TY - JOUR
T1 - Self-scoring templates for motor and cognitive subscales of the FIM instrument for persons with spinal cord injury
AU - Bode, Rita K.
AU - Heinemann, Allen W.
AU - Kozlowski, Allan J.
AU - Pretz, Christopher R.
N1 - Funding Information:
Supported in part by the National Institute on Disability and Rehabilitation Research , U.S. Department of Education to Craig Hospital (grant nos. H133A060103 and H133N060005 ) and the Rehabilitation Institute of Chicago (grant no. H133N060014 ), and by the Rehabilitation Institute Research Corporation .
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2014/4
Y1 - 2014/4
N2 - Objective To provide self-scoring templates for the FIM instrument's motor and cognitive scales that enable clinicians to monitor progress during rehabilitation using equal-interval Rasch-calibrated measures instead of ordinal raw scores. Design Secondary analysis of a prospective, observational cohort study. Setting Six geographically dispersed hospital-based rehabilitation centers in the United States. Participants Subset of consecutively enrolled individuals with new traumatic spinal cord injuries discharged from participating rehabilitation centers (N=1146). Intervention Not applicable. Main Outcome Measures Subscores of the FIM instrument, including a 13-item motor scale, a 5-item cognitive scale, an 11-item (without sphincter control items) motor scale, a 3-item transfer scale, a 6-item self-care scale, a 3-item self-care upper extremity scale, and a 3-item self-care lower extremity scale. Results KeyForms for the FIM instrument scales allow clinicians and investigators to estimate patients' functional status and monitor progress. In cases with no missing data, the look-up tables provide more accurate estimates of patients' functional status. Conclusion Clinicians can use KeyForms and look-up tables for FIM instrument subscales to monitor patients' progress and communicate improvement in equal-interval units.
AB - Objective To provide self-scoring templates for the FIM instrument's motor and cognitive scales that enable clinicians to monitor progress during rehabilitation using equal-interval Rasch-calibrated measures instead of ordinal raw scores. Design Secondary analysis of a prospective, observational cohort study. Setting Six geographically dispersed hospital-based rehabilitation centers in the United States. Participants Subset of consecutively enrolled individuals with new traumatic spinal cord injuries discharged from participating rehabilitation centers (N=1146). Intervention Not applicable. Main Outcome Measures Subscores of the FIM instrument, including a 13-item motor scale, a 5-item cognitive scale, an 11-item (without sphincter control items) motor scale, a 3-item transfer scale, a 6-item self-care scale, a 3-item self-care upper extremity scale, and a 3-item self-care lower extremity scale. Results KeyForms for the FIM instrument scales allow clinicians and investigators to estimate patients' functional status and monitor progress. In cases with no missing data, the look-up tables provide more accurate estimates of patients' functional status. Conclusion Clinicians can use KeyForms and look-up tables for FIM instrument subscales to monitor patients' progress and communicate improvement in equal-interval units.
KW - Activities of daily living
KW - Rehabilitation
KW - Spinal cord injuries
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U2 - 10.1016/j.apmr.2013.11.009
DO - 10.1016/j.apmr.2013.11.009
M3 - Article
C2 - 24309071
AN - SCOPUS:84897116891
SN - 0003-9993
VL - 95
SP - 676-679.e5
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 4
ER -