![]() ![]() The FIM is a useful tool for measuring the functional independence of patients in rehabilitation settings. The FIM has also been shown to be sensitive to change in functional independence over time. It has been shown to correlate with other measures of functional independence, such as the Barthel Index (Mahoney & Barthel, 1965) and the Katz Activities of Daily Living Scale (Katz et al., 1963). The FIM also has good test-retest reliability, with ICCs ranging from. The FIM has good interrater reliability, with intraclass correlation coefficients (ICCs) ranging from. Social cognition: This domain assesses the patient’s ability to interact with others in a socially appropriate manner.Communication: This domain assesses the patient’s ability to communicate, both verbally and nonverbally.Locomotion: This domain assesses the patient’s ability to walk or use a wheelchair.Transfers: This domain assesses the patient’s ability to move from one place to another, such as from bed to chair or from wheelchair to toilet.Sphincter control: This domain assesses the patient’s ability to control their bladder and bowels.Self-care: This domain assesses the patient’s ability to perform basic self-care tasks, such as eating, bathing, and grooming.(1987) to measure the functional independence of patients in rehabilitation settings. DOI: 10.1016/j.pmrj.2013.12.The Functional Independence Measure (FIM) is a 18-item scale developed by Keith et al. FIM motor scores for classifying community discharge following inpatient rehabilitation for hip fracture. Predicting functional independence measure scores during rehabilitation with wearable inertial sensors. Physical therapist examination and evaluation: Focus on tests and measures.rehabilitation-measures/fimr-instrument-fim-fimr-trademark-uniform-data-system-fro-medical Documents/The_FIM_Instrument_Background_Structure_and_Usefulness.pdf The FIM instrument: Its background, structure, and usefulness.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/downloads/day1_IRFPAI.pdf Center for Medicare and Medicaid Services: Presentation for the in-patient rehabilitation facility patient assessment instrument.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. People with a total FIM score between 100 and 110 require minimal assistance with their day-to-day activities.Īdditionally, the difference between your initial FIM score and your score at discharge is also a good indicator of progress you’ve made during your rehabilitation period. This can provide both you and your care team with an indicator of the amount of assistance you’ll need in your specific day-to-day activities.įor example, according to the Uniform Data System for Medical Rehabilitation organization, a total FIM score of 60 can equate to approximately four hours daily of assistance needed while a score of 80 equates to about two hours daily. The FIM assessment is performed again within 72 hours of discharge from a rehabilitation facility. Since the total FIM score can also be broken down into separate motor and cognitive categories, your care team may target specific values in one or both of those categories as well.įor example, one study of people who had received rehabilitative care for a hip fracture found that a motor FIM score of 58 was associated with an increased likelihood of discharge back into the community (as opposed to being discharged to another care facility or program). This gives your care team a good baseline to work with as you begin your rehabilitation program.Īdditionally, the breakdown of your FIM score can also help set specific goals for you prior to your discharge from the facility.įor example, if you enter a rehabilitation facility with a mobility (item 12) rating of 3 (moderate assistance required), the care and physical therapy team may target a rating of 5 (supervision required) as a goal prior to discharge. These clinicians must complete training and pass an exam in order to assign FIM scores.Īn initial FIM score is typically determined within 72 hours of admission to a rehabilitation facility. The FIM assessment tool is administered by clinicians who are trained in using it. ![]()
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