Subject of the scale: Physical and cognitive disability |
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Functional Independance Measure (FIM) |
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Comment: Composite scale, in questionnaire form, initially written in English and widely used since the 1980s because of its simplicity. It evaluates the level of disability and the functional impact of a given pathology. The FIM is constituted of 18 items which measure the patient's performance in activities of daily living, including cognitive and social domains. It appears necessary that medical and paramedical staff undergo one hour of training on the use of the scale. The scale takes about 30 minutes to administer. For each item (from 1 to 18), the therapist chooses the patient's level of disability from 1 (total assistance) to 7 (total independence, see the full scale on the page provided). The total score is calculated by summing the scores for the level of disability for each item. Interpretation: The lower the score, the greater the disability.
> Access to the scale is not free |
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Psychometric properties:
General comment on reliability: This scale has been evaluated in many situations and pathologies; Stroke, Spinal Cord Injury, Brain Injury, Multiple Sclerosis, Orthopaedic pathologies (low back pain etc.), Geriatrics. Many teams, particularly for the French language version, have taken an interest in the relevance of the use of this scale and particular its global score as being predictive of a state of health, reflecting its prognostic value. In fact, the global score does not seem to capable of interpretation from one patient to another, not presenting the same deficiencies as the values of the under-scores representing very different inabilities can give rise, after addition, to the same global score and therefore not at all the same difficulties as in everyday life. It is on the other hand useful for dealing with a given patient. The isolated utilisation of certain under-scores can prove to be relevant. Reference update: To notify us of a missing reference, please use: contact@scale-library.com |
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