89, No. Adequate to Excellent convergent validity was found. Spinal Cord 44(12): 772-779. Widely considered the “gold standard” for measuring function, the FIM ® instrument quickly and reliably tracks patient progression, goal attainment, and the burden of care. (Y/N), Appropriate for use in intervention research studies? A sample of 371,211 Medicare beneficiaries who were receiving services in an inpatient rehabilitation facility (IRF) within 60 days post stroke (> 65 years of age, 43.7% male, 41.7% right sided impairment, 796% white) were evaluated with the FIM at admission and discharge. (1987). (2008). "Scoring alternatives for FIM in neurological disorders applying Rasch analysis." Working with The State University of New York at Buffalo, he founded Uniform Data System for Medical Rehabilitation (UDSMR) in 1987. Sivan, M., et al. Bates, B.E., Xie, D., et al. Find it on PubMed, Tur, B. S., Gursel, Y. K., et al. (2006). (Ward et al, 2011) Thirty inpatients with first ischaemic stroke were evaluated with the FIM, the SIS-16 and the STREAM at admission: The FIM score was significantly (P<0.001) and highly correlated (excellent) with the predicted length of stay (-0.9438 ) and the actual length of stay (-0.6846), The validity of the FIM for predicting the LOS was higher (-0.9438) than the SIS-16 (-0.6743) and the STREAM (-0.8011). This video describes the work of the Center for Functional Assessment Research and the Uniform Data System for Medical Rehabilitation Science of Functional Assessment. Find it on PubMed, Stineman, M. G., Shea, J. (2007). Find it on PubMed. rated into the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI), and to compare FIM data collected before and after the IRF prospective payment system (IRF-PPS) was implemented in 2002 for patients with stroke. Find it on PubMed, Lawton, G., Lundgren-Nilsson, Å., et al. (1998). (Y/N), Is additional research warranted for this tool (Y/N), Motor items in the FIM instrument have been shown to have cross-diagnostic Differential Item Functioning (DIF), indicating varying level of difficulty of items pending diagnosis which reduces comparison between patients. (Yang et al, 2013). 2010 ; Vol. Scores are generally rated at admission and discharge. Find it on PubMed. (2007). The FIM instrument was based on the results of a literature review of published and unpublished measures as well as input provided by an expert panel. Find it on PubMed, Kay, E., Deutsch, A., et al. It is still often cited as this in the literature. Excellent correlation between the FIM-Motor and the TRS (0.849), (Ellis et al, 2008; n = 68; mean age - 74 (8) years; H&Y stages II - V, number in each stage: II - 1, III - 18, IV - 37, V - 2), (Marciniak et al, 2011; n = 89; mean age = 74.26 (9.38) years), (Pollak et al 1996; n = 49 elderly residents of a continuing care retirement community; mean age 89.7 years; assessed twice 3 to 8 days apart, Elderly Adults), (Kohler et al, 2009; n = 143 patients (63% orthopedic and 13% stroke); mean age = 76 years; transferred and assessed from one Rehab unit to another; 1 to 3 days between assessments, Orthopedic Diagnoses and Stroke). FIM Instrument Scoring Criteria: (refer to the users manual for more information), May vary based on level and impairment category measured, Barthel Index is commonly administered by nursing and medical staff to measure functional recovery following an inpatient stay for patients post stroke or neurologic disorders while the rehabilitation staff use the FIM. (Ward et al, 2011) A prospective cohort study of 30 subjects newly diagnosed with ischemic stroke (mean days since stroke onset 7.8 days (± 3.5)) was designed to demonstrate sensitivity of the FIM to change in an acute rehabilitation setting. "The reliability of the functional independence measure: a quantitative review." Face and content validity were determined using subject matter experts (Granger, Hamilton, Keith, Zielezny, & Sherwins, 1986). The FIM Motor Scale had high/excellent reliability (test-retest and inter-rater reliability) and high/excellent validity (>0.75) However, the FIM Motor Scale had only moderate responsiveness (0.4-0.74), with chronic stroke survivors with severe impairments (persisting beyond 6 months) demonstrating little change on the FIM Motor Scale. Phys Ther 93(12): p. 1592-602Find it on PubMed. Canbek, J., Fulk, G. et al. Spinal Cord 36(12): 832-837. (2002). Description of Measure: The severity of care-recipient functioning and impairments may be determined with the Functional Independence Measure (FIMSM; Uniform Data Set for Medical Rehabilitation, 1996). Find it on PubMed. Excellent intra-rater reliability was measured {0.88-0.98), Internal consistency of the PFIM was excellent, ranging from 0.70 to 0.96, Construct validity was supported by a significant Pearson Correlation between the PFIM and the Persian Barthel Index (r=0.95), In a systematic review of outcome measures used with patients post stroke participating in robot-assisted exercise trials (RAET), the FIMTM Motor Scale was used as a measure of activity level in 9 of 28 RAET trials. (Beninato et al, 2006; n = 113; mean age = 63.9 (14.3) years; mean FIM score at admission = 63.4 (24.4) points, Acute Stroke), (Inouye et al, 2001; n = 243; mean age = 64 (11) years; assessed at admission and discharge, Acute Stroke), (Tur et al, 2003; n = 102; mean age = 61.6 (10.9) yeas; 45-60 minutes of daily physical and occupational therapy, speech therapy daily as needed; Turkish sample, Acute Stroke), (Hsueh et al, 2002; n = 118; mean age = 67.5 (10.9) years; measured at inpatient rehab admission and discharge, Acute Stroke), (Denti et al. Click on the database link to run the search. Montecchi, M.G., et al.,(2013) Trunk Recovery Scale: a new tool to measure posture control in patients with severe acquired brain injury. UDS is highly effective at enabling healthcare providers and related entities to document and improve the outcomes, processes, and perceptions of care in uniform ways. Find it on PubMed, Hall, K. M., Cohen, M. E., et al. Find it on PubMed, Karamehmetoglu, S. S., Karacan, I., et al. Find it on PubMed. 1-844-355-ABLE, Visiting & COVID-19 Precautions     |     TeleHealth Visits. For detailed information about how recommendations were made, please visit:  http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations, Reasonable to use, but limited study in target group  / Unable to Recommend. "Stroke-specific FIM models in an urban population." "The Functional Independence Measure: tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories." Find it on PubMed, Price, G. L., Kendall, M., et al. Miki, E., et al. Eur J Phys Rehabil Med 44(1): 3-11. We also have subscriber resources and online workshops that help optimize your efficiency. After reviewing this report for all patients, try running it for your largest RIC. (Naghdi et al, 2016) Two raters administered the Persian FIM and the Barthel Index to 40 patient, mean age of 60 (±14.9) years old and an average of 21 (± 23) months post first stroke . "A comparison of two functional tests in quadriplegia: the quadriplegia index of function and the functional independence measure." Or Call Toll-Free A task force representing the US rehabilitation community set about developing the Uniform Data System for Medical Rehabilitation (UDSMR) - a minimum data set that includes a rating scale to measure function, the Functional Independence Measure (FIM instrument). (1999). The uniform data system for medical rehabilitation: Report of patients with lower limb joint replacement discharged from rehabilitation programs in 2000-2007. A study of the psychometric properties. (Turner et al, 2010). Marciniak, C. M., Choo, C. M., et al. 54(10): p. 564-8. In addition, the change in LOS at the IRF and community discharge was compared over time with the implementation of a prospective payment system (PPS) for individuals on Medicare. (Cooke, 2010) One hundred and ninty-seven, first stroke participants were included an average of 45.4 ± 67.6 days post-stroke to examine the relationship of clock drawing post-stroke. A secondary Rasch analysis combning the FIM and the Nottingham Extended Activities of Daily Living (NEADL) assessment was done on 188 participants (average of 19.45 ± 15.96 months post-stroke) from an upper extremity intervention trial. -Uniform Data System for Medical Rehabilitation Conceptual Basis -the FIM measures severity of patient disability (need for assistance, time and energy from another) Clin Rehabil 15(3): 311-319. Ng, Y. S., Jung, H., et al. Neurorehabil Neural Repair 21(6): 539-550. Recommendations for use based on acuity level of the patient: Recommendations Based on Parkinson Disease Hoehn and Yahr stage: Recommendations based on level of care in which the assessment is taken: Recommendations based on SCI AIS Classification: Recommendations for use based on ambulatory status after brain injury: Recommendations based on EDSS Classification: Recommendations for entry-level physical therapy education and use in research: Students should learn to administer this tool? 2004), For assessment of individuals with SCI, Rasch analysis indicates a four-category rating scale vs. the original seven-category scale has increased reliability (Nilsson, et al. J Rehabil Med 38(4): 237-242. (Van Heugten et al, 2015) Systematic review of studies (51) investigating convergent, criterion and predictive validity of cognitive dysfunction in patients in the acute phase (4 weeks) post stroke using multi-domain instruments. Item by item agreement ranged from adequate ( 0. Thanks for helping us invest in our patients. Berges, I.M., Kuo, Y.F., et al. American Journal of Physical Medicine & Rehabilitation 90(4): 272-280. "Validity of the walking scale for spinal cord injury and other domains of function in a multicenter clinical trial." (1994). "Cross-cultural validity of FIM in spinal cord injury." Disabil Rehabil. Clin Rehabil 29(7): p. 694-704Find it on PubMed. Acta Neurol Scand 111(4): 264-273. Shirley Ryan AbilityLab does not provide emergency medical services. Thus, data from 340 patients involved in post stroke rehabilitation were fitted to a Rasch model. (1996). The area under the ROC curve was adequate of the derivation and validation cohorts (0.84 and 0.83, respectively). Chen, H., Wu, C., et al. Adequate correlations with the Mini Mental Status Examination [MMSE] and the Frontal Assessment Battery [FAB] ( 0.60 and 0.58) but a floor effect with the Catherine Bergego Scale [CBS]. OBJECTIVE: To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after traumatic brain injury. and K.H. (Berges et al, 2012; Stroke EDGE task force), Excellent internal consistency was observed for the FIM+FAM-J (full scale [0.968], motor scale [0.954] and cognitive subscales [0.949]). A., Yavuzer, G., et al. A linear regression was run to determine which factors contributed to Motor-FIM (M-FIM) gain and Cognitive-FIM (C-FIM) gain. 5 cognitive items) to obtain the average ratings on the 1 to 7 scale, Mean Motor FIM Scores at Rehabilitation Admission and Discharge by Level and Completeness of Injury, *All cases with level and completeness data available; These are not all the same sample of individuals across admission and discharge, (Kay et al, 2010; n = 1780; discharged from one of 479 inpatient rehab facilities in US; age 65-74 years; diagnosed with incomplete paraplegia, Acute SCI), Demographic, rehabilitation stay, and discharge FIM self-care and mobility subscore by etiology of incomplete paraplegia, (Grey and Kennedy, 1993; n = 40; mean age at time of injury = 29.6 (9.57) years; mean time post-injury at discharge = 24.75 (8.57) weeks, Chronic SCI), (Karamehmetoglu et al, 1997; n = 50; mean age = 33.94; 22% with tetraplegia and 78% with paraplegia, SCI), (Kucukdeveci et al, 2001; FIM in Turkey; n = 62; mean age = 32.7; mean time since injury = 16.4 months; with cervical injury 21%; with thoracic injury 42%; with lumbar 37%, Chronic SCI), (Segal et al, 1993, n = 57, discharging from acute care and admitting to rehab hospital; data collected within a max of 6 days, Subacute SCI), (Kucukdeveci et al, 2001; FIM instrument version in Turkey, Chronic SCI), (Stineman et al, 1996; with nontraumatic SCI, n = 2,609, mean age = 64.6 years; with traumatic SCI, n = 1,831, mean age = 43.0 years, sample from Uniformed Data System for Medical Rehabilitation [UDSMRSM], SCI), (Ditunno, et al., 2007; n = 141, mean age = 32 years; Entered into study within 8 weeks of onset of SCI; data taken at entry, 3 and 6 and 12 months, subjects required to have score of < 4 on the Locomotor FIM (LFIM) at entry, Acute SCI), (Donnelly et al, 2004; n = 41; mean age = 49(118.1); mean time since injury = 52 (73.1) days; with paraplegia, n = 18; with tetraplegia, n = 20; Incomplete, n = 27; complete, n = 11, SCI), (Fujiwara et al, 1999; n = 14; C6 level of injury, mean age = 30.7 years; mean length of time from injury = 462.0 days, Chronic SCI), (Saboe et al, 1997; n = 160; mean age = 30 (13) years; assessed at admission, discharge, and 2 years post injury; Length of stay at tertiary care hospital 144 (111) days Chronic SCI), (Yavuz et al, 1998; n = 29; mean age = 37 years; mean time between onset and rehab admission = 20 weeks, mean length of stay in inpatient rehab = 18 weeks, Subacute SCI). 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Now widely used around the world ’ s largest government-independent repository of rehabilitation outcomes with disability measures. may! Fim in neurological disorders applying Rasch analysis: the functional independence measure: a comparative study of clinician and ratings.