How is the Functional Independence Measure (FIM) used to determine outcomes for traumatic brain injury (TBI)?

Updated: Feb 01, 2018
  • Author: Percival H Pangilinan, Jr, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
  • Print
Answer

Answer

The FIM is one of the most widely used measures of function in rehabilitation (Table 3). It is an 18-item scale used to assess the patient's level of independence in mobility, self-care, and cognition. However, it may lack sensitivity in patients with very low or very high levels of function. Therefore, the FIM may be an inadequate outcome measure for patients at either extreme of TBI recovery.

Table 4. Functional Independence Measure (Open Table in a new window)

Clinical Area

Self-care

A. Eating

B. Grooming

C. Bathing

D. Dressing - upper body

E. Dressing - lower body

F. Toileting

Sphincter control

G. Bladder management

H. Bowel management

Transfers

I. Bed, chair, wheelchair

J. Toilet

K. Tub, shower

Locomotion

L. Walking, wheelchair

M. Stairs

Motor subtotal score:

Communication

N. Comprehension

O. Expression

Social interaction

P. Expression

Q. Problem solving

R. Memory

Cognitive subtotal score:

TOTAL FIM SCORE:

Source—Keith et al, 1987. [12]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!