indicator of patient disability. In this study the fim was compared to the barthel index bi to determine its validity, reliability and ease of use in two groups of 25 patients undergoing neurorehabilitation. Eightyfive patients 65 years who survived elective isolated aortic valve replacement from january 2008 to october 2015 were included. Concurrent validity was established by correlating the elderly mobility scale ems score with barthel and functional independence measure fim scores for 36 patients, age 7093 years. This study examined the interrater agreement of the functional independence measure fim and a subjective uniform continuous scale ucs the rating varied between 0 complete dependence and 9 complete independence between educators, physiotherapists and occupational therapists.
Functional independence measure scores of patients with. Use of the berg balance scale to predict independent gait. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Thus, data from 340 patients involved in post stroke rehabilitation. Functional independence measure description general description. The functional independence measure in spinal cord injured. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. Jul 01, 2011 the fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult. Functional independence measure fimthe prevailing disability scaleand the walking index for spinal cord injury wisci 1. Functional independence measure fim spinal cord injury. Start studying functional independence measure fim. Although the functional independence measure fim can be used to assess disability in those using a. It is has become one of most frequently used research tools for assessing response to treatments in individuals with sci.
The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and. The functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the. Pre and postintervention factor structure of functional. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be of the highest quality. For every 1point increase on the functional independence measure fim, a patient is. This study aimed to evaluate the efficacy of the functional independence measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. Developmental medicine and child neurology recently published research examining the reliability of the trunk control measurement scale tcms with its subscores, in children with neuromotor disorders. Gaseous npds nursing dependency scalenpcna care needs assessment. In addition, the discriminative validity of the tcms was assessed by.
The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. Use of the functional independence measure in people for whom. Quality assessment of the fim functional independence. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Pdf the dimensionality of functional independence measure fim. Toolkit for spinal cord independence measure iii scim. Functional status information is used for care planning, to measure quality of care, and to adjust payments for case mix under various medicare ppss. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for. Functional independence measure functional independence measure. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care.
In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons, including those with. Determination of the cutoff point of the functional. Functional independence measure rehabmeasures database. The functional independence measure fim is a global measure of disability and can be. Dec 01, 2012 fssicu categories were rated using the functional independence measure rating scale of 0 to 7. Functional assessment measure pdf, 374kb, clin rehabil.
It has five grades, ranging from 0 fully independent to 4 completely dependent. Hentschel 2015 can we forget the minimental state examination. The functional independence measure fim is an instrument which indicates a patients disability level. The vista fim software files and installation and implementation guide i. Clinical measures of balance and functional assessment in. It is the product of an effort to resolve the long standing problem of lack of uniform measurement and data on disability and rehabilitation outcomes. Fssicu categories were rated using the functional independence measure rating scale of 0 to 7. The fim instrument comprises 18 items, each of which is assessed against a seven point ordinal scale, where the higher the score for an item, the more independently the patient is able to perform the tasks assessed by that item. The functional independence measure fim scale assesses physical and cognitive disability. Fim as a summated rating scale within context of the 20 impairment.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Determination of the cutoff point of the functional independence measure fim using a receiver operating characteristic curve. The study aimed to determine which variables better differentiate tetraplegia tp from paraplegia and high paraplegia hp from low paraplegia lp. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. This investigation developed the wheelchair users functional assessment wufa. Fim was assessed at the beginning and at the end of multidisciplinary inpatient rehabilitation. Functional independence measurement fim user manual. Clinical utility of the functional status score for the. The scoring manual and example score sheet are available for download below. Scoring items are scored on the level of assistance required for an individual to perform activities. The fim is an 18item, clinicianreported scale that assesses function in six areas. Types of activities reading physiopedia pages, journal articles, book chapters.
The cutoff point of the total fim scale to discriminate patients with poor outcomes was calculated as 63 points, with an area under the curve, sensitivity, and specificity of 0. The fim can be used for measuring disability in a wide range of conditions. Functional independence measure fim is becoming widely used for all aspects of disabling diseases including spinal cord injury sci. The functional assessment measure does not stand alone but adds 12 fam items to the fim. To evaluate the factor structure of functional independence measure fim scale amongst people with spinal cord injury sci. Pdf development of a functional assessment measure for. Functional independence measure fimthe prevailing disability scale and the walking index for spinal cord injury wisci 1. Functional independence measure scores of patients with hemiplegia followed up at home and in university hospitals.
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