گروه طب فيزيكي و توانبخشي

  References: Mahoney Fl, Barthel DW:Functional evaluation: the Barthel Index. Md State Med J ۱۴:۲, ۱۹۶۵. van der Putten JJMF, Hobart JC; Freeman JA, Thompson AJ. (۱۹۹۹) Measuring the change indisability after inpatient rehabilitation; comparison of the responsiveness of the Barthel Index and Functional Independence Measure. Journal of Neurology, Neurosurgery, and Psychiatry, ۶۶(۴), ۴۸۰-۴۸۴. PubMed Link to abstract 

Items: The FIM consists of ۱۸ items assessing ۶ areas of function. The items fall into two domains: Motor (۱۳ items) and Cognitive (۵ items). The motor items are based on the items of the Barthel Index. These domains are referred to as the Motor-FIM and the Cognitive-FIM.The items of the FIM are listed as follows:Motor Domain: ۱. Self-care (۶ items) ·         Eating·         Grooming·         Bathing ·         Dressing-upper body·         Dressing-lower body·         Toileting۲. Sphincter control (۲ items) ·         Bladder management·         Bowel management۳. Transfers (۳ items)·         Bed/chair/wheelchair·         Toilet·         Tub/shower۴. Locomotion (۲ items) ·         Walk/wheelchair·         StairsCognitive Domain: ۵. Communication (۲ items) ·         Comprehension·         Expression۶. Social cognition (۳ items) ·         Social interaction·         Problem solving·         MemoryFor the Motor-FIM, the Eating, Bowel management, and Grooming items are known to be the easiest items for patients with stroke to accomplish, whereas Locomotion, Tub transfers, and Stair climbing are the most challenging items (Granger, Cotter, Hamilton, & Fiedler, ۱۹۹۳; Grimby, Gudjonsson, Rodhe, Sunnerhagen, Sundh, & Ostensson, ۱۹۹۶). For the Cognitive-FIM, performance of the Expression items has been found to be the easiest for patients to accomplish, and Problem solving has been found to be the most challenging (Granger et al., ۱۹۹۳).
Time:
The FIM is reported to take between ۳۰-۴۵ minutes to administer and score, with ۷ minutes to gather demographic information. Scoring:
Each item on the FIM is scored on a ۷-point Likert scale, and the score indicates the amount of assistance required to perform each item (۱ = total assistance in all areas, ۷ = total independence in all areas). A final summed score is created and ranges from ۱۸ - ۱۲۶, where ۱۸ represents complete dependence/total assistance and ۱۲۶ represents complete independence. Subscale scores for the Motor and Cognitive domains can also be calculated (Linacre, Heinemann, Wright, Granger, & Hamilton, ۱۹۹۴). The ratings are based on performance rather than capacity and can be acquired by observation, patient interview, telephone interview or medical records. The developers of the FIM recommend that the scoring be derived by consensus with a multi-disciplinary team.Granger, Deutsch, and Linn (۱۹۹۸) have applied a Rasch rating scale in order to transform the FIM’s ordinal ratings to an equal-interval rating scale so that it can be used for linear regression models. 

The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?(Circle One Number on Each Line)

During the past ۴ weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?(Circle One Number on Each Line)

During the past ۴ weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?(Circle One Number on Each Line)

۲۰. During the past ۴ weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?(Circle One Number)Not at all ۱Slightly ۲Moderately ۳Quite a bit ۴Extremely ۵۲۱. How much bodily pain have you had during the past ۴ weeks?(Circle One Number)None ۱Very mild ۲Mild ۳Moderate ۴Severe ۵Very severe ۶۲۲. During the past ۴ weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?(Circle One Number)Not at all ۱A little bit ۲Moderately ۳Quite a bit ۴Extremely ۵These questions are about how you feel and how things have been with you during the past ۴ weeks. For each question, please give the one answer that comes closest to the way you have been feeling.How much of the time during the past ۴ weeks . . .(Circle One Number on Each Line)

۳۲. During the past ۴ weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?(Circle One Number)All of the time ۱Most of the time ۲Some of the time ۳A little of the time ۴None of the time ۵How TRUE or FALSE is each of the following statements for you.(Circle One Number on Each Line)