Arch Phys Med Rehabil. 1994 Feb;75(2):127-32.

The structure and stability of the Functional Independence Measure.

Linacre JM, Heinemann AW, Wright BD, Granger CV, Hamilton BB.

Source

MESA Psychometric Laboratory, Department of Education, University of Chicago.

Abstract

The Functional Independence Measure (FIM) records the severity of disability of rehabilitation patients. The necessarily curvilinear relationship between the finite range of recorded FIM raw scores and the conceptually infinite range of additive disability measures is resolved through Rasch analysis. The analysis of admission and discharge FIM ratings of 14,799 patients shows that the 18 FIM items define two statistically and clinically different indicators. Thirteen items define disability in motor functions. Five items define disability in cognitive functions. Additive measures for each indicator have the same characteristics at admission and discharge, so that these measures can be used to assess change in patient status.

Comment in

Rehabilitation outcome and FIM. [Arch Phys Med Rehabil. 1994]
Rehabilitation outcome and FIM.Ho CC. Arch Phys Med Rehabil. 1994 Jul; 75(7):831.

PMID:: 8311667; [PubMed - indexed for MEDLINE]

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Arch Phys Med Rehabil. 1994 Feb ;75(2):127-32.

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