7/24/2023 0 Comments Functional independence measure![]() Archive of Physical Medicine Rehabilitation, 81, 1317-1326. (2000). The WeeFIM instrument: Its utility in detecting change in children with developmental disabilities. Ottenbacher, K.J., Msall, M.E., Lyon, N., Duffy, L.C., Ziviani, J., Granger, C.G., Braun, S. Developmental Medicine & Child Neurology, 41, 186-194. Measuring developmental and functional status in children with disabilities. Ottenbacher, K.J., Msall, M.E., Lyon, N., Duffy, L.C., Granger, C.V., & Braun, S. Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI. ![]() Clinical Applications – WeeFIM can be used for discharge planning, prediction of functional outcomes, functional evaluation, as well as documentation of functional performance.Īustin CA, Slomine BS, Dematt EJ, Salorio CF, Suskauer SJ.Weaknesses – WeeFIM training and subscription is expensive.Strengths – excellent interrater reliability, easy and efficient to administer, valuable predictor of function in children with disabilities.Predictive: Has been shown to predict longitudinal functional recovery in children with disability.Time Requirements: 0.90) and consistent for individual use. Interrater reliability was excellent with ICC values of 0.98 and 0.93 for the motor and cognitive scales respectively. The correlations of the WeeFIM scale with four areas of the Denver-II were as expected, the strongest ( r=0.94) being between the WeeFIM cognitive scale and the Denver II language section, and the least strong ( r=0.71) between the WeeFIM cognitive and the Denver II gross motor function section.Target Population and Ages – 6 months to 7 years. May be used with children above the age of 7 years as long as their functional abilities are below those expected of children aged 7 who do not have disabilities.Purpose: measure changes in function over time to weigh the burden of care in terms of physical, technologic, and financial resource.Costs: $4100 in/outpatient $2200 inpatient only.Source: Uniform Data System for Medical Rehabilitation, 270 Northpointe Parkway, Suite 300, Amherst, New York 14228.Title, Edition, Dates of Publication and Revision: WeeFIM, 1990.Buffalo, NY: State University of New York at Buffalo Research Foundation.Functional Independence Measure for Children (WEEFIM) Descriptive Information Guide for the use of the uniform data set for medical rehabilitation, Version 5.0. Uniform Data Set For Medical Rehabilitation (1996). Buffalo, NY: Research Foundation of the State University of New York. Guide for the use of the Functional Independence Measure (WeeFIM) of the Uniform Data Set for Medical Rehabilitation. Scherer (Eds.), Psychological assessment in medical rehabilitation (pp. Disability and Rehabilitation, 16(2), 63-71.Ĭrewes, N., & Dijkers, M. Inter-rater agreement of two functional independence scales: The Functional Independence Measure (FIMSM) and a subjective uniform continuous scale. Topics in Stroke Rehabilitation, 24(3), 194-199. Independence and cognition post-stroke and its relationship to burden and quality of life of family caregivers. It is widely used in most accredited medical rehabilitation programs and associated outcome research. Ideally, raters receive expert training for proper use of the FIM. There is also a version that has been developed for use with children (WeeFIM Granger, Hamilton, & Kayton, 1989). A version of the FIM is available for use in telephone interviews. ![]() The FIMSM has demonstrated considerable validity and reliability (Chau, Daler, & Andre, 1994 Crewe & Diikers, 1995). Lower scores indicate more functional deficits. Each item is rated on an ordinal scale ranging from 1 (Total Assistance) to 7 (Complete Independence). The FIMSM contains 13 items that assess motor functioning (eating, grooming, bathing, dressing, toileting, bowel and bladder control, transfers, and locomotion) and 5 items that measure cognitive functioning (communication and social cognition). Description of Measure: The severity of care-recipient functioning and impairments may be determined with the Functional Independence Measure (FIMSM Uniform Data Set for Medical Rehabilitation, 1996). ![]()
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