Measurement characteristics of the Functional Independence Measure.
Measurement characteristics of the Functional Independence Measure.
复制标题
功能独立性测量的测量特征。
DOI：
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发表时间：
1994
影响因子：
2.2
通讯作者：
C. Granger
中科院分区：
文献类型：
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作者：
A. Heinemann;John Michael Linacre;B. Wright;B. Hamilton;C. Granger
临床医生和研究人员认识到需要测量具有线性特性且可靠有效的功能状态。Rasch评级量表分析提供了将原始分数从功能评估工具转换为测量误差可以量化的线性测量的手段。临床医生认为中风后接受康复治疗的患者与其他患者组相似的程度使用功能独立性测量（FIM）进行了调查。早期的研究表明，FIM的前13个项目代表了运动功能的测量，后5个项目代表了认知功能的测量。FIM用于中风患者的方式与大多数其他损伤组在运动项目上的方式相似。然而，中风患者在认知项目上的评分与许多损伤组不同。表格显示了运动项目的两组损伤组和认知项目的三组损伤组的原始得分到缩放测量的转换。临床医生可以确信，从FIM得出的测量结果在仪器的整个范围内是线性的，并且与中风和其他特定损伤患者的独特性相适应。
Clinicians and researchers recognize the need for measures offunctional status that possess linear properties and are reliable and valid. Rasch rating scale analysis provides the means for converting raw scores from functional assessment tools to linear measures for which measurement error can be quantified. The extent to which clinicians perceive patients who are undergoing rehabilitation after stroke as similarto other patient groups was investigated using the Functional Independence Measure (FIM). Earlier work demonstrated that the first 13 items of the FIM represent a measure of motor function and that the last 5 items represent a measu re of cognitive function. The FIM was used for patients with stroke in a manner similar to that for most other impairment groups on the motor items. Patients with stroke were, however, unlike many impairment groups in their ratings on the cognitive items. Tables showing raw score to scaled measure conversions are provided for two sets of impairment groups on the motor items and three sets of impairment groups on the cognitive items. Clinicians can be confident that the measures derived from the FIM are linear across the range of the instrument and are attuned to the uniqueness of patients with stroke and other specific impairments.