assesses burden of care and functional impairment.
this version of the FIM is completed by the patient.
contains 6 subscales:
2) Sphincter control
6) Social cognition.
The instrument reports the patient perspective on their level of independence and in general, is well known as the internationally accepted, global tool to measure functional independence.
The FIM-SR has less clinician and client burden than the original FIM which requires observation of performance.
Most items on the FIM-SR generalize to all populations, however modified versions of the FIM exist to accommodate the needs of individuals with SCI. The motor scale adequately discriminated subjects with different injury levels
was developed for administration by telephone interview.
Number of Items
The 18 items are rated on a 1 – 7 scale where 1 = total assistance is needed and 7 = complete independence.
The scoring considers the use of adaptive equipment and/or the extent of personal assistance or supervision required to complete the task. If assistive equipment (ex. raised toilet seat) is used, the individual cannot achieve a score of 7 on the item.
The scores can be reported as FIM Motor scores, FIM Cognitive scores or FIM Total summed scores.
Total FIM scores range from 18 (totally dependent) to 126 (totally independent); motor scores range from 13 (total dependence) to 91 (total independence); and cognitive scores range from 5 (total dependence) to 35 (total independence).
Training is required for health care professionals scoring the FIM–SR and can be accessed here.
Hall KM, Cohen ME, Wright J, Call M, Werner P. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Arch Phys Med Rehabil 1999;80:1471-1476. http://www.ncbi.nlm.nih.gov/pubmed/10569443
Heinemann AW, Kirk P, Hastie BA Semik,P, Hamilton BB, Linacre JM, Wright BD, Granger C. Relationships between disability measures and nursing effort during medical rehabilitation for patients with traumatic brain and spinal cord injury. Arch Phys Med Rehabil 1997;78:143-149. http://www.ncbi.nlm.nih.gov/pubmed/9041894
Masedo AI, Hanley M, Jensen MP, Ehde D, Cardenas DD. Reliability and validity of a self-report FIM (FIM-SR) in persons with amputation or spinal cord injury and chronic pain. Am J Phys Med Rehabil 2005;84:167-176. http://www.ncbi.nlm.nih.gov/pubmed/15725790