Abstract:
INTRODUCTION:Two widely used outcome measures to assess functioning in neurological rehabilitation are the Functional Independence Measure (FIM™) and the Barthel Index. The current study aims to establish the equivalence of the total score of the FIM™ motor scale and the Barthel Index through the application of the International Classification of Functioning, Disability and Health, and Rasch measurement theory. METHODS:Secondary analysis of a large sample of patients with stroke, spinal cord injury, and multiple sclerosis, undergoing rehabilitation was conducted. All patients were assessed at the same time on both the FIM™ and the Barthel Index. The International Classification of Functioning, Disability and Health Linking Rules were used to establish conceptual coherency between the 2 scales, and the Rasch measurement model to establish an exchange of the total scores. RESULTS:Using the FIM™ motor scale, items from both scales linked to the International Classification of Functioning, Disability and Health d4 Mobility or d5 Self-care chapters. Their co-calibration satisfied the assumptions of the Rasch model for each of 3 diagnostic groups. A ceiling effect was observed for the Barthel Index when contrasted against the FIM™ motor scale. CONCLUSION:Having a Rasch interval metric to transform scores between the FIM™ motor scale and Barthel Index is valuable for monitoring functioning, meta-analysis, quality audits and hospital benchmarking.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Prodinger B,O'Connor RJ,Stucki G,Tennant Adoi
10.2340/16501977-2225subject
Has Abstractpub_date
2017-05-16 00:00:00pages
416-422issue
5eissn
1650-1977issn
1651-2081journal_volume
49pub_type
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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