The structure and stability of the functional independence measure

Aim To determine the levels of anxiety and depression in young people with spinal cord injuries (SCI) and their associated factors and outcomes. Method Children and adolescents aged 7 to 17 years at interview who had sustained SCI at least 1 year before the study were assessed using the Children’s Depression Inventory, the Revised Children’s Manifest Anxiety Scale, the Pediatric Quality of Life Inventory, the Children’s Assessment of Participation and Enjoyment, and a demographic questionnaire designed for the study. Results The 118 participants (61 males, 57 females) had a mean age of 12 years 4 months, SD 3y 1mo, range 7‐17y. Mean age at injury was 5 years 11 months, SD 4y 11m, range 0‐16y; 89 participants (75%) had paraplegia and 29 (25%) had tetraplegia. Fifty‐seven (52%) had complete injuries and 52 (48%) had incomplete injuries according to the American Spinal Injury Association impairment scale. Thirteen participants (13%) reported significant symptoms of anxiety, and seven (6%) reported significant levels of depression, which were comparable to the normative population. Age, race, and sex were not associated with anxiety or depression, but participants with shorter duration of injury were more likely to be anxious, and those with less functional independence were more likely to be depressed. Only one dimension of participation was associated with anxiety and depression, but all aspects of quality of life were decreased among those with anxiety or depression. Interpretation The levels of anxiety and depression in young people with SCI are comparable to the normative range. When anxiety and depression occur they are associated with reduced levels of quality of life.

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“…This measure assesses the level of an individual's independence in self-care and mobility. 12 For nine patients a FIM score was not available.…”

Section: Instrumentsmentioning

confidence: 99%

Anxiety and depression in children and adolescents with spinal cord injuries

Anderson

Kelly

Klaas

et al. 2009

Develop Med Child Neuro

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“…In fact, the patients with early P300 had better scores than patients without early P300 in cognitive non-verbal FIM items, namely Social Interaction, Problem Solving and Memory. These items are considered satisfactory and reliable indicators of care burden [24]. Scoring was possible by observing sign language, mimic expression and behaviour in the first 72 h from admission.…”

Section: Discussionmentioning

confidence: 99%

“…The stroke severity at onset was assessed by means of the Scandinavian Stroke Group [23], its median score was 31. Moreover, dependency was evaluated by means of Functional Independence Measure (FIM) [24]. The median FIM score at admission was 40.…”

Section: Methodsmentioning

confidence: 99%

The role of P300 in the recovery of post‐stroke global aphasia

Nolfe

Cobianchi

Mossuto-Agatiello

et al. 2006

Euro J of Neurology

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Seventeen right-handed patients suffering from global aphasia caused by a recent stroke in the left-hemisphere were studied. Passive P300 auditory event related potential paradigm was applied every months for 6 months. Aachen subtests were used for evaluating comprehension. Only a minority of the patients displayed the P300 at the baseline. Those patients had the best outcome at the Aachen comprehension subtest. Latency and amplitude changed over time in an unpredictable way. The number of patients presenting with the P300 also fluctuated, since some patients could regain the potential, whereas some other patients could lose that from month to month. Passive P300 is a monitor of recovery following global aphasia. A single passive P300 recording is useful for prognostic purposes. Repairing mechanisms in the first 6 months have a non-linear trend.

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“…The tool is widely used to rate patients' performances on 13 motor and five cognitive items. 22 Total score ranges between 18 (reflecting complete functional dependency) and 126 (reflecting complete functional independency). We looked for motor and total FIM post-surgery and on discharge, as well as for FIM gains.…”

Section: Functional Evaluationmentioning

confidence: 99%