The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. As such, whilst listed alphabetically, the pdf search feature may be useful when checking if a specific assessment has been included. Functional independence measure for children weefim a prel. The reliability, validity, and appropriateness of the functional independence measure fim were examined for a population aged 80 years and more from a multilevel, continuing care retirement. Patient function is assessed using the fim instrument at the. In this study the fim was compared to the barthel index bi to. The conistat, montreal cognitive assessment moca and functional independence measure cognitive showed adequate predictive validity bates, 2015part 1 a retrospective analysis of 4020 veterans receiving consultative or comprehensive rehabilitation care poststroke. Acces pdf functional independence measure manual functional independence measure manual as recognized, adventure as competently as experience not quite lesson, amusement, as with ease as harmony can be gotten by just checking out a ebook functional independence measure manual next it. The functional independence measure fim instrument is a basic indicator of patient disability. Apr 16, 20 the weefim instrument consists of a minimal data set of 18 items that measure functional performance in three domains. Longterm care hospital ltch functional outcome measure.
The functional assessment measure does not stand alone but adds 12 fam items to the fim. The fim is applied at the patient level to measure change throughout rehabilitation, at the institutional level to measure outcome quality, and at the national level for performance reporting or quality monitoring. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. 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 is a global measure of disability and can be scored alone or with the additional 12 items that formulate the functional assessment measure fam. Research foundation of the state university of new york 1990. Guide for the use of the uniform data set for medical rehabilitationincluding the functional independence measure hm version 3.
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. Mar 2017 functional independence measurement fim user manual, version 1. Pdf assessments and outcome measures of cerebral palsy. Functional independence measure fim in 2011 pdf free.
Functional independence measure definition of functional. Ability of functional independence measure to accurately. Glen gillen edd, otr, faota, in cognitive and perceptual rehabilitation, 2009. Complete independence fim 7 modified independence fim 6 supervision or setup fim 5. Functional independence measure fim assessment overview assessment area icf domain. Falls remain a major issue in inpatient rehabilitation. Functional assessment measure rehabmeasures database. A list of public hospitals and health services in victoria. The functional independence measure for children weefim. Functional independence measure wikipedia republished. The functional independence measure fim is an 18item global measure of disability. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function.
An assessment of the severity of patient disability. Assessment of motor and process skills scale was reported to be the best scale assessing adl in. Assessment of activities of daily living, selfcare, and. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. 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. As it allows direct observation of patients and the performancebased assessments are done by multidisciplinary teams including doctors, therapists and nurses fim is considered the gold. The functional independence measure fim scale is a basic indicator of patient disability. The weefim can be administered to children over the age of 7 if their functional abilities are below those expected of children aged 7 who do not have disabilities. The weefim is a measure of functional ability that can be used for typically developing children, aged 6 months through 7 years, as well as children over 7 years with disabilities and delays in functional development. One of the most widely used tools is the functional independence measure fim. The functional independence measure fim is an assessment tool that is widely used in rehabilitation worldwide 36. 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. Interrater reliability of the functional assessment measure in a brain injury rehabilitation. Fim scale fill out and sign printable pdf template signnow.
The weefim instrument is potentially an internationally useful instrument. Advances in functional assessment for medical rehabilitation, topics in geriatric rehabilitation, 1, 3, 59 74. Functional independence measure an overview sciencedirect. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. After ipr there was a statistically significant improvement in all fim items. The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Functional assessment tools have been created to meet this need. Functional independence measure fim spinal cord injury. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. The cot library and information service hold a reference copy of those assessments annotated with an asterisk.
Spinal cord independence measure rehabmeasures database. Relationship between the functional independence measure. Decreased scores on the functional independence measure fim, given to every patient, have been shown to predict falls risk. Use of the functional independence measure for outcomes. Comparing the functional independence measure and the. The functional independence measure fim is a validated, objective assessment of functional status that is commonly used in rehabilitation centres. The functional independence measure for children weefim was developed based on the fimsm instrument to assess disability in children aged six months to seven years. 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. Functional evaluation instrument,1 the movement ability measure,2,3 the health assessment questionnaire,4,5 and the functional status questionnaire. Its reliability and validity have been studied, and normative data are available for american children.
Functional independence measure for children springerlink. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Archives of physical medicine and rehabilitation, 74, 38. Functional independence measure tm and functional assessment measure brain injury scale. Functional independence measure fim in 2011 pdf free download. Functional independence measure scores of patients with.
It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. 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. The functional independence measure 18item version can be. Functional independence measure rehabmeasures database. 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. Using functional independence measure subscales to predict. Assessment of functional status is a major responsibility for professionals practicing in rehabilitation facilities.
In addition, selfreport questionnaires can be prob. A functional measures progress timeline can be accessed in the downloads section below. 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. The fim can be used for measuring disability in a wide range of conditions. Functional independence measure anne rankin in 1983 a task force sponsored by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation was established to develop a functional assessment instrument. Functional independence measure fimz instrument admission discharge followup selfcare a. Functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Cognitive dysfunction in spinal cord injury patients. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care. Guide for the use of the functional independence measure weefim of the uniform data set for medical rehabilitation.
Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance fim 4 moderate assistance fim 3 maximal assistance fim 2 total assistance fim 1 evaluation criteria. Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions. Using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. Functional independence measure for children were reported to be appropriate for adolescent age. Data from the fim are used to examine patient outcomes for several purposes. The development of standardized functional assessment measures across postacute care settings has been ongoing since 2014. 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.
The fam functional assessment measure was developed as an adjunct to the fim to specifically address the major functional areas that are relatively less emphasized in the fim, including cognitive, behavioral, communication and community functioning measures. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Functional independence measure fim, or other adl assessment. Previously validated in a mixed neurorehabilitation cohort, this study is the first to explore its psychometric properties in a stroke population, and compare left and right hemispheric strokes lhs vs rhs.