Advances in functional assessment for medical rehabilitation

Granger, Carl V.; Hamilton, Bvron B.; Keith, Robert; Zielezny, Maria; Sherwin, Frances S.

doi:10.1097/00013614-198604000-00007

Cited by 683 publications

(390 citation statements)

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“…Distinguishing between means of wheelchair propulsion would not be critical within the FIM design since a similar score for either means of wheelchair propulsion would indicate the same burden of care. 14,23 However, the physical abilities required to perform propulsion by the different means are, of course, quite different. Relevant to the present pilot study, this scoring also makes it impossible to determine the relationships between muscle strength and the wheelchair task.…”

Section: Discussionmentioning

confidence: 99%

“…Despite these limitations, MMT is the clinical measure most utilized to examine strength in the SCI population. 13 The FIM was developed to assess a wide variety of disabilities 14 and is widely used in rehabilitation settings. It has good face and content validity, 14 excellent concurrent validity, 15 and good-to-excellent (r ¼ 0.81-0.96) inter-rater and intrarater reliability.…”

Section: Introductionmentioning

confidence: 99%

“…13 The FIM was developed to assess a wide variety of disabilities 14 and is widely used in rehabilitation settings. It has good face and content validity, 14 excellent concurrent validity, 15 and good-to-excellent (r ¼ 0.81-0.96) inter-rater and intrarater reliability. [15][16][17] Questions have been raised regarding the FIM's sensitivity to critical functional changes in the SCI population.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between motor FIM and muscle strength in lower cervical-level spinal cord injuries

2004

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Study design: Retrospective analysis. Objectives: The objectives of this research were to, in subjects with lower cervical spinal cord injury (SCI), examine the relationship between strength of muscle groups as measured by the manual muscle test (MMT) and function (reflected as burden of care) as measured by individual functional independence measure (FIM) motor tasks, and investigate the extent to which MMT scores explain the variance of the motor FIM scores. Setting: Acute rehabilitation hospitals, Boston, MA, USA. Methods: Retrospective pilot study of 20 in-patients, age 18-62 years, with an SCI between C5 and C7. Discharge demographic variables, MMT and motor FIM scores were analyzed. Descriptive statistics, Spearman's rank correlation coefficients, stepwise regressions were performed. Results: MMT scores for elbow flexion followed by shoulder flexion and wrist extension correlated with the greatest number of FIM tasks. MMT scores explained some part of the variance in the eight of 12 motor FIM tasks. In six of eight tasks, one key muscle explained a large portion of the variance. Conclusion: Key muscles relative to FIM tasks can be identified. These findings may help focus therapeutic interventions aimed at achievement in these tasks.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between motor FIM and muscle strength in lower cervical-level spinal cord injuries

2004

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“…The patients' details are shown in Table 1. The Functional Independence Measure (FIM) 8,9 and American Spinal Injury Association (ASIA) 10,11 impairment scale (AIS) were used for clinical evaluation.…”

Section: Methodsmentioning

confidence: 99%

Medical rehabilitation of the patients with spinal cord injury caused by aortic aneurysm and its operation

2007

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Objectives: To determine the natural course of spinal cord injury (SCI) after aortic aneurysm surgery. Setting: Acute care and semi-acute wards in Osaka Rosai Hospital, Japan. Methods: From 1998 to 2003, 12 patients with thoracic SCI (eight men and four women; mean age: 69 years) were enrolled and evaluated by the American Spinal Injury Association (ASIA) impairment scale and Functional Independence Measure (FIM), and the results were analyzed. Results: The level of SCI was distributed from T5 to L1. The ASIA impairment scale was A in four patients, B in four, C in three and D in one. Finally, six patients were discharged to home, and two patients died during hospitalization. Excluding the value of the deceased patients, the mean motor FIM was initially 32715.6 (13-59) points and became 61721.4 (29-88) points at discharge. Referencing the databases of SCI in Japan and USA revealed that the complication rates of pneumonia and aspiration were higher in our cases. The motor FIM before rehabilitation and at discharge were relatively lower than in the databases, but the gain and the rate of gain were similar to the Japanese database. Conclusion: SCI associated with aortic aneurysm surgery was noticed especially in the elderly patients using airways (for example, tracheostomy). The higher age and recurrent nerve palsy were associated with deconditioning state to develop aspiration pneumonia. This state impaired the general condition, and such vicious cycle led to poor prognosis and functional outcome.

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“…63 Of the existing scales, we used the QIF, 54 functional independence measure (FIM) 64,65 and rehabilitation activities profile (RAP). 66 (2) Interviews: semi-structured interviews were held with 15 professionals a rehabilitation nurse, an occupational therapist and a rehabilitation physician from the Spinal Cord Unit in each of five rehabilitation centres in the Netherlands and Belgium, and five tetraplegic patients with an SCI.…”

Section: Phase 1 -Item Generation: An Empirical Explorationmentioning

confidence: 99%

Tetraplegia Hand Activity Questionnaire (THAQ): the development,assessment of arm–hand function-related activities in tetraplegic patients with a spinal cord injury

et al. 2004

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Study design: Development of Tetraplegia Hand Activity Questionnaire (THAQ). Setting: Patients and spinal cord injury (SCI) professionals from five rehabilitation centres in the Netherlands and Belgium. Objective: To construct a disease-specific questionnaire to evaluate interventions to the armhand of tetraplegics in terms of gained and lost activities relevant to the patient. Methods: All arm-hand function-related activities were inventoried by examining existing scales and interviewing spinal cord injury patients and professionals in the field. Subsequently, item reduction was achieved; first, in the technical construction by incorporating all activities in an item list, then reducing the list by selecting the items most likely to be sensitive to change after surgical or functional electro stimulation interventions on the arm-hand as judged by an expert panel, using a Delphi method. Results: The arm-hand-related activity inventory comprised 652 activities. The technical construction of the items and the Delphi procedure resulted in a questionnaire with 153 items. The experts considered many of the 'new' activities more relevant for the evaluation of hand function interventions than those found in scales studied in the literature. This is reflected in a relatively large proportion of new activities (69%) for the item list of the THAQ, and even more in the domains work/admin/telecom (88%) and leisure (100%). Conclusion:The questionnaire constructed to assess hand function-related activities contains relevant activities to evaluate arm-hand function-related interventions for tetraplegic SCI patients.

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Advances in functional assessment for medical rehabilitation

Cited by 683 publications

References 0 publications

Relationship between motor FIM and muscle strength in lower cervical-level spinal cord injuries

Relationship between motor FIM and muscle strength in lower cervical-level spinal cord injuries

Medical rehabilitation of the patients with spinal cord injury caused by aortic aneurysm and its operation

Tetraplegia Hand Activity Questionnaire (THAQ): the development,assessment of arm–hand function-related activities in tetraplegic patients with a spinal cord injury

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