The Center for Outcome Measurement in Brain Injury. The information on the FIM(TM) may be cited as: If you find the information in the COMBI useful, please mention it when citing sources of information. for questions regarding the presented information. Please enable JavaScript to use email address. Information regarding the FIM(TM) was contributed by Santa Clara Valley Medical Center. The current owners of the FIM(TM) instrument have decided that the acronym FIM(TM) no longer stands for anything and should be referred to only as FIM(TM). It is still often cited as this in the literature. Functional Independence measurement (FIM) The FIM TM instrument refers to a scale that is used to measure ones ability to function with independence score. *For over 15 years, FIM was an acronym for "Functional Independence Measure". Uniform Data System for Medical RehabilitationįIM(TM) is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. For further information on the FIM(TM), please contact: The FIM(TM) has become proprietary, and therefore the scale, syllabus, and training materials are not provided in the COMBI. It is viewed as most useful for assessment of progress during inpatient rehabilitation. patients with chronic phase FIM gain in patients with acute phase was statistically. Containing over 500 measures and supported by some of the world's best doctors, therapists, researchers, and educators, the Rehabilitation Measures Database (RMD) is the go-to resource for measuring benchmarks and outcomes in physical medicine and rehabilitation. The FIM(TM) is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. Independence Measure (FIM), FIM gain, and FIM efficiency. The FIM(TM)* (Guide for the Uniform Data Set for Medical Rehabilitation, 1996) is the most widely accepted functional assessment measure in use in the rehabilitation community. Wright is not the scale author for the FIM. *Note: This citation is for the COMBI web material. Am J Phys Med Rehabil 2005 84:167-176.COMBI > Scales > FIM(TM) > Introduction Reliability and validity of a self-report FIM (FIM-SR) in persons with amputation or spinal cord injury and chronic pain. Masedo AI, Hanley M, Jensen MP, Ehde D, Cardenas DD. Relationships between disability measures and nursing effort during medical rehabilitation for patients with traumatic brain and spinal cord injury. Heinemann AW, Kirk P, Hastie BA Semik,P, Hamilton BB, Linacre JM, Wright BD, Granger C. Relation of disability costs to function: spinal cord injury. Hamilton BB, Deutsch A, Russell C, Fiedler RC, Granger CV. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Hall KM, Cohen ME, Wright J, Call M, Werner P. The construct validity and explanatory power of the AISA Motor Score and the FIM: implications for theoretical models of spinal cord injury Top Spinal Cord Inj Rehabil 2005 10:65-74. William Miller, Christie Chan, Risa Fox Date Last Updated Floor/Ceiling EffectĬeiling effects were detected in both the FIM-SR cognitive subscale (88% subjects reported max score) and the FIM-SR communication and social cognition subscale (76% subjects reported max score).ĭr. No values were reported for the responsiveness of the FIM-SR for the SCI population. Test-retest reliability ranges from Moderate to High for individual FIM-SR items (r = 0.54-0.91).Ĭorrelation of the FIM-SR is Moderate with the CHART physical subscale (r = 0.49), and Low with the CHART Total score (r = 0.26) and the CHART mobility subscale (r = 0.30).Test-retest reliability is High for total FIM-SR (r = 0.89).Internal consistency for the FIM-SR items range from Low to High for pre-treatment (Cronbach’s α = 0.14-0.98) and post-treatment (Cronbach’s α = 0.20-0.98).Diagnosis/Conditions Spinal Cord Injury Populations Spinal Injuries Key Descriptions The SCIM is composed of 19 items that assess 3 domains. 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. ''SCIM-spinal cord independence measure: a new disability scale for patients with spinal cord lesions.'' Spinal Cord 35 (12): 850-856. Internal consistency of the total FIM-SR is High for both pre-treatment (Cronbach’s α = 0.95) and post-treatment (Cronbach’s α = 0.94) Introduction to the Functional Assessment Measure Functional Independence Measure (FIM) The FIM is an 18-item, seven level ordinal scale.
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