Abstract:
OBJECTIVE:To review the development of Rasch analysis by examining the history of its application to the Functional Independence Measure (FIMTM), and highlighting current issues in the approach. METHODS:All Rasch-based papers concerning the FIMTM were reviewed for their analytical strategy and results. Four analytical pathways were identified that accommodated the majority of these strategies. Data derived from secondary analysis of 340 in-patients undergoing rehabilitation following stroke, measured on the FIMTM Motor Scale, were fitted to the Rasch measurement model according to these 4 pathways, with 2 additional pathways to accommodate recent developments. RESULTS:In the analytical pathway, where items are not re-scored, the fit to the Partial Credit parameterization was better than the Rating Scale version. Fit improved following re-scoring of disordered thresholds. When local dependency was accommodated by 4 testlets, the Partial Credit, re-scored testlet version achieved adequate summary fit with no misfit among items, and unidimensionality. All other pathways required item deletion. CONCLUSION:The current study has shown that the FIMTM Motor Scale, as applied to a stroke rehabilitation sample, satisfies Rasch model expectations and the unidimensionality assumptions, having accommodated local dependency issues, and by using the partial credit parameterization with re-scored categories. Other analytical pathways gave less ideal solutions, and are consistent with the wide range of solutions found for the scale over the years. Consequently, the development of the Rasch approach in health outcomes can be traced in the history of analysis of the FIMTM, and that development continues to this day.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Lundgren Nilsson Å,Tennant Adoi
10.2340/16501977-0871subject
Has Abstractpub_date
2011-10-01 00:00:00pages
884-91issue
10eissn
1650-1977issn
1651-2081journal_volume
43pub_type
杂志文章abstract:OBJECTIVE:To study the influence of physical impairments on hip bone mineral density in women with Parkinson's disease. DESIGN:Cross-sectional study. SUBJECTS/PATIENTS:Thirty-four women with Parkinson's disease and 30 age-matched healthy controls. METHODS:Patients with Parkinson's disease underwent a hip scan using ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0311
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:This study examined characteristics of patients with acquired brain injury associated with wait times for inpatient rehabilitation compared with a control population of patients with acquired spinal cord injury. METHODS:This cross-sectional study was based on 9458 patients captured in the National Rehabilita...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0582
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To evaluate possible gender differences regarding the effect of intervention in geriatric rehabilitation, expressed in terms of change in function-related dependence, pain and insecurity. DESIGN:Comparative study. PARTICIPANTS:A total of 110 women and 44 men undergoing geriatric rehabilitation. METHODS:Per...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970510041235
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:To investigate eye-hand coordination in stroke survivors and its relationship with sensori-motor impairments and hand functioning in daily life. DESIGN:Cross-sectional study. SUBJECTS:Fifteen subjects with stroke (mean age 62.5 years (standard deviation (SD) 7.1); time post-stroke 5.2 years (SD 3.0)) recrui...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0520
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the construct validity of the Activity Inventory of the Chedoke-McMaster Stroke Assessment and the Clinical Outcome Variables Scale (COVS), 2 measures of functional mobility. DESIGN:A retrospective longitudinal study of 24 inpatients (mean age 83 years (standard deviation 7)) on a geriatric rehab...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0477
更新日期:2010-01-01 00:00:00
abstract::People with disability (PWD) in Indonesia are often neglected by society. Improving their life situation towards full participation in society is crucial. As a health strategy, rehabilitation can improve func-tioning, quality of life and participation in society. However, rehabilitation services in Indonesia need impr...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2330
更新日期:2018-04-18 00:00:00
abstract:OBJECTIVE:To determine reliability of maximal grip strength, muscle coordination and muscle endurance. To compare these parameters in young adults with unilateral cerebral palsy and healthy subjects. To evaluate the correlation of these variables with functional activities. SUBJECTS:Twenty-six healthy subjects and 26 ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0095
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To estimate the health-related quality of life (HRQoL) of persons with spinal cord lesion. DESIGN:The study design was cross-sectional. SUBJECTS:All adult citizens in Helsinki with traumatic spinal cord lesion were identified. The final study group comprised 117 subjects, corresponding to a participation ra...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970510034413
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:Brain-machine interface training was developed for upper-extremity rehabilitation for patients with severe hemiparesis. Its clinical application, however, has been limited because of its lack of feasibility in real-world rehabilitation settings. We developed a new compact task-specific brain-machine interface...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2275
更新日期:2018-01-10 00:00:00
abstract:OBJECTIVE:To assess the association of cardiovascular autonomic balance with perceived functional impairment and pain among patients with chronic low back pain. DESIGN:A cross-sectional analysis of working patients with chronic low back pain. PATIENTS:Forty-six consecutive patients aged 24-45 years with chronic low b...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0172
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To develop and test the ability of a screening instrument to identify subgroups among primary healthcare patients with musculoskeletal pain. The Pain Belief Screening Instrument covers pain intensity, disability, self-efficacy, fear avoidance and catastrophizing. DESIGN:Cross-sectional, correlational and com...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0072
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To investigate clinically significant change in the emotional condition of relatives of patients with severe traumatic brain injury during sub-acute rehabilitation. METHODS:Participants were 62 pairs of relatives and patients. Relatives completed the anxiety and depression scales from the Symptom Checklist-9...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1190
更新日期:2013-09-01 00:00:00
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 Int...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2225
更新日期:2017-05-16 00:00:00
abstract:OBJECTIVE:To explore the health situation and identify specific health challenges in non-Western immigrants with polio in Norway, by comparing their status with Western immigrants with polio and native Norwegians with polio. DESIGN:A questionnaire covering demographics, polio history, life satisfaction, medical, psych...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2624
更新日期:2019-12-16 00:00:00
abstract:INTRODUCTION:Post-operative pulmonary rehabilitation in patients who have undergone surgery for lung cancer is a subject of open debate. Clinical practice in this setting is based on the results of observational trials, such as the one described here. Prospective randomized controlled trials have been registered and re...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1192
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for depression. METHODS:A formal decision-making and consensus process integrating evidence gathered from preliminary studies w...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501960410016055
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To examine the test-retest reliability, convergent validity, and predictive validity of the comprehensive activities of daily living (CADL) measure in patients with stroke. DESIGN:A repeated-assessments design, 10-14 days apart, was used to examine test-retest reliability in 70 patients. In the validity stud...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1004
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To evaluate a structured physiotherapy treatment model in patients who qualify for lumbar disc surgery. DESIGN:A prospective cohort study. PATIENTS:Forty-one patients with lumbar disc herniation, diagnosed by clinical assessments and magnetic resonance imaging. METHODS:Patients followed a structured physio...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1255
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To explore patient experiences of participating in multimodal pain rehabilitation in primary care. SUBJECTS:Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation. METHODS:The interviews were analysed usin...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2286
更新日期:2018-01-10 00:00:00
abstract:OBJECTIVE:To evaluate the impact of forced use therapy on posture in children with hemiplegic cerebral palsy. DESIGN:Single group pre- and post-training assessments. SUBJECTS:Eight children (mean age 10.5 years (standard deviation 1.26 years)) with hemiplegic cerebral palsy Levels I and II on the gross motor function...
journal_title:Journal of rehabilitation medicine
pub_type: 临床试验,杂志文章
doi:10.2340/16501977-0920
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the test-retest reliability of isometric and isokinetic muscle strength measurements in the upper extremity after stroke. DESIGN:A test-retest design. SUBJECTS:Forty-five persons with mild to moderate paresis in the upper extremity > 6 months post-stroke. METHODS:Isometric arm strength (shoulde...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1990
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:To determine whether the addition of deep or superficial heating to stretching produces better clinical outcomes than stretching alone in the management of frozen shoulder. DESIGN:A single-blinded, randomized controlled study. SUBJECTS:Thirty subjects suffering from the stiffness phase of frozen shoulder. ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-0146
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme. PATIENTS AND METHODS:Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriente...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0534
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:Obese patients require sustained lifestyle changes to reduce their health risks. We therefore developed a combined planning and telephone aftercare intervention based on the Health Action Process Approach to enhance physical activity after inpatient rehabilitation for obesity. DESIGN:Randomized controlled tr...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-1095
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To investigate costs and quality-adjusted life years of rehabilitation combined with abobotulinumtoxinA (aboBoNT-A) (rehab/aboBoNT-A) vs rehabilitation alone (rehab) in post-stroke spasticity in Italy. DESIGN:Based on both Italian National Health Service and societal perspectives, a 2-year cost-utility analy...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2636
更新日期:2020-02-07 00:00:00
abstract:OBJECTIVE:To investigate sex differences in symptoms, structure of symptoms, disability and life satisfaction 3 years after mild traumatic brain injury. Secondary aims were to find risk factors for adverse outcome. DESIGN:Population-based cohort study. PATIENTS:The cohort comprised 137,000 inhabitants at risk in a de...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1215
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To update the evidence surrounding the presence of anxiety after stroke. DATA SOURCES:A search was conducted in EMBASE, MEDLINE, PsycINFO, Cochrane Library, AMED and CINAHL in May 2015 and repeated in April 2017. STUDY SELECTION:Clinical diagnosis of stroke and assessed for anxiety symptoms on a rating scal...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:10.2340/16501977-2384
更新日期:2018-09-28 00:00:00
abstract:OBJECTIVE:To investigate the types of coping strategies used by parents of children with acquired brain injury in the chronic phase and the relationship between their coping styles and psychosocial functioning. DESIGN:Cross-sectional study (April-May 2013). SUBJECTS:Parents (n = 42) of 28 children with acquired brain...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1913
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To examine wheelchair athletes' perceptions of wheelchair configuration in relation to aspects of mobility performance. METHODS:Nine elite wheelchair athletes from wheelchair basketball, wheelchair rugby and wheelchair tennis were interviewed using a semi-structured format. Interview transcripts were analyse...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0490
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:To assess sports participation in young adults with myelomeningocele and its association with personal, disease-related and psychosocial factors, physical activity and fitness. DESIGN:Cross-sectional study. SUBJECTS:Fifty-one persons (26 males) with myelomeningocele , mean age 21.1 (standard deviation 4.5) ...
journal_title:Journal of rehabilitation medicine
pub_type: 历史文章,杂志文章
doi:10.2340/16501977-0239
更新日期:2008-10-01 00:00:00