Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Impairment-specific dimensions within the Functional Independence Measure

M G Stineman1, A Jette, R Fiedler

  • 1Department of Rehabilitation Medicine, University of Pennsylvania, Philadelphia, USA.

Archives of Physical Medicine and Rehabilitation
|June 1, 1997
PubMed
Summary

This study identified impairment-specific dimensions within the Functional Independence Measure (FIM) beyond motor and cognitive factors. These findings offer a more detailed understanding of disability patterns related to specific impairments.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Assessment of the protective effect against air pollution-induced skin pigmentation of an oral nutritional supplement containing antioxidants: A randomized, double-blinded, placebo-controlled study.

Journal of the European Academy of Dermatology and Venereology : JEADV·2023
Same author

Analysis of historical negative control group data from the rat in vivo micronucleus assay.

Mutation research. Genetic toxicology and environmental mutagenesis·2020
Same author

Photoprotection of the future: challenges and opportunities.

Journal of the European Academy of Dermatology and Venereology : JEADV·2020
Same author

PRP‑1 significantly decreases the ALDHhigh cancer stem cell population and regulates the aberrant Wnt/β‑catenin pathway in human chondrosarcoma JJ012 cells.

Oncology reports·2019
Same author

The Effect of Complete Denture Occlusion on Function and Patient Quality of Life: Systematic Review.

The European journal of prosthodontics and restorative dentistry·2018
Same author

SCI peer health coach influence on self-management with peers: a qualitative analysis.

Spinal cord·2017

Area of Science:

  • Rehabilitation Medicine
  • Psychometrics
  • Disability Studies

Background:

  • The Functional Independence Measure (FIM) is a standard tool for assessing patient disability.
  • Existing FIM dimensions (motor and cognitive) may not fully capture impairment-specific functional deficits.
  • A more granular understanding of FIM dimensions is needed to link impairments to specific functional outcomes.

Purpose of the Study:

  • To identify impairment-specific dimensions within the FIM.
  • To determine if FIM items can be grouped by functional areas and if these groupings vary by patient impairment.
  • To explore a more fine-grained analysis of functional independence beyond general motor and cognitive measures.

Main Methods:

  • Factor analysis was applied to FIM data from 93,829 patients across 20 impairment categories.

Related Experiment Videos

  • Hypotheses tested whether FIM items group by body function and differ based on patient impairment.
  • Data were sourced from the Uniform Data System for Medical Rehabilitation for patients discharged in 1992.

    • Main Results:

    • Impairment-specific FIM dimensions were identified in 18 of 20 categories.
    • Factor structures varied, with 4 impairments showing 3 dimensions and 14 showing 4 dimensions.
    • These dimensions were nested within the motor-FIM subscale, with high reliability (0.74–0.97) and clustered by body area, neurological level, or energy consumption.

    Conclusions:

    • The FIM functions as a multilayered, multidimensional measure.
    • Impairment-specific dimensions provide crucial insights into the causal links between impairments and disability.
    • Impairment-specific subscales enhance clinical and research applications requiring a closer relationship between disability type and impairment.